scholarly journals Failure rate of pterygomandibular block in lower third molar extraction procedures

2018 ◽  
Vol 7 (9) ◽  
Author(s):  
María del Pilar Rodríguez Sánchez ◽  
Jadison Junio Conforte ◽  
João Paulo Bonardi ◽  
Débora Bressan Galafassi ◽  
Daniela Ponzoni
Keyword(s):  
Failure Rate ◽  
Nerve Block ◽  
Surgical Procedures ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Anatomical Variations ◽  
Inferior Alveolar Nerve Block ◽  
Extraction Procedures ◽  
Third Molar Extraction ◽  
Molar Extraction

The aim of this study was to evaluate the anaesthetic failure rate of the pterygomandibular technique with an inferior alveolar nerve block in lower third molar extraction procedures.  Materials and Methods: A total of 67 healthy patients (men and women, aged between 18–35 years) requiring third molar extractions were selected from the Discipline of Surgery, of the Araçatuba Dental School. The anaesthetic technique utilised was a pterygomandibular block using 2% mepivacaine hydrochloride with epinephrine 1:100,000 (Mepivalem®) in a maximum standardised amount of three tubes (5.4 ml) per procedure (performed by the same operator). Surgical procedures were initiated after confirming the sensation of anaesthesia in the area anesthetised at the inferior alveolar nerve. Painful symptoms were recorded during surgery. Results: In total, 117 surgical procedures, i.e., 114 exodontias and three coronectomies, were performed. During surgical procedures, four patients reported pain during manoeuvres of odontosection, representing an anaesthetic failure rate of 3.41%. Alternative techniques utilised in these four patients involved milohioideo nerve, intraligamentaria, and intrapulpal anaesthesia. Conclusion: The success of inferior alveolar nerve block anaesthesia is difficult to predict due to large anatomical variations, and it is difficult to observe via diagnostic means. The relatively low percentage of anaesthetic failure reported in this study may be related to the number of procedures performed.Descriptors: Anesthesia, Dental; Anesthesia, Local; Molar, Third.

scholarly journals THE MANDIBULAR NERVE, ITS COURSE, ANATOMICAL VARIATIONS AND PTERYGOMANDIBULAR SPACE. - A SYSTEMATIC REVIEW.

2020 ◽  
pp. 66-67
Author(s):  
Manish Kumar ◽  
Kapil Karwasra ◽  
Amit Chhaparwal
Keyword(s):  
Systematic Review ◽  
Nerve Block ◽  
Surgical Procedures ◽  
Inferior Alveolar Nerve ◽  
Anatomical Variations ◽  
Review Article ◽  
Mandibular Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Pterygomandibular Space

Knowledge of mandibular nerve and its branches is important when performing dental and surgical procedures of mandible. So, this systematic review article revealed all details of mandibular nerve course and also important anatomical variations. Mandibular nerve during its course go through the pterygomandibular space and this space is important for inferior alveolar nerve block anaesthesia, so all details of pterygomandibular structure are also included in this review.

Inferior alveolar nerve block and third-molar agenesis

2013 ◽  
Vol 144 (4) ◽  
pp. 389-395 ◽  
Author(s):  
Jerry Swee ◽  
Anthony R. Silvestri ◽  
Matthew D. Finkelman ◽  
Alfred P. Rich ◽  
Stanley A. Alexander ◽  
...  
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Inferior Alveolar Nerve Block ◽  
Third Molar Agenesis

scholarly journals 4% lidocaine versus 4% articaine for inferior alveolar nerve block in impacted lower third molar surgery

2017 ◽  
Vol 17 (1) ◽  
pp. 29 ◽  
Author(s):  
Kiatanant Boonsiriseth ◽  
Sittipong Chaimanakarn ◽  
Prued Chewpreecha ◽  
Natee Nonpassopon ◽  
Manop Khanijou ◽  
...  
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block

Investigation of an Opioid Prescribing Protocol After Third Molar Extraction Procedures

2019 ◽  
Vol 77 (4) ◽  
pp. 705-714 ◽  
Author(s):  
Paul C. Tompach ◽  
Chad L. Wagner ◽  
A. Brooke Sunstrum ◽  
Robert A. Nadeau ◽  
Harold K. Tu
Keyword(s):  
Third Molar ◽  
Extraction Procedures ◽  
Opioid Prescribing ◽  
Third Molar Extraction ◽  
Molar Extraction

scholarly journals Comparison of Articaine and Lidocaine for Buccal Infiltration After Inferior Alveolar Nerve Block For Intraoperative Pain Control During Impacted Mandibular Third Molar Surgery

2017 ◽  
Vol 64 (2) ◽  
pp. 80-84 ◽  
Author(s):  
Geraldo Prisco da Silva-Junior ◽  
Liane Maciel de Almeida Souza ◽  
Francisco Carlos Groppo
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Mandibular Third Molar ◽  
Intraoperative Pain ◽  
Group 2 ◽  
Mandibular Third Molar Surgery ◽  
Buccal Infiltration

In order to compare the efficacy of lidocaine and articaine for pain control during third molar surgery, 160 patients presenting bilateral asymptomatic impacted mandibular third molars were selected. They received 1.8 mL of 2% lidocaine with epinephrine 1:100,000 during inferior alveolar nerve block. In group 1 (n = 80), an infiltrative injection of 0.9 mL of 2% lidocaine with epinephrine 1:100,000 was performed in buccal-distal mucosa of the third molar. Group 2 (n = 80) received 0.9 mL of 4% articaine with epinephrine 1:100,000 in the contralateral side. All procedures were performed at the same visit, by a single operator, in a double-blind and parallel design. The duration of each surgery and the moment when the patient expressed pain were noted. Data were analyzed by nonpaired t test and chi-square test (alpha = 5%). Duration of surgery did not differ (p = .83) between Groups 1 (19.8 ± 2.3 minutes) and 2 (19.7 ± 3.0 minutes). Pain was expressed more in group 1 (26.3%) than in group 2 (10%) (odds ratio = 3.2, p = .0138). In both groups, tooth sectioning was the most painful event (p < .0001). No influence of gender (p = .85) or age (p = .96) was observed in pain response. Buccal infiltration of 4% articaine with epinephrine 1:100,000 showed more efficacy than 2% lidocaine with epinephrine 1:100,000 when used in combination with inferior alveolar nerve block in controlling intraoperative pain related to impacted mandibular third molar surgery.

scholarly journals Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

2017 ◽  
Vol 10 (4) ◽  
pp. 369-372 ◽  
Author(s):  
Milad Ghanizadeh ◽  
Maryam Pourkazemi ◽  
Sanaz Sheykhgermchi
Keyword(s):  
Nerve Block ◽  
Buccal Mucosa ◽  
Pain Control ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Primary Molars ◽  
Inferior Alveolar Nerve Block ◽  
Mandibular Molars ◽  
Lower Canine

ABSTRACT Introduction Pain control is one of the most important aspects of behavior management in children. The most common way to achieve pain control is by using local anesthetics (LA). Many studies describe that the buccal nerve innervates the buccal gingiva and mucosa of the mandible for a variable extent from the vicinity of the lower third molar to the lower canine. Regarding the importance of appropriate and complete LA in child-behavior control, in this study, we examined the frequency of buccal gingiva anesthesia of primary mandibular molars and canine after inferior alveolar nerve block injection in 4- to 6-year-old children. Study design In this descriptive cross-sectional study, 220 4- to 6-year-old children were randomly selected and entered into the study. Inferior alveolar nerve block was injected with the same method and standards for all children, and after ensuring the success of block injection, anesthesia of buccal mucosa of primary molars and canine was examined by stick test and reaction of child using sound, eye, motor (SEM) scale. The data from the study were analyzed using descriptive statistics and statistical software Statistical Package for the Social Sciences (SPSS) version 21. Results The area that was the highest nonanesthetized was recorded as in the distobuccal of the second primary molars. The area of the lowest nonanesthesia was also reported in the gingiva of primary canine tooth. Conclusion According to this study, in 15 to 30% of cases, after inferior alveolar nerve block injection, the primary mandibular molars' buccal mucosa is not anesthetized. How to cite this article Pourkazemi M, Erfanparast L, Sheykhgermchi S, Ghanizadeh M. Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children? Int J Clin Pediatr Dent 2017;10(4):369-372.

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