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.

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.

The results of the development of a personalized method of mandibular foramen searching in the aspect of mproving the efficiency and safety of inferior alveolar nerve block

2019 ◽  
pp. 52-56
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Mandibular Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Mandibular Foramen

The position of mandibular foramen and its correspondence with the mandibular nerve are the key positions of the personified research. The ideas of different anatomic schools about the positions of mandibular foramen are based on their own research of native, clinical, radiological materials and on the averaged common tendencies.

Herpes zoster oticus following mandibular block

2000 ◽  
Vol 114 (3) ◽  
pp. 212-213 ◽  
Author(s):  
Sangeeta Maini ◽  
Mark Preece
Keyword(s):  
Herpes Zoster ◽  
Nerve Block ◽  
Facial Palsy ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Mandibular Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Dental Surgery ◽  
Surgical Interventions ◽  
Herpes Zoster Oticus

Although a few cases of facial palsy following mandibular nerve block and dental surgery have been described, it would appear that herpes zoster oticus following dental surgery has not been documented. It is possible that the latent virus may be activated by the mandibular nerve block and dental surgical interventions. Two cases of herpes zoster oticus, both following inferior alveolar nerve block anaesthesia for dental treatment are presented.

scholarly journals Oral Ketorolac with Inferior Alveolar Nerve Block for Irreversible Pulpitis: A Systematic Review and Meta-analysis

2018 ◽  
Vol 12 (1) ◽  
pp. 340-346 ◽  
Author(s):  
Gowri Sivaramakrishnan ◽  
Kannan Sridharan
Keyword(s):  
Systematic Review ◽  
Relative Risk ◽  
Success Rate ◽  
Nerve Block ◽  
Meta Analysis ◽  
Inferior Alveolar Nerve ◽  
Endodontic Treatment ◽  
Inferior Alveolar Nerve Block ◽  
The Mean ◽  
Irreversible Pulpitis

Background: Ketorolac has advantages over other analgesics as a pre-anaesthetic medication. Considering this in mind, the present meta-analysis aims to identify the effect of oral ketorolac premedication on the anaesthetic efficacy of Inferior Alveolar Nerve Block (IANB) in patients with irreversible pulpitis. Methods: Full-texts of eligible studies were obtained from electronic databases. The extracted data was analysed using non-Cochrane mode in RevMan 5.0 software. Relative risk [95% CI] was calculated for the success of IANB. Results: Four studies were included for the final review. The success rate of IANB on 221 patients with relative risk of 1.87 [1.36, 2.56] was statistically significant favouring ketorolac. The mean difference for VAS in 171 patients was not statistically significant {-13.55 [-33.91, 6.82]}. Conclusion: Oral ketorolac can be successfully administered as a premedication before conventional inferior alveolar nerve block for endodontic treatment for irreversible pulpitis.

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