666 results match your criteria Nerve Block Inferior Alveolar


Bilateral Bifid mandibular canals - Special relevance for a general dental practitioner. Report of 2 cases.

J Clin Exp Dent 2019 Mar 1;11(3):e287-e289. Epub 2019 Mar 1.

BDS. College of Medicine and Dentistry, James Cook University. Smithfield, Queensland - 4878. Australia.

Dental practitioners may encounter bifid mandibular canals upon radiographic assessment, and may not understand the true extent of this presentation. The presentation of a bifid mandibular canal poses difficulties when carrying out dental procedures, including administration of mandibular block anaesthesia, oral surgical procedures of the lower third molars, orthognathic surgery and implant placement. Therefore it is of paramount importance that general dental practitioners be aware of the radiographic appearance, as incorrect diagnosis of this rare presentation can lead to detrimental consequences. Read More

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http://dx.doi.org/10.4317/jced.55575DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461729PMC

Clinical anatomy of the nerve to the mylohyoid.

Anat Cell Biol 2019 Mar 29;52(1):12-16. Epub 2019 Mar 29.

Seattle Science Foundation, Seattle, WA, USA.

The nerve to the mylohyoid (NM) originates from the mandibular division of the trigeminal nerve. The NM provides motor control to the mylohyoid and the anterior belly of the digastric. Its sensory component, as a variation of this nerve, has scantly been described in the literature. Read More

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http://dx.doi.org/10.5115/acb.2019.52.1.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449580PMC

The mandibular plane: a stable reference to localize the mandibular foramen, even during growth.

Oral Radiol 2019 Apr 3. Epub 2019 Apr 3.

Department of Paediatric Dentistry, Dental Faculty, Paul Sabatier University and University Hospital of Toulouse, Toulouse, France.

Objectives: The location of the mandibular foramen is essential for the quality of the inferior alveolar nerve block anaesthesia and has often been studied with contradictory results over the years. The aim of this study was to locate the mandibular foramen, according to the dental age of the subject, through 3D analysis.

Methods: Three-dimensional images were reconstructed from mandibular computed tomography of 260 children, adolescents and adults. Read More

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http://dx.doi.org/10.1007/s11282-019-00381-6DOI Listing
April 2019
2 Reads
0.152 Impact Factor

Does oral Nonsteroidal Anti-inflammatory Drugs (NSAIDs) premedication in patients with irreversible pulpitis increase the success rate of inferior alveolar nerve block?

Authors:
Ying J Wong

Evid Based Dent 2019 Mar;20(1):20-21

Department of Cariology and Comprehensive Care, New York University, College of Dentistry, New York, USA.

Data sources PubMed, EBSCOhost and Scopus database up till 9 September 2017 in English language. Clinical trial registry and reference lists of published systematic reviews, textbooks and selected articles were also searched.Study selection Population-based randomised clinical trials comparing effects of any single NSAID versus placebo as an oral premedication on the efficacy of IANB in achieving anaesthesia in patients ranging from age 14-68 with irreversible pulpitis who were undergoing nonsurgical root canal therapy in mandibular posterior teeth. Read More

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http://dx.doi.org/10.1038/s41432-019-0014-9DOI Listing
March 2019
1 Read

Panoramic Radiographic Relationship of the Mandibular Foramen to the Anterior Border of the Ramus and Occlusal Plane as an Aid in Inferior Alveolar Nerve Block.

Anesth Prog 2019 ;66(1):20-23

Dentistry student, Islamic Azad University, Tehran, Iran.

The location of the mandibular foramen (MF) on digital panoramic radiographs can be an important guide for clinicians when administering the inferior alveolar nerve block (IANB) for dental anesthesia of the mandible. This study, aimed to assess the location of the MF relative to the anterior border (AB) of the ramus and the occlusal plane (OP) from digital panoramic radiographs. An observational case series study was conducted on digital panoramic radiographs from the oral and maxillofacial radiology department archives of patients at least 18 years of age with a 1:1 scale (100%). Read More

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http://dx.doi.org/10.2344/anpr-65-04-05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424164PMC
January 2019
2 Reads

Effect of Premedication on the Success of Inferior Alveolar Nerve Block in Patients with Irreversible Pulpitis: A Systematic Review of the Literature.

Biomed Res Int 2019 10;2019:6587429. Epub 2019 Feb 10.

Istanbul University Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey.

Background: Failure in the provision of inferior alveolar nerve block anesthesia (IANB) is a significant problem during endodontic treatment of irreversible pulpitis. Various methodologies have been advocated one of which is administration of premedication prior to anesthesia. Despite the considerable number of reports, the topic yet deserves more clarification. Read More

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http://dx.doi.org/10.1155/2019/6587429DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387710PMC
February 2019

Optimal Local Anaesthesia for Dentistry.

Authors:
Tara Renton

Prim Dent J 2019 Feb;7(4):51-61

Dentistry is unique in that high-volume surgery is undertaken efficiently on conscious patients, an anathema to most other surgical specialties, who predominantly operate on unconscious patients. local anaesthesia (LA) provides an efficient block to nociceptive pain (the first stage of the pain pathway) but only addresses one small part of the pain experience. Currently the inferior dental block is the "go to" standard for dental LA for mandibular dentistry, despite its significant short comings. Read More

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February 2019

Effectiveness of Augmented Reality Mobile Simulator in Teaching Local Anesthesia of Inferior Alveolar Nerve Block.

J Dent Educ 2019 Apr 11;83(4):423-428. Epub 2019 Feb 11.

Rasa Mladenovic is Teaching Assistant and Postgraduate Student, Faculty of Medicine, University of Pristina, Kosovska Mitrovica, Serbia; L.A.P. Pereira is Professor, Blantus Endodontic Center, Campinas, Brazil; Kristina Mladenovic is Postgraduate Student, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; Nebojsa Videnovic is Associate Professor, Faculty of Medicine, University of Pristina, Kosovska Mitrovica, Serbia; Zoran Bukumiric is Assistant Professor, Institute of Medical Statistics and Informatics, University of Belgrade, School of Medicine, Belgrade, Serbia; and Jovan Mladenovic is Professor, Faculty of Medicine, University of Pristina, Kosovska Mitrovica, Serbia.

The aim of this study was to evaluate the effectiveness of a mobile augmented reality simulator for local anesthesia training with dental students who are administering inferior alveolar nerve block (IANB) for the first time. Participants in this prospective study conducted in 2016 were 41 fourth- and fifth-year students randomly divided into two groups: a control group with 19 students and an experimental group with 22 students. In addition to theoretical instruction and exercises, students in the experimental group used the mobile augmented reality simulator in a dental office 2h weekly for four weeks. Read More

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http://dx.doi.org/10.21815/JDE.019.050DOI Listing
April 2019
2 Reads

Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study.

Anesth Prog 2018 ;65(4):231-236

Emeritus Associate Professor, Division of Biosciences, The Ohio State University, Columbus.

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. Read More

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http://dx.doi.org/10.2344/anpr-65-03-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318735PMC
January 2018
2 Reads

Efficacy of local anaesthetic solutions on the success of inferior alveolar nerve block in patients with irreversible pulpitis: a systematic review and network meta-analysis of randomized clinical trials.

Int Endod J 2019 Jan 14. Epub 2019 Jan 14.

Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.

The management of pain during root canal treatment is important. The aim of this systematic review and network meta-analysis was to identify the anaesthetic solution that would provide the best pulpal anaesthesia for inferior alveolar nerve blocks (IANB) treating mandibular teeth with irreversible pulpitis. Two electronic databases (PubMed and Scopus) were searched to identify studies up to October 2018. Read More

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http://dx.doi.org/10.1111/iej.13072DOI Listing
January 2019
1 Read

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery.

J Dent Anesth Pain Med 2018 Dec 28;18(6):339-347. Epub 2018 Dec 28.

Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

Background: There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery.

Methods: This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.6.339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323038PMC
December 2018
18 Reads

Student-to-Student Dental Local Anesthetic Preclinical Training: Impact on Students' Confidence and Anxiety in Clinical Practice.

J Dent Educ 2019 Jan;83(1):56-63

Grace Wong is Lecturer, Sydney Dental School, University of Sydney; Heather C. Apthorpe is Lecturer, Sydney Dental School, University of Sydney; Kate Ruiz is Research Associate and Clinical Educator, Sydney Dental School, University of Sydney; and Shanika Nanayakkara is Lecturer, Sydney Dental School, University of Sydney.

Effective dental local anesthetic administration forms the basis of pain-free dentistry; therefore, the application of theoretical knowledge and the ability to deliver injections safely and competently are vital aspects of student learning. Student- to-student administration of the first local anesthetic injection has been a traditional method for preclinical training. The aim of this study was to evaluate oral health students' perceived value of such practice and the impact on their level of anxiety and confidence in giving their first injections to patients. Read More

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http://dx.doi.org/10.21815/JDE.019.007DOI Listing
January 2019
3 Reads

A Large Cheek Hematoma as a Complication of Local Anesthesia: Case Report.

Acta Stomatol Croat 2018 Jun;52(2):156-159

Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.

Hematoma is among less frequent complications which occur following local anesthesia. The posterior superior alveolar nerve block and inferior alveolar nerve block are known to be accompanied with a higher incidence of positive aspiration compared to all infiltration and block anesthesia techniques in oral surgery. We present the case of an otherwise healthy 8-year-old boy who experienced a large cheek hematoma after a routine infiltration anesthesia in the maxilla. Read More

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http://www.ascro.hr/fileadmin/user_upload/2018/Number_2018-2
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http://dx.doi.org/10.15644/asc52/2/9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301842PMC
June 2018
14 Reads

Ethanol-Induced Cervical Sympathetic Ganglion Block Applications for Promoting Canine Inferior Alveolar Nerve Regeneration Using an Artificial Nerve.

J Vis Exp 2018 11 30(141). Epub 2018 Nov 30.

Department of Bioartificial Organs, Institute for Frontier Medical Science, Kyoto University.

Polyglycolic acid collagen (PGA-C) tubes are bio-absorbable nerve tubes filled with collagen of multi-chamber structure, which consist of thin collagen films. Favorable clinical outcomes have been achieved when using these tubes for the treatment of damaged inferior alveolar nerve (IAN). A critical factor for the successful nerve regeneration using PGA-C tubes is blood supply to the surrounding tissue. Read More

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https://www.jove.com/video/58039/ethanol-induced-cervical-sy
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http://dx.doi.org/10.3791/58039DOI Listing
November 2018
10 Reads

The efficacy of articaine and lidocaine local anaesthetic in child patients.

Evid Based Dent 2018 Dec;19(4):105-106

Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.

Data sourcesCochrane CENTRAL Register of Controlled Trials, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, SCIEXPANDED (ISI Web of Knowledge).Study selectionTwo reviewers selected randomised clinical trials (RCTs) that compared the efficacy of articaine and lidocaine in pain rating during dental treatment in child patients.Data extraction and synthesisTwo authors extracted data using a standardised form, and risk of bias was assessed based on Cochranes Risk of bias tool for RCTs. Read More

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http://dx.doi.org/10.1038/sj.ebd.6401340DOI Listing
December 2018
5 Reads

Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial.

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Pediatric dentistry, Goa Dental College, Goa, Bambolim, India.

Aim: The aim of this study was to compare the effectiveness of 2% articaine and 2% lignocaine in achieving adequate anesthesia in children between the age group of 6-13 years using inferior alveolar nerve block.

Methods: A triple blinded randomized controlled trial was conducted in 180 participants (90 patients- 2% articaine, 90 patients-2% lignocaine). Effectiveness of the anesthetic agent was determined at 3 points determined by subjective evaluation of pain using pain scales (FPS-R). Read More

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http://dx.doi.org/10.1007/s00784-018-2775-5DOI Listing
December 2018
7 Reads

Efficacy of Endo-Ice followed by intrapulpal ice application as an adjunct to inferior alveolar nerve block in patients with symptomatic irreversible pulpitis-a randomized controlled trial.

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Conservative Dentistry and Endodontics, Meenakshi Academy of Higher Education and Research (MAHER), Faculty of Dentistry, Maduravoyal, Chennai, 600095, India.

Objective: The purpose of the present study was to evaluate the effect of Endo-Ice followed by intrapulpal ice application for reducing pain during pulp extirpation in mandibular molars with symptomatic irreversible pulpitis.

Materials And Methods: Sixty patients diagnosed with symptomatic irreversible pulpitis participated in the present study. Subjects were randomly allocated to any one of the following groups: control group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000), articaine group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + Buccal infiltration with articaine (4%) with adrenaline (1:100000); or cold group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + cold application. Read More

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http://dx.doi.org/10.1007/s00784-018-2768-4DOI Listing
December 2018
2 Reads

Local anaesthesia training for undergraduate students - how big is the step from model to man?

BMC Med Educ 2018 Dec 14;18(1):308. Epub 2018 Dec 14.

Department of Oral and Maxillofacial Surgery, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Glückstrasse 11, 91054, Erlangen, Germany.

Background: Local anesthesia is an important skill and a prerequisite for most dental treatments. However, the step from theory to application on the patient is huge for the novice. Hence, a mannequin training model course was developed and implemented into the existing local anesthesia curriculum in undergraduate dental students. Read More

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http://dx.doi.org/10.1186/s12909-018-1389-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295027PMC
December 2018
2 Reads

Efficacy of Articaine Versus Lidocaine Administered as Supplementary Intraligamentary Injection after a Failed Inferior Alveolar Nerve Block: A Randomized Double-blind Study.

J Endod 2019 Jan 6;45(1):1-5. Epub 2018 Dec 6.

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, Jamia Nagar, New Delhi, India.

Introduction: The present study comparatively evaluated the anesthetic efficacy of 4% articaine versus 2% lidocaine given as supplemental intraligamentary injections after a failed inferior alveolar nerve block.

Methods: One hundred six adult patients with symptomatic irreversible pulpitis in a mandibular first or second molar received an initial inferior alveolar nerve block with 2% lidocaine with 1:80,000 epinephrine. Pain during the endodontic treatment was assessed using the Heft-Parker visual analog scale. Read More

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http://dx.doi.org/10.1016/j.joen.2018.09.012DOI Listing
January 2019
4 Reads

Comparison of efficacy of 0.75% ropivacaine and 2% lidocaine with 1:200,000 adrenaline in pain control in extraction of mandibular posterior teeth: A double-blind study.

Indian J Dent Res 2018 Sep-Oct;29(5):611-615

Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.

Background: Two percent lidocaine hydrochloride is the gold standard for dental anesthesia against which newer local anesthetic agents may be compared. 0.75% ropivacaine is a newer, long-acting amide local anesthetic agent with inherent vasoconstriction property. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_150_17DOI Listing
March 2019
4 Reads

Local anesthesia for mandibular third molar extraction.

J Dent Anesth Pain Med 2018 Oct 31;18(5):287-294. Epub 2018 Oct 31.

Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea.

Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.17245/jdapm.2018
Publisher Site
http://dx.doi.org/10.17245/jdapm.2018.18.5.287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218392PMC
October 2018
17 Reads

Is intraoperative navigation for needle breakage mandatory?: A case report.

J Am Dent Assoc 2019 Feb 1;150(2):154-158. Epub 2018 Nov 1.

Background And Overview: Needle breakage when administering local anesthetic in the oral cavity can be of major concern to both the patient and the dentist. Intraoperative navigation has become the most popular advanced imaging technique.

Case Description: In this report, the authors describe a case of needle breakage during inferior alveolar nerve block for a dental procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00028177183064
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http://dx.doi.org/10.1016/j.adaj.2018.09.007DOI Listing
February 2019
19 Reads

A randomized controlled trial comparing nerve block and mandibular infiltration techniques in posterior mandible implant surgeries.

J Clin Exp Dent 2018 Oct 1;10(10):e1003-e1010. Epub 2018 Oct 1.

Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Cirugía y Traumatología Bucomaxilofacial I. Buenos Aires, Argentina.

Background: To compare global surgical pain under nerve block and mandibular infiltration anesthesia techniques, and to evaluate pain during drilling and the distance to the mandibular canal in posterior mandible implant surgeries.

Material And Methods: A prospective, randomized, controlled, double-blind, clinical trial was conducted to compare nerve block (Group A) to mandibular infiltration (Group B) techniques for dental implant placement. Global surgical pain (VAS = visual analogue scale), pain during drilling or implant placement (MPQ = McGill pain questionnaire) and distance to the mandibular canal (Image J) were statically analyzed. Read More

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http://www.medicinaoral.com/medoralfree01/aop/54330.pdf
Publisher Site
http://dx.doi.org/10.4317/jced.54330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203906PMC
October 2018
2 Reads

Buffered local anaesthetic and injection pain and onset time.

Evid Based Dent 2018 Oct;19(3):92

New York University, College of Dentistry, New York, USA.

Data sourcesMedline, Embase, Scopus and Scielo were searched until April 2017 supplemented by manual searching.Study selectionClinical trials with parallel-groups, crossover and split mouth in patients older than 18 years were included with no language restrictions. The primary outcome considered was changes in pain intensity, while the secondary outcome was changes on onset time. Read More

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http://www.nature.com/doifinder/10.1038/sj.ebd.6401331
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http://dx.doi.org/10.1038/sj.ebd.6401331DOI Listing
October 2018
18 Reads

Assessment of the Location of the Mandibular Lingula in Pediatric Patients Using Cone Beam Computed Tomography Images.

J Dent Child (Chic) 2018 May;85(2):58-65

Department of Research and Graduate Programs, University of Missouri-Kansas City, School of Dentistry, Kansas City, Mo., USA.

The purpose of this study was to determine the position of the mandibular lingula in a sample of cone beam computed tomography (CBCT) images taken on pediatric patients. A sample of 280 outpatient CBCT (i-CAT) scans (153 males and 127 females) were divided into three age groups: six to nine years (n=103), 10 to 13 years (n=103), and 14 to 18 years (n=74). The position of the lingula was determined relative to the anterior and posterior border of the ramus, mandibular notch, inferior border of the mandible, and mandibular plane. Read More

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May 2018
20 Reads

Comparison of Efficacy of Halstead, Vazirani Akinosi and Gow Gates Techniques for Mandibular Anesthesia.

J Maxillofac Oral Surg 2018 Dec 26;17(4):570-575. Epub 2018 Feb 26.

Ridgetop Dental Clinic, Bangalore, India.

Purpose: Traditionally, the "Halstead block" has been widely used to provide anesthesia in mandibular teeth. Two other techniques, the Gow Gates mandibular nerve block and the Akinosi Vazirani closed-mouth mandibular nerve block, are reliable alternatives to the conventional inferior alveolar nerve block. The purpose of this study is to evaluate the onset of anesthesia, anesthetic success and incidence of positive aspiration during administration of local anesthetic solution using the Halstead, Vazirani Akinosi and Gow Gates techniques. Read More

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http://dx.doi.org/10.1007/s12663-018-1092-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181866PMC
December 2018
5 Reads

Anatomical Study of the Lingual Nerve and Inferior Alveolar Nerve in the Pterygomandibular Space: Complications of the Inferior Alveolar Nerve Block.

Cureus 2018 Aug 6;10(8):e3109. Epub 2018 Aug 6.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

The inferior alveolar nerve block (IANB) procedure delivers anesthetics to the pterygomandibular space through which the lingual nerve (LN) and inferior alveolar nerve (IAN) travel. Injury to the LN has been reported more often than injury to the IAN. However, the number of anatomical studies of LN injury is limited. Read More

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https://www.cureus.com/articles/14053-anatomical-study-of-th
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http://dx.doi.org/10.7759/cureus.3109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175254PMC
August 2018
6 Reads

A preliminary study on plasma concentration achieved following intrapterygomandibular space injection of dexamethasone as a route of drug delivery with lignocaine inferior alveolar nerve block-correlation of clinical effects.

Oral Maxillofac Surg 2018 Dec 16;22(4):457-461. Epub 2018 Oct 16.

Department of Oral and Maxillofacial Surgery, People's College of Dental Sciences, People's University, Bhopal, M.P, 462037, India.

Purpose: To determine the quantity of dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone when co-administered with inferior alveolar nerve block correlating with the clinical effects in the postoperative phase.

Objective: A preliminary prospective study to evaluate the dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone with 2% lignocaine inferior alveolar nerve block to achieve hemi-mandibular anesthesia for minor oral surgical procedures and derive clinical correlations.

Background: Dexamethasone is a glucocorticoid, chiefly used for the management of postsurgical sequelae like trismus and swelling in maxillofacial surgical practice. Read More

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http://link.springer.com/10.1007/s10006-018-0733-7
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http://dx.doi.org/10.1007/s10006-018-0733-7DOI Listing
December 2018
15 Reads

Is the Vazirani-Akinosi Nerve Block a Better Technique Than the Conventional Inferior Alveolar Nerve Block for Beginners?

J Oral Maxillofac Surg 2019 Mar 18;77(3):489-492. Epub 2018 Sep 18.

Professor and Head of Department, Department of Oral and Maxillofacial Surgery, SRM Dental College & Hospital, Ramapuram Campus, Chennai, India.

Purpose: This study was performed to compare the efficacy and comfort of the inferior alveolar nerve (IAN) block and the Vazirani-Akinosi (VA) nerve block when administered by dental trainees.

Materials And Methods: In this prospective, randomized controlled trial, patients requiring extraction of mandibular teeth received either the conventional IAN block (IAN group) or VA nerve block (VA group). Objective parameters evaluated included ease of locating landmarks, incidence of positive aspiration, and failure rate. Read More

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http://dx.doi.org/10.1016/j.joms.2018.08.034DOI Listing
March 2019
10 Reads

Effect of ibuprofen on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A meta-analysis.

Aust Endod J 2018 Oct 7. Epub 2018 Oct 7.

Department of Dentistry. State, University of Ponta Grossa, Ponta Grossa, PR, Brazil.

The aim of this study was to compare preventive ibuprofen administration to placebo on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis. A search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library, SIGLE, and grey literature. The risk of bias was evaluated through the Cochrane Collaboration's tool. Read More

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http://dx.doi.org/10.1111/aej.12306DOI Listing
October 2018
2 Reads

Efficacy of corticosteroids for postoperative endodontic pain: A systematic review and meta-analysis.

J Dent Anesth Pain Med 2018 Aug 28;18(4):205-221. Epub 2018 Aug 28.

Division of Dental Public Health and Pediatric Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.

This systematic review aimed to analyze the efficacy of corticosteroid premedication compared to placebo or no treatment to reduce postoperative pain in endodontic patients. Randomized controlled trials (RCTs) assessing corticosteroids via oral, intramuscular, subperiosteal, intraligamentary or intracanal route compared to passive or active placebo, or no treatment were included. Four databases were searched: PubMed, Web of Science, Cochrane Library and Embase up to 2/21/2018. Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.4.205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115367PMC
August 2018
4 Reads

Success Rate of 3 Injection Methods with Articaine for Mandibular First Molars with Symptomatic Irreversible Pulpitis: A CONSORT Randomized Double-blind Clinical Trial.

J Endod 2018 Oct 31;44(10):1462-1466. Epub 2018 Aug 31.

Private Practice, Tabriz, Iran.

Introduction: Previous studies have reported that it is difficult to obtain proper anesthesia in mandibular molars with symptomatic irreversible pulpitis, and supplemental injections are usually unavoidable. The aim of the present study was to determine the anesthetic efficacy of articaine in mandibular first molars with symptomatic irreversible pulpitis with 3 injection methods: an inferior alveolar nerve block (IANB), an IANB with an intraligamentary injection, and an IANB with buccal infiltration before initiating the endodontic treatment.

Methods: Ninety-six patients (54 women and 42 men) with a diagnosis of symptomatic irreversible pulpitis in mandibular first molars were selected and randomly assigned into 3 groups (n = 32) according to the injection method as follows: group 1, a conventional IANB injection; group 2, an IANB injection, and after profound lip numbness after the IANB (after 15 minutes), buccal infiltration was administered; and group 3, an IANB injection, and after profound lip numbness after the IANB (after 15 minutes), an intraligamentary injection was performed, and after 20 minutes from the IANB, the endodontic treatment was initiated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00992399183047
Publisher Site
http://dx.doi.org/10.1016/j.joen.2018.07.010DOI Listing
October 2018
12 Reads

Correlation of Mandibular Foramen to Occlusal Plane as a Clinical Guide for Inferior Alveolar Nerve Block in Children: A Digital Panoramic Radiographic Study.

Contemp Clin Dent 2018 Jul-Sep;9(3):372-375

Department of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Navi Mumbai, Maharashtra, India.

Aim: The study aimed to correlate the position of mandibular foramen with occlusal plane as a clinical guide for inferior alveolar nerve block (IANB) injection in children from 3 to 13 years of age.

Materials And Methods: The study was carried out on 180 children visiting our department and required orthopantomogram as a routine diagnostic aid. Mandibular casts were obtained and radiographs were digitally analyzed to obtain linear and angular measurements. Read More

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http://dx.doi.org/10.4103/ccd.ccd_73_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104380PMC
September 2018
8 Reads

Evaluation of the equine mental foramen block: cadaveric and in vivo injectate diffusion.

Vet Anaesth Analg 2018 Nov 19;45(6):839-848. Epub 2018 Jun 19.

Department of Statistics, College of Natural Sciences, Colorado State University, Fort Collins, CO, USA.

Objective: To describe injectate diffusion for two equine mental foramen block techniques.

Study Design: Descriptive anatomic study.

Animals: A total of 12 equine heads and three live horses. Read More

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http://dx.doi.org/10.1016/j.vaa.2018.06.002DOI Listing
November 2018
6 Reads

Comparative evaluation of anesthetic efficacy of warm, buffered and conventional 2% lignocaine for the success of inferior alveolar nerve block (IANB) in mandibular primary molars: A randomized controlled clinical trial.

J Dent Res Dent Clin Dent Prospects 2018 20;12(2):102-109. Epub 2018 Jun 20.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

Maintaining primary teeth in the oral cavity is of prime importance, and grossly carious teeth may require pulp therapy for the same. Pain on injection and incomplete anesthesia causes failure of the procedure and result in fear and anxiety. Various methods have evolved to overcome this; such as distraction, topical anesthesia, etc. Read More

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http://dx.doi.org/10.15171/joddd.2018.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076879PMC
June 2018
3 Reads

Efficacy of articaine infiltration versus lidocaine inferior alveolar nerve block for pulpotomy in mandibular primary second molars: A randomized clinical trial.

J Dent Res Dent Clin Dent Prospects 2018 20;12(2):97-101. Epub 2018 Jun 20.

Department of Endodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.

Successful anesthesia is a major concern in during pulpotomy treatment. The aim of this study was to compare the anesthetic efficacy of inferior alveolar nerve block using 2% lidocaine and buccal infiltration using 4% articaine for pulpotomy of mandibular primary second molars. This randomized cross-over clinical trial was performed in 23 children (five to eight-year-old) from July through November 2016, referred to the Department of Pediatric Dentistry, Tehran University of Medical Sciences who needed pulpotomy treatment in both mandibular primary second molars. Read More

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http://dx.doi.org/10.15171/joddd.2018.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076876PMC
June 2018
1 Read

Amaurosis, an Unusual Complication Secondary to Inferior Alveolar Nerve Anesthesia: A Case Report and Literature Review.

J Endod 2018 Sep 23;44(9):1442-1444. Epub 2018 Jul 23.

Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.

Ocular complications after an inferior alveolar nerve anesthesia are rare. These complications, although temporary and benign, can be distressing to both the patient and the clinician. A 37-year-old male patient was administered an inferior alveolar nerve block for the root canal treatment of tooth #30. Read More

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http://dx.doi.org/10.1016/j.joen.2018.05.005DOI Listing
September 2018
5 Reads

Efficacy of sodium bicarbonate buffered versus non-buffered lidocaine with epinephrine in inferior alveolar nerve block: A meta-analysis.

J Dent Anesth Pain Med 2018 Jun 29;18(3):129-142. Epub 2018 Jun 29.

Dental Public Health & Pediatric Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.

Introduction: This systematic review evaluated the use of buffered versus non-buffered lidocaine to increase the efficacy of inferior alveolar nerve block (IANB).

Materials And Methods: Randomized, double-blinded studies from PubMed, Web of Science, Cochrane Library, Embase, and ProQuest were identified. Two of the authors assessed the studies for risk of bias. Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.3.129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6031970PMC
June 2018
3 Reads

Efficacy of buccal infiltration anaesthesia with articaine for extraction of mandibular molars: a clinical trial.

Br J Oral Maxillofac Surg 2018 09 3;56(7):607-610. Epub 2018 Jul 3.

Postgraduate Student of Pediatric Dentistry, Dental School, Qazvin University of Medical Sciences, Qazvin, Iran. Electronic address:

It is hard to provide adequate anaesthesia by infiltration of lidocaine into the mandible because of the thick buccal cortex. An inferior alveolar nerve block is often used but has a high failure rate, which has led research workers to look for an anaesthetic agent that will anaesthetise the lower teeth by buccal infiltration alone. We have assessed the efficacy of buccal infiltration anaesthesia with articaine by designing a double-blind controlled clinical trial in 133 patients who required extraction of mandibular molars. Read More

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http://dx.doi.org/10.1016/j.bjoms.2018.06.012DOI Listing
September 2018
4 Reads

Comparative Study of the Efficacy of 4% Articaine vs 2% Lidocaine in Surgical Removal of Bilaterally Impacted Mandibular Third Molars.

J Contemp Dent Pract 2018 Jun 1;19(6):743-748. Epub 2018 Jun 1.

Department of Oral and Maxillofacial Surgery, Rayat-Bahra Dental College & Hospital, Mohali, Punjab, India.

Aim: The aim of this study was to evaluate the safety and efficacy of 4% articaine with epinephrine (1:200,000) vs 2% lidocaine with epinephrine (1:200,000) during surgical removal of impacted mandibular third molars.

Materials And Methods: The present study was undertaken in 20 patients belonging to American Society of Anesthesiologists (ASA) class I, of the age group between 18 and 30 years with bilaterally impacted mandibular third molars. Each patient underwent similar surgical procedure. Read More

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June 2018
11 Reads

Anesthetic efficacy of an inferior alveolar nerve block in soft tissue and correlation between soft tissue and pulpal anesthesia.

Clin Oral Investig 2019 Mar 25;23(3):1061-1065. Epub 2018 Jun 25.

Microscope Center, Department of Conservative Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, South Korea.

Objectives: This study was aimed at evaluating the anesthetic success rates in various regions of soft tissue after inferior alveolar nerve (IAN) block and comparing the success rates of soft tissue anesthesia with those of pulpal anesthesia to find correlations.

Materials And Methods: Fifty-nine dental students received an IAN block injection. A total of four test sites were used for soft tissue anesthesia using a pressure algometer (PA): the corner of the lower lip vermilion border (LL); the buccal-attached gingiva of the lateral incisor (BGI), the molar (BGM), and the lingual gingiva (LG). Read More

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http://dx.doi.org/10.1007/s00784-018-2532-9DOI Listing
March 2019
23 Reads

Anesthetic efficacy of mental/incisive nerve block compared to inferior alveolar nerve block using 4% articaine in mandibular premolars with symptomatic irreversible pulpitis: a randomized clinical trial.

Clin Oral Investig 2019 Feb 7;23(2):839-845. Epub 2018 Jun 7.

Division of Endodontics, Department of Advanced Oral Sciences and Therapeutics, School of Dentistry, University of Maryland Baltimore, 650 West Baltimore Street, 4th floor, Baltimore, MD, 21201, USA.

Objectives: The aim of this study was to compare the onset, success rate, injection pain, and post-injection pain of mental/incisive nerve block (MINB) with that of inferior alveolar nerve block (IANB) using 4% articaine in mandibular premolars with symptomatic irreversible pulpitis. The accuracy of electrical pulp test (EPT) in determining pulpal anesthesia was also examined.

Materials And Methods: The study was designed as a randomized clinical trial with two study arms-MINB and IANB. Read More

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http://dx.doi.org/10.1007/s00784-018-2500-4DOI Listing
February 2019
14 Reads

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

Open Dent J 2018 30;12:340-346. Epub 2018 Apr 30.

Department of Pharmacology and Therapeutics, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

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. Read More

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http://dx.doi.org/10.2174/1874210601812010340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958292PMC
April 2018
10 Reads

Effects of a Training Needle on Dental Hygiene Student Anxiety.

J Dent Hyg 2018 Apr;92(2):57-61

The purpose of this pilot study was to assess whether practicing with a cotton-tipped applicator as compared to a new training device had an effect on the anxiety levels of dental hygiene students prior to administering and receiving their first intraoral injection for local anesthesia. This pilot study used a convenience sample of senior dental hygiene students from an entry-level Bachelor degree dental hygiene program. Participants completed a pre-test survey after watching a video demonstrating the inferior alveolar nerve block (IANB) injection technique to determine anxiety levels regarding administering and receiving an intraoral injection. Read More

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April 2018
1 Read

A simple method to locate mandibular foramen with cone-beam computed tomography and its relevance to oral and maxillofacial surgery: a radio-anatomical study.

Surg Radiol Anat 2018 Jun 8;40(6):625-634. Epub 2018 May 8.

Department of Oral and Maxillofacial Surgery, Oral Medicine and Periodontology, School of Dentistry, The University of Jordan, Amman, 11942, Jordan.

Purpose: The mandibular foramen (MF) cannot be palpated clinically and its location is variable at the medial surface of mandibular ramus. Nevertheless, determining its exact location is very important to the oral and maxillofacial surgeon for the relevant anesthetic and surgical ramus procedures. The aim of this study was to analyze the position of MF using cone-beam computed tomography (CBCT) to help the surgeon in identifying reliable 'target area' for the inferior alveolar nerve (IAN) block and 'safety zone' for mandibular ramus osteotomies approached extra-orally. Read More

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http://dx.doi.org/10.1007/s00276-018-2015-3DOI Listing
June 2018
5 Reads

Effect of Nonsteroidal Anti-inflammatory Drug as an Oral Premedication on the Anesthetic Success of Inferior Alveolar Nerve Block in Treatment of Irreversible Pulpitis: A Systematic Review with Meta-analysis and Trial Sequential Analysis.

J Endod 2018 Jun 27;44(6):914-922.e2. Epub 2018 Apr 27.

Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Introduction: Successful anesthesia with an inferior alveolar nerve block (IANB) is imperative for treating patients with irreversible pulpitis in mandibular teeth. This systematic review assessed the efficacy of nonsteroidal anti-inflammatory drugs (NSAIDs) as oral premedications on the success of IANBs in irreversible pulpitis.

Methods: Three databases were searched to identify randomized clinical trials (RCTs) published up until September 2017. Read More

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http://dx.doi.org/10.1016/j.joen.2018.02.017DOI Listing
June 2018
8 Reads