5/5/12 Failure of inferior alveolar nerve block: exploring the alternatives.

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Journal of the American Dental Association 1939 (2002)
Volume: 133, Issue: 7, Pages: 843-846
PubMed: 12148677
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BACKGROUND: Achieving proper anesthesia is imperative to performing most
dental procedures. The conventional inferior alveolar nerve block is the most
commonly used nerve block technique. In certain cases, however, this nerve block
fails, even when performed by the most experienced clinician. OVERALL: The
authors explore the reasons why the conventional inferior alveolar nerve block fails
and describe several alternate techniques. They also present the protocol used in
their office to achieve mandibular anesthesia. CONCLUSIONS: Several
alternatives to the inferior alveolar nerve block are available. Clinicians should
investigate them, rather than repeat the inferior alveolar nerve block after it has
failed. Practice Implications. Mastering anesthetic techniques maximizes success
in the dental office. It enables clinicians to provide better and more comfortable
treatment to patients.
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by Gautam A Madan, Sonal G Madan, Arjun D Madan
Medicine Dentistry and Oral Surgery Papers
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