ABSTRACT Repeated sagittal split osteotomy might impose an increased risk for damage of the inferior alveolar nerve. Another contemporary orthognathic issue is surgical management malocclusion following condylar resorption. Here we describe a modified C-osteotomy technique as proposed solution these difficulties in surgery. The induce less stress on condyles reducing relapse subsequent to resor...

This study was carried out to determine the effects of dener-vation of the pulp organs of teeth, particularly on the odontoblasts and their processes. Therefore, resection of the inferior alveolar, cervical sympathetic, or a combination of both types of nerves supplying the mandibular incisor teeth of New Zealand white rabbits was performed and the results compared to adjacent , unaltered teeth...

The purpose of this study was to assess the effectiveness of nasopalatine nerve block for anesthesia of maxillary central incisors after failure of the anterior superior alveolar nerve (ASAN) block technique. Secondarily, the possible innervation of the maxillary central incisors by the nasopalatine nerve was also investigated. Twenty-seven healthy, young adult volunteers (age: 17-26 years; gen...

Inferior alveolar nerve injury is one of the most serious complications in implant dentistry. This nerve injury can occur during local anesthesia, implant osteotomy, or implant placement. Proper understanding of anatomy, surgical procedures, and implant systems and proper treatment planning is the key to reducing such an unpleasant complication. This review discusses the causes of inferior alve...

UNLABELLED This article aims to review current hypotheses on the aetiology and prevention of inferior alveolar nerve (IAN) injuries in relation to dental procedures. The inferior alveolar nerve can be damaged during many dental procedures, including administration of local anaesthetic, implant bed preparation and placement, endodontics, third molar surgery and other surgical interventions. Dama...

A 39-year-old Iranian female patient who was a known case of primary cervical dystonia since 10 years ago presented to a private office for Dysport injection. The patients experienced severe dysphagia after inferior alveolar nerve block which was preceded by cervical botolinum toxin injection. A possible synergistic effect of botolinum toxin and lidocaine to produce severe dysphagia is presente...

One of the rare anatomical variations that can be of significant importance for the dentist is the bifid mandibular canal. Many complications can occur from this condition such as failure of anesthesia when performing inferior alveolar nerve block, difficulties during the surgical extraction of the third mandibular molar, and during implants placement. Therefore, good knowledge of this conditio...

Pain during extraction of impacted mandibular third molars which can occur despite adequate local anesthesia is termed as “escape pain phenomenon”. Recently, it was described during elevation of a mesioangular impacted mandibular third molar and also while curetting an extracted third molar socket. This phenomenon has been overlooked, as it was previously considered secondary to pressure effect...

Implant-based rehabilitation of edentulous mandibular posterior sectors tends to be complicated by the presence of bone atrophy. Following tooth loss, cortical bone suffers greater resorption on the vestibular than on the lingual aspect, and patients typically present narrow and low alveolar crests. In cases of moderate to severe mandibular atrophy, the bone height between the alveolar crest an...

BACKGROUND Probably the most common procedure in dentistry is the administration of local anesthetic, or LA. Immediate complications of LA administration include positive blood aspiration, blanching of the tissue and burning sensation on impingement of the nerve. Because studies about the immediate complications of LA administration were conducted before 1980, more recent data regarding this pr...