The inferior alveolar nerve (IAN) block is the most frequently used mandibular injection technique for achieving local anesthesia for dental treatment. However, the IAN block does not always result in successful anesthesia. Various other nerve blocks were introduced over the period of time to improve the success rate of anesthesia. The objective of this systematic review was to compare and eval...

The purpose of this study was evaluation of anesthesia success rate of 3% mepivacaine compared with 2% lidocaine 1/80000 epinephrine in inferior alveolar nerve block in thirty voluntary students. All of the subjects were healthy and had not received any medicament. They pariticipated for two appointments and each time randomly received an inferior alveolar nerve injection with one of the anesth...

BACKGROUND AND AIMS Dentists administer thousands of local anesthetic injections every day. Injection to a highly vascular area such as pterygomandibular space during an inferior alveolar nerve block has a high risk of intravascular needle entrance. Accidental intravascular injection of local anesthetic agent with vasoconstrictor may result in cardiovascular and central nervous system toxicity,...

Onset of action and duration efficacy inferior alveolar nerve block versus single lingual subperi-osteal injection 4% articaine in mandibular second molars: A randomized clinical trial

precise localization of the third molars in relation to the inferior alveolar nerve canal is critical from a clinical point of view and strongly affects the surgical treatment outcome. recently, by using three-dimensional modeling software, the relationship of third molar root apices and inferior alveolar nerve canal can be better understood. in this study, the spatial relationship of two surgi...

Background: Although lidocaine inferior alveolar nerve block is a common dental injection in case of managing mandibular teeth, it may not be the first choice in specific situations. Patients on warfarin therapy are at high risk of bleeding during dental procedures. In this study we aimed to investigate and compare the efficacy of articaine buccal infiltration in mandibular teeth extraction wit...

A total of 455 children (242 males and 213 females) aged 5-6 years were investigated for their pain reactions to maxillary and mandibular infiltration anesthesia, middle superior alveolar nerve block, posterior superior alveolar nerve block, greater palatine nerve block, nasopalatine nerve block, and inferior alveolar nerve block, and the responses were quantified using the sound, eye and motor...

introduction : achieving successful anesthesia and performing pain-free root canal treatment are important aims in dentistry. this is not always achievable and therefore, practitioners are constantly seeking newer techniques, equipments, and anesthetic solutions for this very purpose. the aim of this review is to introduce strategies to achieve profound anesthesia particularly in difficult case...