inferior dental block

Question 1

what is the limit of LA cartridges for children?

Answer 1

4 cartridges

Question 2

what are the 3 landmarks for IDB

Answer 2

PterygoMandibular
Raphe

Ramus of
Mandible

Retro molar pad

Question 3

what are post op instructions for IDB?

Answer 3

No rinsing for 24 hours,
Soft diet
Luke warm foods
No exercise/rest
Do not poke the wound
Bite on clean cotton gauze if bleeding
Gentle brushing
Contact surgery or A+E if any heavy bleeding
Painkillers before the LA wears off or if any pain, pain killers (paracetamol based)
Give verbal and written instructions

Question 4

what anaesthetic do we not use of an IDB and why?

Answer 4

articane as its a higher concentration higher risk of inferior alveolar nerve or lingual nerve damage.

Question 5

what is the difference between lidocaine and prilocaine (citanest)?

Answer 5

lidocaine has adrenaline in it where as prilocaine (citanest) has no adrenaline its plain although prilocaine has fellypressin in it which we cannot use on pregnant patients

Question 6

what is the procedure of an IDB?

Answer 6

constent
medical history
Prepare patient
Prepare syringe
Find landmarks - ptyergomandibular raphe, ramus of the mandible
Give LA
Give post operative instructions.

Question 7

What is the anatomy involved in an IDB?

Answer 7

buccal
Inferior alveolar nerve
lingual