Mandibular LA Flashcards
nerve supplied by mandibular nerve
long buccal lingual ian mental incisive
the lingual nerve is … to IAN
anteromedial
if there is a question of anes. any part of the mandible, you would anes…
IAN
what structures does IAN supply
mandibular teeth pulp
body of mandible
buccal mucoperiosteum, mucous membrane anterior to the mand 1st molar
what structures does the long buccal suply
buccal mucoperiosteum of mand molars
what structures does lingual nerve supply
anterior 2/3 of tongue and FOM
lingual mucoperiosteum
depth of needle for IANB
2/3
With an IANB, do you need to contact bone?
yes
when approaching IANB, you want to come from the opposite … region and the barrel of the needle should be resting on the occlusal plane
premolar
with an IANB, the needle will be slightly …. to the mandibular foramen and lateral to the … ligament
superior
sphenomandibular
for an IANB, the needle penetrates the … muscle and ends up in the … space
bucciantor
pterygomandibular
if you have a late tough with IAN injection, switch to … region
molar
if you have an early touch with IAN, switch to … region
canine
4 reasons for inadequate anesthesia during IAN block
mylohyoid innervation
overlapping fibers of the contralateral IAN
bifid IAN which would require IANB more inferior to normal location
poor technique
if mylohyoid nerve is the issue with IAN, then you need to infiltrate on the … surface of the tooth … to the tooth in question
lingual
posterior
needle depth for long buccal and do you contact bone?
2-4 mm
yes
… technique is a true complete mandibular block.
onset is longer than IANB,
… minutes with GG
… minutes with IANB
Gow gates
5 minutes GG
2-5 minutes IANB
whats the target area of GG
lateral side of the lateral pterygoid muscle
height of injection for GG: place the needle tip just below the …. of the maxillary 2nd molar
mesiopalatal cusp
what technique is a V3 closed mouth block for trismus patients?
Vazirani- Akinosi
area of insertion for Vazirani-Akinosi?
medial border of the ramus, at height of the mucogingival jxn adjacent to maxillary 3rd molar
no bone contact
