Mandibular LA technique

Question 1

Answer 1

Question 2

Label the nerves

Answer 2

Question 3

What teeth does the Inferior Alveolar nerve and the Incisive nerve innervate in the mandible?

Answer 3

Inferior Alveolar nerve 4,5,6,7,8

Incisive nerve 1,2,3

Question 4

What does the following nerves supply?

Long buccal nerve

Mental nerve

Lingual nerve

Answer 4

Long buccal nerve - posterior buccal tissue around the molars.

Mental nerve - lower lip

Lingual nerve - lingual soft tissues

Question 5

label the diagram

Answer 5

Question 6

Where do u aim to deposit Inferior alveolar nerve block LA?

Answer 6

close to Inferior alveolar nerve, before it entres the mandible

Question 7

Know all the labelled parts on this diagram.

Answer 7

Question 8

What type of needle and anaesthetic do you use for Block Anaesthesia – IAB and Lingual?

Answer 8

– long needle – 35mm

– appropriate anaesthetic – lidocaine (not Articaine)

Inject 1.5-2ml

Question 9

Is block anaesthesia in lower incisors reliable?

Answer 9

Block anaesthesia not reliable – crossover

Question 10

Do we do mandibular Infiltrations?

Answer 10

Yes – But normally not as first line method

– Useful adjunct for failed IAB