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Review
. 2019 Jun;19(3):125-134.
doi: 10.17245/jdapm.2019.19.3.125. Epub 2019 Jun 30.

Alternative techniques for failure of conventional inferior alveolar nerve block

Choi Ryang Lee  1 , Hoon Joo Yang  1   2
Affiliations
Review

Alternative techniques for failure of conventional inferior alveolar nerve block

Choi Ryang Lee et al. J Dent Anesth Pain Med. 2019 Jun.

Abstract

Successful local anesthesia in dental treatment is the most important prerequisite for pain control of patients. However, unlike that in the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of conventional inferior alveolar nerve block (IANB) is only 80-85%. It is attributed to various causes such as anatomical variations, extreme anxiety, and technical errors; thus, various alternatives have been devised to improve this. We will analyze the causes of failure in conventional IANB and examine various alternatives that can be applied in these cases.

Keywords: Anatomical Factor; Anesthetic Technique; Inferior Alveolar Nerve Block; Patient Factor; Technical Factor.

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Conflict of interest statement

NOTEThe authors have no conflicts of interest to declare.

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