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J Am Dent Assoc, Vol 133, No 7, 843-846.
© 2002 American Dental Association
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CLINICAL PRACTICE

Failure of inferior alveolar nerve block

Exploring the alternatives



GAUTAM A. MADAN, M.D.S., SONAL G. MADAN, M.D.S. and ARJUN D. MADAN, M.D.S.
Background. Achieving proper anesthesia is imperative to performing most dental procedures. The conventional inferior alveolar nerve block is the most commonly used nerve block technique. In certain cases, however, this nerve block fails, even when performed by the most experienced clinician.

Overall. The authors explore the reasons why the conventional inferior alveolar nerve block fails and describe several alternate techniques. They also present the protocol used in their office to achieve mandibular anesthesia.

Conclusions. Several alternatives to the inferior alveolar nerve block are available. Clinicians should investigate them, rather than repeat the inferior alveolar nerve block after it has failed.

Practice Implications. Mastering anesthetic techniques maximizes success in the dental office. It enables clinicians to provide better and more comfortable treatment to patients.




This article has been cited by other articles:


Home page
 J Dent EducHome page
T. M. Johnson, R. Badovinac, and J. Shaefer
Teaching Alternatives to the Standard Inferior Alveolar Nerve Block in Dental Education: Outcomes in Clinical Practice
J Dent Educ., September 1, 2007; 71(9): 1145 - 1152.
[Abstract] [Full Text] [PDF]


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