Local Anaesthetics: Is the “Mandibular Block” Passé?
Stanley F. Malamed, DDS
The traditional “mandibular nerve block” has one of the lowest success rates of major nerve blocks administered in the human body. Is it necessary for the doctor or hygienist to still administer this technique? Newer techniques, such as the Gow-Gates mandibular nerve block, Akinosi-Vazirani closed mouth mandibular nerve block, intraosseous anaesthesia, periodontal ligament injection (PDL) and intraseptal techniques, have been developed in an attempt to improve success in the mandible. The local anesthetic articaine HCl has been demonstrated to have significant success when administered by mandibular infiltration in adults, while more recently the ability to buffer local anesthetic solutions has demonstrated potential to both increase the rate of onset of anaesthesia, as well as increase its depth. These techniques will be reviewed in this course. Is the “mandibular block” passé? Come and hear for yourself! Learning Objectives: • Describe the technique for the traditional inferior alveolar nerve block • List four alternative techniques/procedures for achieving mandibular anaesthesia • List three advantages of buffering local anesthetic cartridges
Course Code:
T040FL
Room: Time:
718B – South Building
2:30 – 5:00 pm
Type:
Lecture
Audience: Dentist; Dental Hygienist RCDSO QA Program: Category 2 (3 CE Credits) Fee + HST: Ticketed Free
Dr. Stanley F. Malamed is a dentist anesthesiologist and Emeritus professor of Dentistry at the Herman Ostrow School of Dentistry of USC, in Los Angeles.
109
Register online asm.oda.ca
Made with FlippingBook Online document