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Local Anesthesia: Troubleshooting the Mandibular Block - 219

Presenter: Stanley F. Malamed, DDS
  • DDS, New York University College of Dentistry
  • Dental Anesthesiology Residency, Montefiore Hospital, New York
  • Diplomate, American Dental Board of Anesthesiology
  • Professor of Anesthesia and Medicine, USC Herman Ostrow Dental School
  • Authord 150 scientific papers, 3 textbooks
  • Disclosure:  Dr. Malamed reports no conflicts of interest

Course Description

Profound Anesthesia of the mandible can prove elusive.  Various techniques, including the inferior alveolar nerve block (NB), the Gow Gates mandibular NB, the incisive NB, and the Akinosi-Vazirani closed mouth NB are described.  The success of articaine HCl by mandibular infiltration is reviewed.

Course Objectives

  • Explain the reasons for low success rates for inferior alveolar nerve blocks
  • List 5 alternative techniques for use when the IANB fails
  • Describe the Gow-Gates mandibular block
  • Discuss the success of articaine HCl by mandibular infiltration in adult patients

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