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Questions and Answers
Which technique is recommended for cases where the patient has a full primary dentition?
Which technique is recommended for cases where the patient has a full primary dentition?
What is the indication for using the Akinosi-Vazirani block?
What is the indication for using the Akinosi-Vazirani block?
In which cases may mandibular infiltration for pulpal anesthesia be considered as the first-choice injection?
In which cases may mandibular infiltration for pulpal anesthesia be considered as the first-choice injection?
What factor determines the success of mandibular infiltration?
What factor determines the success of mandibular infiltration?
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What gauge needle is used for infiltration anesthesia?
What gauge needle is used for infiltration anesthesia?
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What is the recommended volume of solution at each site for infiltration anesthesia?
What is the recommended volume of solution at each site for infiltration anesthesia?
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Which nerve block is the second most frequently used technique after infiltration?
Which nerve block is the second most frequently used technique after infiltration?
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What nerves are anesthetized by the inferior alveolar and lingual nerve block?
What nerves are anesthetized by the inferior alveolar and lingual nerve block?
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Why are bilateral inferior alveolar nerve blocks rarely indicated in dental treatments other than bilateral mandibular surgeries?
Why are bilateral inferior alveolar nerve blocks rarely indicated in dental treatments other than bilateral mandibular surgeries?
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What theory explains the difficulty in achieving anesthesia with the inferior alveolar nerve block?
What theory explains the difficulty in achieving anesthesia with the inferior alveolar nerve block?
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Which method is the preferred method for pulpal anesthesia in adults for lower incisor teeth?
Which method is the preferred method for pulpal anesthesia in adults for lower incisor teeth?
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What is the aim of the inferior alveolar and lingual nerve block?
What is the aim of the inferior alveolar and lingual nerve block?
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What are the alternatives to bilateral inferior alveolar nerve blocks?
What are the alternatives to bilateral inferior alveolar nerve blocks?
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What is the success rate of the inferior alveolar nerve block compared to most other nerve blocks?
What is the success rate of the inferior alveolar nerve block compared to most other nerve blocks?
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What is the best approach for achieving pulpal anesthesia?
What is the best approach for achieving pulpal anesthesia?
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What can affect the success of the inferior alveolar nerve block?
What can affect the success of the inferior alveolar nerve block?
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What is specific to long buccal nerve anesthesia?
What is specific to long buccal nerve anesthesia?
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When is a buccal nerve block carried out for extraction of mandibular molar teeth?
When is a buccal nerve block carried out for extraction of mandibular molar teeth?
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What is necessary to examine upon extraction?
What is necessary to examine upon extraction?
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What does the indirect technique of inferior alveolar nerve block overcome?
What does the indirect technique of inferior alveolar nerve block overcome?
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What is the target area for long buccal nerve anesthesia?
What is the target area for long buccal nerve anesthesia?
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What is emphasized to prevent during the inferior alveolar nerve block technique?
What is emphasized to prevent during the inferior alveolar nerve block technique?
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What is a possible reason for the inferior alveolar nerve block not always being successful?
What is a possible reason for the inferior alveolar nerve block not always being successful?
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Where can a true long buccal block be performed?
Where can a true long buccal block be performed?
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Which nerve supplies are anesthetized by the Gow-Gates mandibular nerve block?
Which nerve supplies are anesthetized by the Gow-Gates mandibular nerve block?
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What is the direction of the needle for the Gow-Gates technique?
What is the direction of the needle for the Gow-Gates technique?
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Where is the area of insertion for the Gow-Gates technique?
Where is the area of insertion for the Gow-Gates technique?
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What is the average depth of soft tissue penetration to bone during the Gow-Gates injection?
What is the average depth of soft tissue penetration to bone during the Gow-Gates injection?
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How long is the time to onset of anesthesia for the Gow-Gates technique?
How long is the time to onset of anesthesia for the Gow-Gates technique?
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What is the Akinosi-Vazirani block also known as?
What is the Akinosi-Vazirani block also known as?
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When is the Akinosi-Vazirani block indicated?
When is the Akinosi-Vazirani block indicated?
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What is the position of the mouth during the Akinosi-Vazirani block injection?
What is the position of the mouth during the Akinosi-Vazirani block injection?
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Study Notes
Gow-Gates Mandibular Nerve Block Technique
- The Gow-Gates mandibular nerve block is a "high" method of anesthetizing the inferior alveolar nerve.
- It can block transmission in many accessory supplies to the dental pulps, including those provided by the lingual, long buccal, mylohyoid, and auriculotemporal nerves.
- Nerves anesthetized include the inferior alveolar, mental, incisive, lingual, mylohyoid, auriculotemporal, and buccal (in 75% of patients).
- The direction of the needle involves drawing a line from the corner of the mouth to the insertion line or in an upward direction in the y-axis.
- The area of insertion for the Gow-Gates technique is the mucous membrane on the mesial of the mandibular ramus, just distal to the maxillary second molar.
- The technique involves the patient's mouth being kept open wide during the injection.
- The average depth of soft tissue penetration to bone during the injection is 25 mm.
- The time to onset of anesthesia for the Gow-Gates technique is somewhat longer (5 minutes) than for an Inferior Alveolar Nerve Block (3 to 5 minutes).
- The Akinosi-Vazirani block is also a "high" block and is often referred to as the closed mouth technique.
- The Akinosi-Vazirani block is indicated when the patient can't open their mouth or has a large tongue obstructing the view of landmarks.
- The entry point for the Akinosi-Vazirani block is the same as the Gow-Gates technique, but the target area is different.
- The mouth is closed during the Akinosi-Vazirani block injection.
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Description
Test your knowledge of the Gow-Gates and Akinosi-Vazirani mandibular nerve block techniques with this quiz. Explore the insertion points, direction of the needle, nerves anesthetized, and more.