World Journal of Dentistry

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VOLUME 8 , ISSUE 6 ( November-December, 2017 ) > List of Articles

ORIGINAL RESEARCH

Experiences of Students and Interns with Success Rate of Inferior Alveolar Nerve Block during Surgical and Endodontic Procedures

Rafi A Togoo, Arwa S Salem, Batoul M Alamer, Fatimah A Sheikh, Shorooq I Althogbi

Citation Information : Togoo RA, S Salem A, M Alamer B, A Sheikh F, I Althogbi S. Experiences of Students and Interns with Success Rate of Inferior Alveolar Nerve Block during Surgical and Endodontic Procedures. World J Dent 2017; 8 (6):434-439.

DOI: 10.5005/jp-journals-10015-1482

License: CC BY-SA 4.0

Published Online: 00-00-0000


Abstract

Aim: This study aims to assess the opinion of dental students and interns about the success rates of inferior alveolar nerve block (IANB). Materials and methods: A cross-sectional questionnairebased study was conducted among dental students and interns in the College of Dentistry, King Khalid University,Abha, Kingdom of Saudi Arabia. Before the conduct of the study, ethical approval was taken from the Scientific Research Committee, King Khalid University, Abha. A questionnaire containing two sections was formulated; the 1st section included questions of age, gender, and academic year, while the 2nd section included 10 questions related to IANB. Results: About 70% of the interns and 50.6% of dental students said that they always administered IANB while doing surgical and endodontic procedures in mandibular posterior teeth. When the respondents were asked about their awareness about alternative techniques (such as Gow–Gates technique and Vazirani–Akinosi) to classical IANB, the majority of interns (81.4%) and dental students (82%) were aware about these techniques although only theoretically, while 14.3% of interns and 11.2% of the dental students had practically used these alternative techniques. Conclusion: It was concluded that IANB was the most frequently used technique during various surgical and endodontic procedures. About 52.9% of the interns and 42.7% of dental students had rarely faced IANB failure in clinics. Both the students as well as interns were aware of other alternative techniques, such as Gow–Gates and Akinosi techniques of mandibular block anesthesia although they did not practice these techniques much in their day-to-day practice. Clinical significance: Effective IANB by interns and students for pain-free dentistry.


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  1. Malamed, SF. Techniques of mandibular anesthesia. In:Malamed SF, editor. Handbook of local anesthesia. 4th ed.Noida: Harcourt Brace; 1997. p. 193-199
  2. Variations of the anatomy of the inferior nervous system. Bibliographic review. Ann Odontoestomatol 1997;1:24-29
  3. Reasons for local anesthesia failures. J Am Dent Assoc 1992 Jan;123(1):69-73
  4. Distribution of the mylohyoid nerve:anatomical variability and clinical implications. Aust Endod J 2001 Dec;27(3):109-111
  5. Anesthetic efficacyof unilateral and bilateral inferior alveolar nerve blocks to determine cross innervation in anterior teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001 Aug;92(2):132-135
  6. Local anesthesia failure in endodontic therapy: the acute inflammation factor. Compendium 1990 Apr;11(4):210,212, 214
  7. ; Brand, HS. Local anaesthesia in dentistry. London:Blackwell Publishing Ltd.; 2009. p. 192
  8. Handbook of local anesthesia. St. Louis (MO):Elsevier Health Sciences; 2014
  9. Gow-Gates technique: a pilot study for extraction procedures with clinical evaluation and review. Anesth Prog 2008 Spring;55(1):2-8
  10. Alternative mandibular nerve block techniques: a review of the Gow-Gates and Akinosi-Vazirani closed-mouth mandibular nerve block techniques. J Am Dent Assoc 2011 Sep;142(Suppl 3):8S-12S
  11. Failure of inferior alveolar nerve block (IANB) and techniques to avoid it. Eur J Biomed Pharm Sci 2016 Sep;3: 207-210
  12. Teaching alternatives to the standard inferior alveolar nerve block in dental education:outcomes in clinical practice. J Dent Educ 2007 Sep;71(9):1145-1152
  13. Failure rate of inferior alveolar nerve block among dental students and interns. Saudi Med J 2016 Jan;37(1):84-89
  14. A clinical evaluation of the Gow-Gates mandibular block technique. N Z Dent J 1976 Oct;72(330):220-223
  15. The Gow-Gates mandibular block. Evaluation after 4,275 cases. Oral Surg Oral Med Oral Pathol 1981 May;51(5):463-467
  16. A new approach to the mandibular nerve block. Br J Oral Surg 1977 Jul;15(1):83-00387
  17. Comparison of the anesthetic efficacy of the conventional inferior alveolar, Gow-Gates, and Vazirani-Akinosi techniques. J Endod 2008 Nov;34(11):1306-1311
  18. Failure of inferior alveolar nerve block: exploring the alternatives. J Am Dent Assoc 2002 Jul;133(7):843-846
  19. Gow-Gates mandibular block:applied anatomy and histology. Anesth Prog 1989 Jul-Oct;36(4-5):193-195
  20. Incidence of complications of inferior alveolar nerve block injection. J Med Biomed Sci 2010;1:52-56
  21. Medial pterygoid trismus (myospasm) following inferior alveolar nerve block: case report and literature review. Gen Dent 2011 Jan-Feb;59(1):64-67
  22. Needle breakage following inferior alveolar nerve block: implications and management. Br Dent J 2007 Apr;202:395-397
  23. Transient delayed facial nerve palsy after inferior alveolar nerve block anesthesia. Anesth Prog 2012 Spring;59(1):22-27
  24. A basic review on the inferior alveolar nerve block techniques. Anesth Essays Res 2014 Jan-Apr;8(1):3-8.
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