Skip to main content
main-content

29.10.2018 | Original Article | Ausgabe 3/2019

Journal of Maxillofacial and Oral Surgery 3/2019

A Simplified Single-Penetration Technique of IANB (MK Technique) for Mandibular Anesthesia

Zeitschrift:
Journal of Maxillofacial and Oral Surgery > Ausgabe 3/2019
Autoren:
Monica Kommineni, Phani Kumar Kuchimanchi, Ganesh Koneru, Suresh Sanikommu

Abstract

Introduction

Owing to the anatomical basis established on the detailed course, distribution and innervations of buccal nerve in the literature, we believe that an effective and extensive buccal nerve block could be achieved when the nerve is anesthetized proximal to its branching point which relates to anteromedial aspect of ramus (retromolar fossa). Though several techniques of inferior alveolar nerve block (IANB) including few single-penetration approaches were already well reviewed and practiced, pitfalls remained in terms of achieving adequate retromolar soft tissue anesthesia, as well as undermining the very importance of contacting the bone and the orientation of the bevel. We propose a simplified single-penetration technique aligning almost similar to conventional technique and its well-adopted landmarks, but still obviating the need for a separate penetration for long buccal nerve anesthesia.

Aim

To study the efficacy of a simplified single-penetration technique for mandibular anesthesia.

Objectives

To study the adequacy of the simplified IANB technique in minimizing the number of penetrations required to achieve buccal nerve anesthesia decreasing patient’s pain and discomfort when IANB is performed and the ease of adaptability across the operators.

Materials

A 25-gauge 42-mm needle, local anesthesia with adrenaline—2% lignocaine HCl (1:80,000), 2.5-ml syringe, observation form.

Method

Study 1—A sample size of 120 cases, in oral surgery department of our college, with 60 patients in Group I (control) where patients received anesthesia through conventional IANB and 60 patients in Group II (experimental) where patients received anesthesia through simplified IANB. Both the groups are again subdivided into group A (single operator) and group B (multiple operators). Study 2—20 bilateral mandibular impacted third molar in oral surgery department of our college, with right side (control—conventional technique) and left side (experimental—simplified single-penetration technique). VAS data are recorded in the excel sheet.

Results

The success rate of the simplified technique is quite comparable to the conventional groups. The mean pain and discomfort score in simplified technique was 3.08 which is relatively lower when compared to mean value in conventional technique which was 6.88. The difference was statistically significant.

Conclusion

Simplified technique minimizes the number of penetrations, which substantially decreases patient’s pain and discomfort levels not only during injection, but also during surgical procedures on mandibular posterior region because of extensive and profound buccal nerve territorial anesthesia.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Jetzt e.Med zum Sonderpreis bestellen!

Sichern Sie sich jetzt Ihr e.Med-Abo und sparen Sie 50 %!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 3/2019

Journal of Maxillofacial and Oral Surgery 3/2019 Zur Ausgabe
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.