International Journal of Clinical Pediatric Dentistry

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VOLUME 10 , ISSUE 4 ( October-December, 2017 ) > List of Articles

ORIGINAL ARTICLE

Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?

Milad Ghanizadeh, Maryam Pourkazemi, Sanaz Sheykhgermchi

Citation Information : Ghanizadeh M, Pourkazemi M, Sheykhgermchi S. Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children?. Int J Clin Pediatr Dent 2017; 10 (4):369-372.

DOI: 10.5005/jp-journals-10005-1467

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Pain control is one of the most important aspects of behavior management in children. The most common way to achieve pain control is by using local anesthetics (LA). Many studies describe that the buccal nerve innervates the buccal gingiva and mucosa of the mandible for a variable extent from the vicinity of the lower third molar to the lower canine. Regarding the importance of appropriate and complete LA in child-behavior control, in this study, we examined the frequency of buccal gingiva anesthesia of primary mandibular molars and canine after inferior alveolar nerve block injection in 4- to 6-year-old children.

Study design

In this descriptive cross-sectional study, 220 4- to 6-year-old children were randomly selected and entered into the study. Inferior alveolar nerve block was injected with the same method and standards for all children, and after ensuring the success of block injection, anesthesia of buccal mucosa of primary molars and canine was examined by stick test and reaction of child using sound, eye, motor (SEM) scale. The data from the study were analyzed using descriptive statistics and statistical software Statistical Package for the Social Sciences (SPSS) version 21.

Results

The area that was the highest nonanesthetized was recorded as in the distobuccal of the second primary molars. The area of the lowest nonanesthesia was also reported in the gingiva of primary canine tooth.

Conclusion

According to this study, in 15 to 30% of cases, after inferior alveolar nerve block injection, the primary mandibular molars' buccal mucosa is not anesthetized.

How to cite this article

Pourkazemi M, Erfanparast L, Sheykhgermchi S, Ghanizadeh M. Is Inferior Alveolar Nerve Block Sufficient for Routine Dental Treatment in 4- to 6-year-old Children? Int J Clin Pediatr Dent 2017;10(4):369-372.


  1. Guideline on use of local anesthesia for pediatric dental patients. Pediatr Dent 2015 Sep-Oct;37(5):71-77.
  2. Local anesthesia in dentistry. Anesth Prog 2004 Jul;51(4):138-142.
  3. Advances in local anesthesia in dentistry. Dent Clin North Am 2011 Jul;55(3):481-499, viii.
  4. Local anesthesia for restorative dentistry. Gen Dent 2014 Nov-Dec;62(6):18-20.
  5. Comparative study of the novel and conventional injection approach for inferior alveolar nerve block. Int J Oral Maxillofac Surg 2013 Jul;42(7):852-856.
  6. A review of the mandibular and maxillary nerve supplies and their clinical relevance. Arch Oral Biol 2012 Apr;57(4):323-334.
  7. A basic review on the inferior alveolar nerve block techniques. Anesth Essays Res 2014 Jan-Apr;8(1):3-8.
  8. A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesth Prog 2005 Winter;52(4):122-127.
  9. Area extent anaesthesia from buccal nerve block. Int J Oral Maxillofac Surg 2011 Jun;40(6):601-604.
  10. Long buccal nerve block injection pain in patients with irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011 Jul;112(1):e51-e54.
  11. The key to profound local anesthesia: neuroanatomy. J Am Dent Assoc 2003 Jun;134(6):753-760.
  12. Surgical anatomy of the buccal nerve. Br J Oral Maxillofac Surg 1996 Oct;34(5):457-460.
  13. Long buccal nerve block: a previously unreported complication. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011 Aug;112(2):e1-e3.
  14. Evaluation of electronic dental anesthesia in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999 Oct;88(4):418-423.
  15. The effectiveness of infiltration anesthesia in the mandibular primary molar region. Pediatric dentistry. 1991;13(5):278-283.
  16. The intramandibular course of the inferior alveolar nerve. J Anat 1971 Apr;108(Pt 3):433-440.
  17. The anatomy of mandibular anesthesia: review and analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 1982 Aug;54(2):148-153.
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