2003
DOI: 10.14219/jada.archive.2003.0288
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Avoiding complications in local anesthesia induction

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Cited by 51 publications
(30 citation statements)
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“…59 In the more infrequent case where a vascular structure such as the maxillary artery is trapped between branches of the mandibular nerve, frequent and unexplained hematoma formation during anesthetic procedures may be indicative of vascular impingement. 60 In such situations, diagnostic work-ups with magnetic resonance imaging or CT imaging may be required to accurately identify and manage the condition. If anatomical variations manifest as neuralgias, appropriate follow-up and referrals will be required to manage the patient's specific complaint.…”
Section: Discussionmentioning
confidence: 99%
“…59 In the more infrequent case where a vascular structure such as the maxillary artery is trapped between branches of the mandibular nerve, frequent and unexplained hematoma formation during anesthetic procedures may be indicative of vascular impingement. 60 In such situations, diagnostic work-ups with magnetic resonance imaging or CT imaging may be required to accurately identify and manage the condition. If anatomical variations manifest as neuralgias, appropriate follow-up and referrals will be required to manage the patient's specific complaint.…”
Section: Discussionmentioning
confidence: 99%
“…Taking into account the intracranial course, these 2 branches do not mix with each other. Fibre exchange occurs most probably at the level of and just below the oval foramen [6,27,60]. At the start, the motor branch lies medially to the sensory one, next moves anteriorly, and lastly laterally.…”
Section: Mandible Innervationmentioning
confidence: 99%
“…7 The routine use of this palatal injection is based on the anatomical description of the sensory innervation of the palate, hence for the removal of maxillary third molars conventional teaching has recommended the blocking of both the posterior superior alveolar nerve and the greater palatine nerve 2 . The administration of a separate palatal injection may be avoided when the greater palatine nerve or maxillary nerve is blocked in the pterygopalatine fossa, however potential morbidity and technical difficulty have prevented the routine acceptance of such techniques 3,14 . Malamed suggests a regime of 0.45 mL of local anaesthetic solution to the palate as a greater palatine nerve block or infiltration for the removal of maxillary third molars 10 .…”
mentioning
confidence: 99%