Diplopia after inferior alveolar nerve block anesthesia: Report of 2 cases and literature review

Choi, Eun-Hye; Seo, Jae Hwa; Jung, Bock-Young; Park, Wonse

doi:10.1016/j.tripleo.2009.02.009

Cited by 34 publications

(31 citation statements)

References 17 publications

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“…Even though it is regarded as a relatively safe procedure in the dental practice, complications can still occur, such as needle breakage leading to nerve damage (Choi et al, 2009). Before the development of modern disposable dental needle, a needle breakage during local anaesthesia was not an uncommon event.…”

Section: Discussionmentioning

confidence: 99%

The clinical application of the dental mini C-arm for the removal of broken instruments in soft and hard tissue in the oral and maxillofacial area

Yang

Lee

Kwon

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

The clinical application of the dental mini C-arm for the removal of broken instruments in soft and hard tissue in the oral and maxillofacial area

Yang

Lee

Kwon

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Three major postoperative complications may occur with the use of block anesthesia of the IAN when placing mandibular implants: (i) prolonged mandibular anesthesia, during which time the patient may injure his or her tongue or lip in a variety of ways; (ii) systemic toxicity from iatrogenic, intra-arterial injection of local anesthetic solution; and, most importantly when placing mandibular implants, (iii) injury to the inferior or mental nerves, unbeknown to the patient or doctor until after the effects of the block anesthesia have subsided, sloughing of tissues, and self-inflicted soft tissue trauma (2,3). In addition, although it is a rare event, some ocular complications may occur (3). In the literature, it seems that ocular complications that occur immediately after IAN block, due to intrarterial injection of the local anesthetics.…”

Section: Discussionmentioning

confidence: 99%

“…Although this useful technique is a common procedure, the issue about its complications is a well known challenge on dental surgery. Whether IAN block anesthesia is known as one of the safest procedures in dental practice, complications or adverse reactions can still occur (3). Besides, in this technique there is need for additional supraperiosteal anesthesia for buccal soft tissues.…”

Section: Introductionmentioning

confidence: 99%

Is supraperiosteal infiltration anesthesia safe enough to prevent inferior alveolar nerve during posterior mandibular implant surgery?

Etöz¹,

Er²,

Demirbaş³

2011

Med Oral

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Objectives: There is no agreement on using inferior alveolar nerve (IAN) block or supraperiosteal infiltration anesthesia during dental implant surgery in the posterior mandibular region. The aim of this study was to evaluate the effectiveness of supraperiosteal infiltration anesthesia on posterior mandibular region during dental implant surgery. Materials and Methods: In this study 52 implants were inserted under supraperiosteal infiltration anesthesia in 29 patients. After the surgery, patients were instructed to note their pain and/or painless dyscomfort on the visual analogue scale (VAS). Their pressure pain threshold (PPT) scores were evaluated by mechanical algometer. The distance between the apical end of the implants and IAN was measured by using calipers on postoperatif panoramic radiographs. Results: 50 implants to 27 patients had been able to place without pain under supraperiosteal infiltration. Implants which were placed at the mandibular second premolar and first molar region had been able to place with free of pain with supraperiosteal infiltration. There was no relationship among the distance between the apical ends of the implants and IAN with intraoperative discomfort of the patients. VAS scores during implant placement at the second premolar region were relatively higher than at the first and second molar region. Conclusion: Supraperiosteal infiltration anesthesia is a safe and effective method for posterior mandibular implant surgery. However the length of the implant should be determined carefully to avoid possible damage to IAN during implant placement under supraperiosteal infiltration anesthesia.

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“…Other reported complications include ptosis and extraocular muscles paralysis,[36] aphonia,[37] necrosis of the skin of the chin,[38] diplopia, and abducent nerve palsy. [3940] Some rare complications include a reduction in visual acuity and atrophy of the optic nerve. It has been also reported recently that inferior alveolar nerve block could be a factor in third molar agenesis.…”

Section: Complicationsmentioning

confidence: 99%

A basic review on the inferior alveolar nerve block techniques

Khalil

2014

Anesth Essays Res

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The inferior alveolar nerve block is the most common injection technique used in dentistry and many modifications of the conventional nerve block have been recently described in the literature. Selecting the best technique by the dentist or surgeon depends on many factors including the success rate and complications related to the selected technique. Dentists should be aware of the available current modifications of the inferior alveolar nerve block techniques in order to effectively choose between these modifications. Some operators may encounter difficulty in identifying the anatomical landmarks which are useful in applying the inferior alveolar nerve block and rely instead on assumptions as to where the needle should be positioned. Such assumptions can lead to failure and the failure rate of inferior alveolar nerve block has been reported to be 20-25% which is considered very high. In this basic review, the anatomical details of the inferior alveolar nerve will be given together with a description of its both conventional and modified blocking techniques; in addition, an overview of the complications which may result from the application of this important technique will be mentioned.

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Diplopia after inferior alveolar nerve block anesthesia: Report of 2 cases and literature review

Cited by 34 publications

References 17 publications

The clinical application of the dental mini C-arm for the removal of broken instruments in soft and hard tissue in the oral and maxillofacial area

The clinical application of the dental mini C-arm for the removal of broken instruments in soft and hard tissue in the oral and maxillofacial area

Is supraperiosteal infiltration anesthesia safe enough to prevent inferior alveolar nerve during posterior mandibular implant surgery?

A basic review on the inferior alveolar nerve block techniques

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