Risks posed by bilateral inferior alveolar nerve block: Myth or reality?

Senese, Olivier; Kovács, B

doi:10.1016/j.adoms.2021.100042

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…At the same time, the primary motor function of the tongue is provided by the hypoglossal nerve (IX), which is not anesthetized during proper IANB. As such, the risk of completely numbing the motor function of the tongue, causing the patient to "swallow his tongue," is not scientifically plausible [ 32 ]. Local anesthetics come in two variations, plain and with a vasoconstrictor.…”

Section: Discussionmentioning

confidence: 99%

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A Knowledge and Practice Survey Among Dentists in Saudi Arabia Analysing Myths and Misconceptions in Dentistry and Oral Surgery: What Do Dentists Believe?

Al-Sebaei¹,

Sindi²

2023

Cureus

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To ensure safe and effective practice, dental practitioners must stay up-to-date with all scientific updates involving their profession. In this regard, many outdated myths and misconceptions may be persistently believed and practiced. This study aimed to examine dental misconceptions circulating among dentists in Saudi Arabia. MethodsAn electronic survey was administered to Saudi Arabian dental practitioners classified and registered with the Saudi Commission of Health Specialties. It collected their demographics, career and experience details, and responses to 16 questions that targeted different myths. Logistic regression was used to analyze factors associated with their knowledge. ResultsA total of 519 dentists answered the survey, of which 54% were male with a mean age of 32 ± 9 years and a mean practice of 7 ± 8 years. More than half (57%) practiced general dentistry. In most (69%) of the questions, 40% of the respondents answered incorrectly. The proportion of incorrect answers to some questions reached 62%. Years of teaching, years in practice, and doctor rank had no association with the knowledge score. Conversely, the type of practice and specialty had multiple statistically significant associations (p < 0.05). ConclusionThis study shows that many myths, despite being debunked for more than 20 years, are still circulating among Saudi Arabian dentists, including many young dentists. Academic institutions must urgently address these concepts and the science that disproves them; dentists must implement up-to-date, evidence-based knowledge in their practice.

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Section: Discussionmentioning

confidence: 99%

“…It can block the sensation in all teeth in the lower ipsilateral quadrant. A bilateral IANB is sufficient to block the sensation in all lower teeth, including a few surrounding soft tissue structures [31][32][33].…”

Section: Local Anesthesiamentioning

confidence: 99%

A Knowledge and Practice Survey Among Dentists in Saudi Arabia Analysing Myths and Misconceptions in Dentistry and Oral Surgery: What Do Dentists Believe?

Al-Sebaei¹,

Sindi²

2023

Cureus

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“…Vestibular and palatal local infiltrative anesthesia using lidocaine 2% with 1:1 000 000 epinephrine (Adrecaine) was performed on the maxilla and bilateral inferior alveolar nerve block was performed on the mandible 32 .…”

Section: Methodsmentioning

confidence: 99%

Evaluation of human growth hormone (somatropin) in socket healing: a split-mouth randomized controlled trial

Sleman

Khalil²

2023

Annals of Medicine &Amp; Surgery

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Purpose: Techniques for preserving alveolar bone after tooth extraction are becoming a part of the usual clinical practice of clinicians. These techniques aim at minimizing postextraction bony resorption, hence, minimizing subsequent follow-up for implant insertion. This randomized clinical study aimed to measure and compare alveolar bone and soft tissue healing between extraction sockets treated with somatropin to untreated sockets. Methods: The study is designed as a split-mouth randomized clinical trial. The selected patients were indicated for bilateral symmetrical tooth extraction, where each patient had an indication to extract two symmetrical teeth in anatomy and number of roots. Somatropin was applied to the tooth socket of the randomly selected side after tooth extraction by gel foam, and the control side was filled with gel foam only. A clinical follow-up of the soft tissue was done 7 days after tooth extraction to evaluate clinical aspects of the healing process. Radiographic follow-up was performed using a cone-beam computed tomography scan to assess volumetric changes of alveolar bone in the extraction area prior to and 3 months after the surgical procedure. Results: A total of 23 patients (aged 29.1±9.5 years) participated. The results showed a statistically significant association between somatropin application and better preservation of the bony dimensions of the alveolar ridge. Bone loss was −0.691±0.628 mm for the buccal plate on the study side compared to −2.008±1.175 mm on the control side. The level of the lingual/palatal plate bone loss was −1.052±0.855 mm on the study side compared to −2.695±1.878 mm on the control side. The bone loss of alveolar width was −1.626±1.061 mm on the study side compared to −3.247±1.543 mm on the control side. The results also showed better healing of covering soft tissues ( P <0.05), as well as bone density in the socket where somatropin was applied, which has been statistically significant. Conclusion: The data from this study demonstrated that the application of somatropin in tooth sockets postextraction showed an effective contribution to reducing alveolar bone resorption and improving bone density following extraction, in addition to better healing of covering soft tissue.

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“…Local anesthesia, including mandibular anesthesia (inferior alveolar nerve block—IANB), is one of the stress factors for dentists, and a stressful situation not only for the patient but also for the dentist. This is due to the patient’s somatic pathology, and the doctor’s concerns about the development of undesirable side effects associated with a reaction to a local anesthetic [ 1 , 2 , 3 , 4 ]. In previously performed studies by Vasil’ev Yu.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models

et al. 2022

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Background: Providing regional anesthesia skills shaping remains relevant nowadays. A number of studies show that dentists have difficulties with these working independently. The study aim is the comparative analysis of the results of mandibular anesthesia (IANB) manual-skills shaping among dentists on plastic models and cadavers. Methods: In total, 999 participants were training in the skills of mandibular anesthesia from 2017 to 2021. The participants were divided in a random way into two groups: 700 participants were trained on plastic models, and 299 were trained on the cadaver material. After a lecture on the clinical and anatomical guidelines for IANB, a demonstration of the technique was provided, with subsequent testing of the injection technique. Satisfaction with the aspects of the training was assessed using the Likert scale. Results: the analysis of average values showed that participants from the group in which the manual skills were practiced on cadavers were more satisfied with the main aspects of the training, according to the sum of the main criteria of the modified scale. Conclusions: The important advantages of cadaver educational technology are that the sensations of tissue resistance are identical to natural ones, the individuality of each object, and the possibility of the visual study of the anesthesia technique, by dissection of the needle course and the location of the anesthetic depot.

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Risks posed by bilateral inferior alveolar nerve block: Myth or reality?

Cited by 3 publications

References 9 publications

A Knowledge and Practice Survey Among Dentists in Saudi Arabia Analysing Myths and Misconceptions in Dentistry and Oral Surgery: What Do Dentists Believe?

A Knowledge and Practice Survey Among Dentists in Saudi Arabia Analysing Myths and Misconceptions in Dentistry and Oral Surgery: What Do Dentists Believe?

Evaluation of human growth hormone (somatropin) in socket healing: a split-mouth randomized controlled trial

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models

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