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hi areejinfiltration are given immediately around surgical site.we can give supraperiosteal,intraseptal or pdl infiltration.infiltration can be more effective in maxilla due to thin cortical bone.i think it shd be smaller area.In case of abcess, LA is nt that effective as due to infection area become acidic and LA is nt that effective and field blocks are given.correct me if i am

wrong. From: Areej Abbas <areej.aldura@...> " " < > Sent: Tuesday, 27 December 2011 12:26 AM Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

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infiltration needle is short needle more guage less diameter like 30 guage needle blue color code and 31 mm length it is mainly used for supra periosteal anesthesia ie a small areafor entire area u can although but block needle is preferedtopical is given for tissue over an abscessed area to do a stab incision From: areej.aldura@...Date: Tue, 27 Dec 2011 00:26:20 +0000Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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thanks alot From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Tuesday, 27 December 2011, 1:16 Subject: Re: LA question

hi areejinfiltration are given immediately around surgical site.we can give supraperiosteal,intraseptal or pdl infiltration.infiltration can be more effective in maxilla due to thin cortical bone.i think it shd be smaller area.In case of abcess, LA is nt that effective as due to infection area become acidic and LA is nt that effective and field blocks are

given.correct me if i am

wrong. From: Areej Abbas <areej.aldura@...> " " < > Sent: Tuesday, 27 December 2011 12:26 AM Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>Sender: Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply Subject: LA question hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote: Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?When I look to pics ..they look the same to meAny tips?ThanksBalsamSent from my iPad

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can u please elaborate your answer.regardskanika From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011 2:51

AM Subject: Re: LA question

Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>

Sender:

Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply

Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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Option 1) is out of question. What makes me think about tissues over an abscessed area is because in such areas, an infiltration anesthesia will not work so a smaller diameter needle should be used so that an intra ligamentary anesthesia can be given and this will definitely work.Regards Ashish.Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 28 Dec 2011 15:56:27 +0530 (IST) < >Reply Subject: Re: LA question can u please elaborate your answer.regardskanika From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011 2:51AM Subject: Re: LA question Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>Sender: Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply Subject: LA question hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote: Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?When I look to pics ..they look the same to meAny tips?ThanksBalsamSent from my iPad

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but infiltrative needles are used for local infiltration i guess.so it shd be used for smaller areas. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 28 December 2011 10:32 AM Subject: Re: LA question

Option 1) is out of question. What makes me think about tissues over an abscessed area is because in such areas, an infiltration anesthesia will not work so a smaller diameter needle should be used so that an intra ligamentary anesthesia can be given and this will definitely work.Regards Ashish.Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>

Sender:

Date: Wed, 28 Dec 2011 15:56:27 +0530 (IST) < >Reply

Subject: Re: LA question

can u please elaborate your answer.regardskanika From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011 2:51

AM Subject: Re: LA question

Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>

Sender:

Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply

Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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I also think for smaller areas is correct!Sent from my BlackBerry wireless device from MTNFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 28 Dec 2011 16:40:37 +0530 (IST) < >Reply Subject: Re: LA question but infiltrative needles are used for local infiltration i guess.so it shd be used for smaller areas. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 28 December 2011 10:32 AM Subject: Re: LA question Option 1) is out of question. What makes me think about tissues over an abscessed area is because in such areas, an infiltration anesthesia will not work so a smaller diameter needle should be used so that an intra ligamentary anesthesia can be given and this will definitely work.Regards Ashish.Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 28 Dec 2011 15:56:27 +0530 (IST) < >Reply Subject: Re: LA question can u please elaborate your answer.regardskanika From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011 2:51AM Subject: Re: LA question Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>Sender: Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply Subject: LA question hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote: Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?When I look to pics ..they look the same to meAny tips?ThanksBalsamSent from my iPad

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WHAT IS THICKER - NEEDLE FOR INTRA LIGAMENTARY ANESTHESIA OR PERIODONTAL LIGAMENT? From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 28 December 2011, 10:32 Subject: Re: LA question

Option 1) is out of question. What makes me think about tissues over an abscessed area is because in such areas, an infiltration anesthesia will not work so a smaller diameter needle should be used so that an intra ligamentary anesthesia can be given and this will definitely work.Regards Ashish.Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>

Sender:

Date: Wed, 28 Dec 2011 15:56:27 +0530 (IST) < >Reply

Subject: Re: LA question

can u please elaborate your answer.regardskanika From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011 2:51

AM Subject: Re: LA question

Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>

Sender:

Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply

Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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  • 3 weeks later...

EXTRAORAL FINGER REST ?? PLEASE THANK YOU. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Tuesday, 27 December 2011,

2:51 Subject: Re: LA question

Its C -tissues over an abcessed areaAshishSent on my BlackBerry® from VodafoneFrom: Areej Abbas <areej.aldura@...>

Sender:

Date: Tue, 27 Dec 2011 00:26:20 +0000 (GMT) < >Reply

Subject: LA question

hi guys The infiltrative needle is used to anesthetize:a. An entire area.b. A small area.c. Tissues over an abscessed area.any suggestions From: Zeeshan Baig <zeesh7@...> Sent: Monday, 26 December 2011, 17:34 Subject: RE: Forceps

http://www.islesmiles.co.uk/Forceps.pdfTo: From: manochithradurairaju@...Date: Sat, 24 Dec 2011 20:25:33 +0000Subject: Re: Forceps

Hello Mr. Balsam,Lower cowhorns or eagle beaks have two fine beaks that fit between the 2 lower molar roots. These forceps are often used when the crown of the tooth is badly broken down. They often cause the tooth to split in two –sometimes this is deliberate so the two roots can be removed separately with elevators.

As per this discussion above it seems that both are one n the same...On Sat, Dec 24, 2011 at 7:19 PM, Balsam Majid <balsam_majid@...> wrote:

Would you plz tell me how to differentiate between eagle beaks forceps and cow horns forceps?

When I look to pics ..they look the same to me

Any tips?

Thanks

Balsam

Sent from my iPad

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  • 4 weeks later...

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>Sender: Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply Subject: Re: LA question Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Kanika, IDN block DOES anaesthetise anterior to first molar...does not anaesthetise buccal region of molars it is not preferred here cos of the complications and the unpredictability... From: Kanika Kohli <kanika_sahil@...> " "

< > Sent: Wednesday, 8 February 2012 10:45 AM Subject: Re: LA question

Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Ashish, mental block will definitely provide anaesthesia.premolars and incisors....i preferred infiltration lnoy because of thepossibility of overlapping nerves...if it is canine or premolar...it is the best option... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < >

Sent: Wednesday, 8 February 2012 10:38 AM Subject: Re: LA question

the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply

Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Unfortunately, there is a small difference of opinion.Firstly, we DON'T give 2 separate blocks- IANB and MENTAL. This is because, when u give IANB, the MENTAL nerve DOES get blocked as it is a branch of the IAN. Secondly, when only MENTAL nerve block is given,it anesthetises ONLY soft tissues of the chin and lower lip upto the mental foramen. This block is used for exclusive lower anterior soft tissue procedure like suturing or biopsies.-ashish. Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 8 Feb 2012 16:15:19 +0530 (IST) < >Reply Subject: Re: LA question Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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i agree with u that is why i thought for buccal mucous membrane anterior to mental foramen usually from second premolar to midline we give mental nerve block and inferior alveolar because it anesthetize inf alveolar nerve,incisive,mental and lingual as well.But i am still confused.... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:05 AM Subject: Re: LA question

Unfortunately, there is a small difference of opinion.Firstly, we DON'T give 2 separate blocks- IANB and MENTAL. This is because, when u give IANB, the MENTAL nerve DOES get blocked as it is a branch of the IAN. Secondly, when only MENTAL nerve block is given,it anesthetises ONLY soft tissues of the chin and lower lip upto the mental foramen. This block is used for exclusive lower anterior soft tissue procedure like suturing or biopsies.-ashish. Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>

Sender:

Date: Wed, 8 Feb 2012 16:15:19 +0530 (IST) < >Reply

Subject: Re: LA question

Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Dear sajitha, The nerve block which you are talking about that anaesthetises canines and premolars is actually the INCISIVE nerve block which is inappropriately referred to as "mental block". This shud mostly sort ur doubts.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>Sender: Date: Wed, 8 Feb 2012 16:31:38 +0530 (IST) < >Reply Subject: Re: LA question Ashish, mental block will definitely provide anaesthesia.premolars and incisors....i preferred infiltration lnoy because of thepossibility of overlapping nerves...if it is canine or premolar...it is the best option... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 10:38 AM Subject: Re: LA question the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>Sender: Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply Subject: Re: LA question Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Your answer is in the last line of your last mail. !!!! IAN anaesthetises 1)IAN (obviously !!) 2) lingual 3) mental and 4)incisive. What IAN DOES NOT anaesthetise is the buccal mucosa posterior to 2nd pre molar (all the MOLARS) and that's the reason while extracting any molar, we give an additional block specifically for the buccal mucosa and that is LONG BUCCAL NERVE block. Is it fine now ??? Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 8 Feb 2012 16:45:25 +0530 (IST) < >Reply Subject: Re: LA question i agree with u that is why i thought for buccal mucous membrane anterior to mental foramen usually from second premolar to midline we give mental nerve block and inferior alveolar because it anesthetize inf alveolar nerve,incisive,mental and lingual as well.But i am still confused.... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:05 AM Subject: Re: LA question Unfortunately, there is a small difference of opinion.Firstly, we DON'T give 2 separate blocks- IANB and MENTAL. This is because, when u give IANB, the MENTAL nerve DOES get blocked as it is a branch of the IAN. Secondly, when only MENTAL nerve block is given,it anesthetises ONLY soft tissues of the chin and lower lip upto the mental foramen. This block is used for exclusive lower anterior soft tissue procedure like suturing or biopsies.-ashish. Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Wed, 8 Feb 2012 16:15:19 +0530 (IST) < >Reply Subject: Re: LA question Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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Dear Ashish, thats right, but i think when we give mental block incisive nerves will also get anaesthetised....is there any difft position for incisive block other than at the mental foramen....need to refer....thanks ashish... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:20 AM Subject: Re: LA question

Dear sajitha, The nerve block which you are talking about that anaesthetises canines and premolars is actually the INCISIVE nerve block which is inappropriately referred to as "mental block". This shud mostly sort ur doubts.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 16:31:38 +0530 (IST) < >Reply

Subject: Re: LA question

Ashish, mental block will definitely provide anaesthesia.premolars and incisors....i preferred infiltration lnoy because of thepossibility of overlapping nerves...if it is canine or premolar...it is the best option... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < >

Sent: Wednesday, 8 February 2012 10:38 AM Subject: Re: LA question

the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply

Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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sorry to create more confusions but incisive nerve is actually a terminal branch of inferior alveolar nerve.This nerve is actually a continuation of inferior alveolar nerve at mental foramen and provides sensory innervation to teeth located anterior to mental foramen.This nerve gets anesthesitized when inf alveolar nerve block is successful.This block is indicated only we dont want to give bilateral inferior alveolar nerve block.for instance if canine to canine(basically for teeth anterior to to mental foramen) From:

"dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:20 AM Subject: Re: LA question

Dear sajitha, The nerve block which you are talking about that anaesthetises canines and premolars is actually the INCISIVE nerve block which is inappropriately referred to as "mental block". This shud mostly sort ur doubts.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 16:31:38 +0530 (IST) < >Reply

Subject: Re: LA question

Ashish, mental block will definitely provide anaesthesia.premolars and incisors....i preferred infiltration lnoy because of thepossibility of overlapping nerves...if it is canine or premolar...it is the best option... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < >

Sent: Wednesday, 8 February 2012 10:38 AM Subject: Re: LA question

the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply

Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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I understand it doesnt anesthesize buccal mucosa but what i am trying to say is inferior alveolar nerve as incicive nerve innervates mandibular canines and incisors.So, we have to give this block.I think i am just trying to prove my point only but somewhere i know we give infiltration only.Anyways sorry if am troubling u guys but i actually dont know what should be the answer. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...>

< > Sent: Wednesday, 8 February 2012 11:26 AM Subject: Re: LA question

Your answer is in the last line of your last mail. !!!! IAN anaesthetises 1)IAN (obviously !!) 2) lingual 3) mental and 4)incisive. What IAN DOES NOT anaesthetise is the buccal mucosa posterior to 2nd pre molar (all the MOLARS) and that's the reason while extracting any molar, we give an additional block specifically for the buccal mucosa and that is LONG BUCCAL NERVE block. Is it fine now ??? Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>

Sender:

Date: Wed, 8 Feb 2012 16:45:25 +0530 (IST) < >Reply

Subject: Re: LA question

i agree with u that is why i thought for buccal mucous membrane anterior to mental foramen usually from second premolar to midline we give mental nerve block and inferior alveolar because it anesthetize inf alveolar nerve,incisive,mental and lingual as well.But i am still confused.... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:05 AM Subject: Re: LA question

Unfortunately, there is a small difference of opinion.Firstly, we DON'T give 2 separate blocks- IANB and MENTAL. This is because, when u give IANB, the MENTAL nerve DOES get blocked as it is a branch of the IAN. Secondly, when only MENTAL nerve block is given,it anesthetises ONLY soft tissues of the chin and lower lip upto the mental foramen. This block is used for exclusive lower anterior soft tissue procedure like suturing or biopsies.-ashish. Sent on my BlackBerry® from VodafoneFrom: Kanika Kohli <kanika_sahil@...>

Sender:

Date: Wed, 8 Feb 2012 16:15:19 +0530 (IST) < >Reply

Subject: Re: LA question

Inferior alveolar nerve block does not anesthetize buccal soft tissue anterior to first molar and mental nerve block is indicated for soft tissue anesthesia.So,, ideally we have to give both blocks for extraction of anterior lower teeth.Though practically we prefer infiltration.completely agree with sajitha.correct me if am wrong. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Wednesday, 8 February 2012 10:13 AM Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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yeah got it....while injecting in the mental foramen u have to direct the solution in to the foramen fo r incisive...only a small difference...that caused the confusion cos when i gave mental block,the teeth ..were also anaesthetised only now i realised it...any ways thanks ashish ..otherwise i woulnt have realised it... From: Sajithakumari Sivaprem <ssajithakumari@...> " "

< > Sent: Wednesday, 8 February 2012 11:30 AM Subject: Re: LA question

Dear Ashish, thats right, but i think when we give mental block incisive nerves will also get anaesthetised....is there any difft position for incisive block other than at the mental foramen....need to refer....thanks ashish... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Wednesday, 8 February 2012 11:20 AM Subject: Re: LA question

Dear sajitha, The nerve block which you are talking about that anaesthetises canines and premolars is actually the INCISIVE nerve block which is inappropriately referred to as "mental block". This shud mostly sort ur doubts.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 16:31:38 +0530 (IST) < >Reply

Subject: Re: LA question

Ashish, mental block will definitely provide anaesthesia.premolars and incisors....i preferred infiltration lnoy because of thepossibility of overlapping nerves...if it is canine or premolar...it is the best option... From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < >

Sent: Wednesday, 8 February 2012 10:38 AM Subject: Re: LA question

the inferior alveolar nerve during its course from the mandibular foramen upto the midline,gives off a mental branch which supplies the soft tissues but NOT teeth of that area. So mental nerve will not be effective for procedures like RCT on lower lateral incisor. Inferior alveolar is too much an anaesthetised area for such a small tooth. INFILTRATION should solve the problem.-ashish.Sent on my BlackBerry® from VodafoneFrom: Sajithakumari Sivaprem <ssajithakumari@...>

Sender:

Date: Wed, 8 Feb 2012 15:43:06 +0530 (IST) < >Reply

Subject: Re: LA question

Hi, there is possibility of overlapping of incisive nerves from the opposite side in the case of incisors ,so i think infiltration will give predictable results...it is found to be effective in the mand.anterior region[my clinical experience} not sure abt the answer though.... sajitha From: Divi Divi <divi_ore@...> " " < > Sent: Wednesday, 8 February 2012 5:08 AM Subject: LA question

what is the most predictable anesthetic technique for lower lateral incisor? and why?a) mental nerve blockb)inferior dental blockc)intraligamentoryd)infiltrationI prefer mental nerve block over ID block as no point in anesthetising whole half arch and avoiding complications of ID block.. but i am not sure which one will give more predictable results. and intraligamentory and infiltration wont work well in mandible as it is more compact/dense bone..any idea guys? what do you all think?Divi

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primary teeth only . mixed dentition ;depend on which tooth you will work on it . but as I know cant recall the reference ;after 12 y infiltration not applicable for dramatic treatment like exo .

H.T.H

From: Divi Divi <divi_ore@...>" " < > Sent: Wednesday, 8 February 2012, 15:06Subject: Re: LA QUESTION

thanx Areej, YES I agree, I think the same... but what is your opnion for infiltration for lower lat incisior?

From: Areej Abbas <areej.aldura@...>" " < > Sent: Wednesday, 8 February 2012 2:59 PMSubject: LA QUESTION

----- Forwarded Message -----From: Areej Abbas <areej.aldura@...>" " < > Sent: Wednesday, 8 February 2012, 14:57Subject: Re: LA QUESTIO

Mental Nerve Block

The mental nerve innervates the soft tissues anterior to the foramen, which is usually located at the apecies of the premolars. It does not anesthetize the teeth. This technique is useful for curettage or biopsy.

Incisive Nerve Block: INB

The incisive nerve innervates the lower teeth anterior to the mental foramen to the midline. The anesthetic solution should be deposited in the same area as the mental block, but the incisive nerve runs inside the foramen, so the needle is directed into the foramen. The anesthetic

must diffuse into the foramen to affect the incisive nerve. Pressure applied to the injection site after needle withdrawal may help to guide the solution into the foramen.

Inferior Alveolar Nerve Block =inferior dental block

The inferior alveolar nerve block is the most commonly used injection in mandibular anesthesia. It provides anesthesia to the mandibular teeth to the midline on the side injected as well as the body of the mandible, the buccal mucosa and bone of the teeth anterior to the mandibular first molar, the anterior two thirds of the tongue and floor of the mouth, and the mucosa and bone lingual to the mandibular teeth on the side of injection.

based on that if the procedure surgical two inj will be needed IDB & INB.

However if the treatment is less than that ex RCT only one inj should do it INB that of course as far as lower ant are concerned

From: Divi Divi <divi_ore@...>" " < > Sent: Wednesday, 8 February 2012, 13:52Subject: Re: LA QUESTION

thankyou ashish, padma, kanika , sajitha for the nice discussion, it has cleared many of my doubts.

Till now I have never prefered infiltration for mandible thinking its a dense bone so LA wont act well (compared to maxilla) as ID nerve is in ID canal and bone is dense so its not going to reach there through infiltration. (which is quite true) and results are quite unpredictable... i personaly never prefered infiltration to mandibular teeth (esp posteriors) for RCT or Extraction and this is what we were told ! I quite agree with this. Though I have given Mental/Incisive for extraction of mandbular incisiors (which has worked well)

BUT now from this nerve comes our from mental formen (mental and mandibular incisive ) to suply mandibular anteriors and soft tissue) so now if we infiltrate there is no such barrier (like dense bone to which LA wont penetrate) so it might work well.. but I am still not sure how predictable the results are !!

as if technique is right i know my ID block will give me predictable results.

but regarding Infiltration I am a bit not sure and yeah results are more good if we use Articane for infiltration

From: Kanika Kohli <kanika_sahil@...>" " < > Sent: Wednesday, 8 February 2012 1:10 PMSubject: Re: LA QUESTION

Thanks padma i dnt have my book wd me and was thinking of this table.

Thanks for providing this info.

From: Padma Priya <padmaraj_78@...>" " < > Sent: Wednesday, 8 February 2012 12:41 PMSubject: Re: LA QUESTION

HI GUYS THIS IS ONLY FOR MANDIBLE( LOWER ARCH).SORRY FOR MY SPELLING MISTAKES.

REGARDS

PADMA

From: Padma Priya <padmaraj_78@...>" " < > Sent: Wednesday, 8 February 2012, 12:37Subject: LA QUESTION

HI

This is for ypur referrence. An extract from malamed with out LA.

TOOTH

PULPAL

SOFT TISSUE

BUCCAL

LINGUL

Central & lateral incisors

IA

IA

IA

GG

GG

GG

AM

AM

AM

Inc

Inc

PDL

PDL

Men

IS

Inf>90%Success

PDL

IS

Inf

canine

IA

IA

IA

GG

GG

GG

AM

AM

AM

Inc

Inc

PDL

PDL

PDL

IS

Inf>80% Success

IS

Men

Inf

Premolars

IA

IA

IA

GG

GG

GG

AM

AM

AM

Inc(2nd premolar varies with location of mental firamen)

PDL

PDL

PDL

IS

IS

Ins

Men

Inf

Molars

IA

GG

IA

GG

AM 50% Success

GG

AM

PDL

AM

PDL

IS

PDL

Inf

IS

IA-INFERIOR ALVEOLAR

GG-GOW GATES MANDIBULAR NERVE BLOCK

AM-AKINOSIMANDIBULAR BLOCK

Inc-INCISIVE NERVE BLOCK

Men- MENTAL NERVE BLOCK

PDL PERIODONTAL LIGAMENT INJ

IS-INTRA SEPTAL INJ

Inf-INFILTRATION INJ

Regards

PADMA

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