Inferior alveolar nerve block
ฝัง
- เผยแพร่เมื่อ 28 ก.ย. 2024
- Inferior alveolar nerve block is the most commonly anesthetic technique used in dentistry.
It is also of interest for anesthetists, as it could be used effectively to produce anesthesia and analgesia for many surgical procedures involving areas of its sensory distribution,. These areas include the chin , the lower lip and its mucous membrane , the body of the mandible and part of its ramus . The lingual nerve often gets anesthetised in the same block procedure due to its close proximity , producing anesthesia of the anterior two thirds of the tongue as well as the floor of the mouth.
WOW, this is the best demonstration that I've ever seen. Thank you very much Dr. Younos, that was a very helpful video. Can you do other videos for the Maxillary Nerve Block?
Thanks, so far the best explained video of inferior alevolar nerve block
Thank you for your comment and I'm really happy that you found it useful.
@@MohammadYounos many thanks can this be done by a dentist or to which specialist i need to go as have so much pain
Thank you so much i have been afride of ianb block
This was very informative thank you so much
lol i got a patient in my chair right now, they dont know its my first time giving an injection. Hope i dont give them a hematoma 🤣🤣
Thank you, dental school doesn’t teach that technique!
They do, but this video is a great refresher. Good luck!
literally the best explanation i have found for the inferior alveolar nerv block even my teacher did not explain it so well
From which college you've graduated?
Yeah that’s what I thought
Majority of em don't teach the practical side anything in college ...not because they don't know... It's just that they don't want new people in the field to develop...
This is what exactly I was searching for.great
Amazing explanation. Thank you!
Best explanation out there!
Very ince and informative video...Thanks a lot❤️❤️❤️
Hello, Mohammad Younos. it's surprisingly pretty video. thank. :)
Thank you so much, briliant explanation!!
Do you have a video on posterior superior alveolar nerve block
Thanks Dr for explaining it so well
Big help! Thank you!💗
good job it's very useful thank you so much waiting for more videos 😊
warda saleh You're most welcome.
Excellent work, keep it up.
Really helpful kp going do more
Thank you
Thank you very much 🥺🙏🏻
Very useful sir
i remember you promised to do me this block one day ..good luck
.. :)
Yes Shaimaa, I remember this day. Thank you very much for your support. :)
thanks Dr
شرح رائع جدا جدا :)
thanksss, its so helpful
fantastic
thankes
You're welcome.
I have that problem l get Cracy loca the pain is 24 hrs 😭😭😭
bravooooo
Thanks for your positive feedback!
பார்த்த வேறி அடக்க முடியாமல் தவிக்கும் பெண்
X******
Just had this today. Made me dizzy and I almost passed out. They gave me some sugar water and they lied me down. Felt better after 5-10 min and we continued with the procedure
Thank you sir...best explained ...i wish i had a mentor like you ....i am really stressed about my practicals in oral surgery bcz in department of oral and maxillofacial surgery only friendship matters if you are friend with someone senior or any postgraduate only then you can learn some thing ..its really stressed for people who are introvert and anxious...they are neglected by society or dominance exists for them...
Lol this is so true, I feel your pain. There are some great teachers out there that notice that and help people who are too anxious, shy or afraid to ask for help, but the majority dont unfortunately.
This video is very informative and detailed perfectly, would love to see more tips on local anesthesia. I'm in dental hygiene school and this is very helpful. Thank you
You're most welcome. Thank you for your positive feedback.
N.mandibularis
@@veselindoykov8854
9
You will find this technique a bit difficult to execute on a patient with massive tonge, that gets in the way. Unless someone retracts the tongue for you or you do it yourself with the mirror, the spot you are aiming for is not accessible. If the patient have a strong gag reflex in addition to the massive tongue, the fun goes to a whole new level 😂
If there's a big ol tongue but I can see a little bit of the pterygo raphe I just try to calculate the midline based between mandibular angle and tmj ( with my fingers) and go in at a downward angle, once I get inside mucosa I correct the direction while pushing down on the tongue with the needle. This is only on the days where my dental secretary is unavailable and typically if the patient is in great pain. Otherwise I go for a cavity in the upper dentition.
yes it’s happened with me 😭👋.
Vasirani technique is very useful in that case
Legau.fuiaoposto.hojeevoucomecaumarestaurasao.enbreve😅😅😅
Thank u for the video but y didn't complete the video with lingual nerve block and buccal nerve block? Would have been better ..great video..was helpful indeed..
Jasmin Ahamad buccal nerve block is administered only in case of an extraction.. other wise this plus the lingual never would be enough
Nice video doc,but Clinical studies have shown that even when a proper technique is employed, inferior alveolar nerve blocks (IANB) fail in approximately 30% to 45% of cases. This may sometimes account for the pain during the operation following an apparently successful mandibular injection. Located to the lingual of the mandibular 2nd molar apex, an ascending branch of the mylohyoid nerve may exist, and innervate the mandibular teeth. There is the possibility of a small branch of the mylohyoid nerve that enters the mandible through the foramen coli, which can cause considerable amount of discomfort if present and not anesthetized. Traditionally, the nerve to the mylohyoid has been considered a motor nerve. However, dissection and clinical studies have challenged this dogma implicating the nerve to the mylohyoid as a nerve of accessory innervation to mandibular teeth. This may possibly account for some IANB failures. Not every patient will require this kind of anesthesia, but the dentist must be aware of its existence. In an attempt to minimize the IANB failure rate, it is routinely advised to inject a small amount of 2.0% Lidocaine lingual to the apex of the mandibular second molar, immediately followed by approximately ½ carpule of 0.5% Bupivacaine if available, to the same area, for more predictable and profound anesthesia.
in other words just do a long buccal right after
@@runlikeachicken x
But can we give patient 2 different kind of anaesthesia? Lidocaine then bupivacaine??
This is by far the best video on this topic I have seen!
انا عشر سنوات طبيب أسنان ولازالت مهارتي تروح وترجع في inferior alveolar nerve block ، جنني من الصميم هذا العصب
Very helpful for us dental students. Thank you!
Thanks for this very informative video Dr.Younos! and thanks also for including the important landmarks :) i'm interested in dentistry and as of now i rely on youtube videos like yours and also kriss ai
yess I agree Dr Younos is amazing with amazing ideos, btw can I know what kriss ai is ? I am a dental student haha so any info would be very helpful to me
care to share about that kriss ai?
@@hafsasout5689 its an ai dental assistant! you can access it at their website it has a free feature.
@@lunasol435-tw8ij it's an AI dental chatbot try visit their website you'll find it there
how to use thiss kriss ai?
Woah!! Just amazing,its so comprehensive and so helpful, v weldone and thankyou so much for this 😊 v v well explained.
1
you injected untill the hub of the needle !! the needle could break then and drift into soft tissue causing a medical emergency !! other than that the technique was perfect maybe point of insertion was a bit high.
Yeah he needs longer needles. Hubbing the needle is never a good idea.
I was hoping someone else saw that, we were taught to never go to the hub
You make it look so easy! But ofc in practice it is so much more difficult >_< thank you for the tips, really appreciated!
One the best video seen until.. Thank you so much sir ❤🙏
Stanley Malamed has a different explanation. He says that the poont of injection should be 3/4 the distance from the centre of coronoid notch to pterygomandibular raphe's deepest point.
2 different techniques
I had my wisdom teeth removed and my inferior alveolar nerve was damaged causing a permanent "pins and needles" feeling in my alveolar block section. I'm lucky it wasn't completely severed and i can still faintly "feel" in that section.
Does anyone know how common this is during a wisdom tooth extraction and is there any hope of it healing?
95% of persistent block symptoms improve within 2 months
99% improve within 1 year
Truly permanent damage is rare but not impossible
thank you sir. you explained it well and was informative
मेरे मुंह में भी या की यही स्थिति हे सर परंतु मुझे इंग्लिश में आपकी भाषा समझ नहीं आ रही है इसका कारण और इलाज आप बताइए वह भी हिंदी में
Thank you ! Very good video, very well explained. I did my first successfuls anesthésias with it !
It is best method for learning &knowledge
I hate nerve blocks 😭 my face was numb for almost 7 hours
Just missed this block today in dental school and had to get my instructor to help me, like a noob :(
Same dw abt it youd get used to it with time
باجر اول عياده اليه بالاوبرتف واحتاج اتعلم بالبدايه شلون انطي بلوك واجيت هنا
كلش متوتره وراح اموت من الخوف
يا رب يكون شغلي حلو باجر 😭😭
29 اكتوبر 2022
السبت
It will realy helpfull..good Explained then our Medical college Faculties..
This is what I need for my lower molar. Top molars will be fine I think. All extractions.
Good videos!
Besssst explanation thank you very much
Is their tongue okay. Great video shukran
this was very helpfull, thank you
OMG!!!The best video!!! thank u so much!!!
A very thorough step by step explanation. A great help for all dental students. Keep up the good work.
No thanks , they would have to put me to sleep for this one 😭
Very help full sir,hope u do more vedios for dental students
Thankyou on this nice video ...communicate for more sucess
This pterygomandibular raphe does not present in many of the patient. How to identify them if it is absent?
Doctor👍
I have a black spot where the needle went in (I believe)
And it's causung a lot of pain.
Specially when I'm lying in bed. 😭
Best of luck to the doctors and patients out there!
Best video
Thank you so much dr may god reward you well
forgot to deliver to the lingual nerve?
Thank you
You probably got 300 dislikes because you went in too fast. That patient will hate you for that.
Imaginary explanation so nice so ideal
اشكرك من الصميم ، هذا المقطع راااااااائع ..
If the patient only has numbness on the buccal tissues but not Inferior alveolar nerve, did I inject too anteriorly?
Best & clear video thanks for it 💝
does this technique anesthetize the long buccal and lingual along with the IAN? or would you have to move a bit anterior and inject to block the long buccal.
Hi! Not the long buccal. You have to give another injection for the long buccal. It'll be facial and distal to the last molar (second molar for most patients.) I believe it 's up to 3 or 4 mm insertion only.
The LA does diffuse to the lingual nerve, to ensure proper anesthetizing of the lingual nerve you ought to withdraw the needle a little bit and give LA. However, this doesn't anesthetize the long buccal and you will need a separate injection for it.
One of the best videos about the topic. Nicely corelated between the hard and soft tissue. Well done and thank you for contributing to science!
Thanks very much doctor ✌
The best video, thank you so much
Very easy to understand, thank you so much!
great presenting skills please make more videos
thank you for showing and emphasizing the important landmarks..
Veri. Thanks
thanks for the video❤❤❤❤❤
thank you, this is really helpful !
Lfg
أحسن شرح شفته لغاية دلوقتي .. شكراً لحضرتك!
Wonderful
great video. thank you
You're most welcome !
Thank you so much this by far best vidio
Thank you
Sir if the aspiration is positive , what to do then n if it’s paining to patient
Dimple Gurnani wait till your patient is ready for the next try . Usually upon proper application of tropical anesthesia patient don't complain of pain so if Ta positive then u will see blood inside your cartridge so withdraw and approximate your anatomy vividly .
@@kangtavenus1236 it is topical not tropical 😃
Awesum explaination sir
Ur teachings are best
Jazak Allahu khairan doctor
thanks for this amazing vedeo this my first time in two years to give anaesthesia so easy and actually feel bone touch❤️❤️ thanks again❤️❤️
Very happy to hear that. I wish you all the best! 🙋🦷🦷
Very helpful. Thank you so much
Wow 👌🏻❤️🔥
Yes, very informative video. I just recently graduated hygiene school and I am just starting to give IAB’s. We numb all of the doctor’s patients so I’ll be doing them a lot!!