Long Buccal Nerve Block
Anterior branch of Mandibular nerve (V3)
Provides buccal soft tissue anesthesia adjacent
to mandibular molars
Not required for most restorative procedures
Buccal Nerve Block
Indications
Anesthesia required - mucoperiosteum
buccal to mandibular molars
Contraindications
Infection/inflammation at injection site
Buccal Nerve Block
Advantages
Technically easy
High success rate
Disadvantages
Discomfort
Buccal Nerve Block
Alternatives
Buccal infiltration
Gow-Gates
PDL
Intraseptal
Buccal Nerve Block
Technique
Apply topical
Insertion distil and buccal to last molar
Target - Long Buccal nerve as it passes
anterior border of ramus
Insert approx. 2 mm, aspirate
Inject 0.3 ml of solution, slowly
Buccal Nerve Block
Landmarks
Mandibular molars
Mucobuccal fold
Buccal Nerve Block
Complications
Hematoma (unusual)
Positive aspiration
0.7 %
Mental Nerve Block
Terminal branch of IAN as it exits mental
foramen
Provides sensory innervation to buccal soft
tissue anterior to mental foramen, lip and
chin
Mental Nerve Block
Indication
Need for anesthesia in innervated area
Contraindication
Infection/inflammation at injection site
Mental Nerve Block
Advantages
Easy, high success rate
Usually atraumatic
Disadvantage
Hematoma
Mental Nerve Block
Alternatives
Local infiltration
PDL
Intraseptal
Inferior alveolar nerve block
Gow Gates
Mental Nerve Block
Complications
Few
Hematoma
Positive aspiration
5.7 %
Incisive Nerve Block
Terminal branch of IAN
Originates in mental foramen and proceeds
anteriorly
Good for bilateral anterior anesthesia
Not effective for anterior lingual anesthesia
Incisive Nerve Block
Nerves anesthetized
Incisive
Mental
Incisive Nerve Block
Areas Anesthetized
Mandibular labial mucous membranes
Lower lip / skin of chin
Incisor, cuspid and bicuspid teeth
Incisive Nerve Block
Indication
Anesthesia of pulp or tissue required
anterior to mental foramen
Contraindication
Infection/inflammation at injection site
Incisive Nerve Block
Advantages
High success rate
Pulpal anesthesia w/o lingual anesthesia
Disadvantages
Lack of lingual or midline anesthesia
Incisive Nerve Block
Complications
Hematoma
Positive aspiration
5.7 %