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The Incidence of Intravascular Needle Entrance during Inferior Alveolar Nerve Block Injection.
Author(s) -
Ali Taghavi Zenouz,
Hooman Ebrahimi,
Masoumeh Mahdipour,
Sara Pourshahidi,
Parisa Amini,
Mahdi Vatankhah
Publication year - 2008
Publication title -
pubmed
Language(s) - English
Resource type - Journals
ISSN - 2008-210X
DOI - 10.5681/joddd.2008.008
Subject(s) - medicine , inferior alveolar nerve , anesthesia , local anesthetic , nerve block , surgery , molar , dentistry
Dentists administer thousands of local anesthetic injections every day. Injection to a highly vascular area such as pterygomandibular space during an inferior alveolar nerve block has a high risk of intravascular needle entrance. Accidental intravascular injection of local anesthetic agent with vasoconstrictor may result in cardiovascular and central nervous system toxicity, as well as tachycardia and hypertension. There are reports that indicate aspiration is not performed in every injection. The aim of the present study was to assess the incidence of intravascular needle entrance in inferior alveolar nerve block injections.

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