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Nerves               Areas Anesthetized                Landmarks                      Area of Insertion                  T...
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Anesthesiology: Techniques of Regional Anesthesia & Analgesia (Table)

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Anesthesiology: Techniques of Regional Anesthesia & Analgesia (Table)

  1. 1. Nerves Areas Anesthetized Landmarks Area of Insertion Target Area Needle AnesthetizedMANDIBULAR -Inferior alveolar -Mandibular teeth to midline -Pterygomandibular raphe -Mucous membrane on the Inferior Alveolar 25BLOCK nerve -Body of the mandible -Anterior border of ramus medial side of the mandibular Nerve gauge,(CLASSICAL -Incisive nerve -Buccal mucoperiosteum, -External oblique line ramus, at the intersection of 2 longINFERIOR -Mental nerve mucous membrane anterior -Internal oblique line lines: stALVEOLAR -Lingual nerve to mandibular 1 molar -Coronoid notch a. Horizontal (Height of injection)NERVE BLOCK) -Long buccal nerve -Anterior 2/3 of tongue -Occlusal plane of b. Vertical (Anteroposterior plane -Lingual soft tissues & mandibular teeth of injection) periosteumCLOSED MOUTH -Occlusal plane of occluding Soft tissue overlying the medial Soft tissue on the 25APPROACH/VAZI teeth border of the mandibular ramus medial border of the gauge,RANI-AKINOSI -Mucogingival junction of directly adjacent to the maxillary ramus in the region long maxillary molar teeth tuberosity at the height of the of the inferior -Anterior border of ramus mucogingival junction adjacent to alveolar, lingual, rd the maxillary 3 molar. mylohyoid nerveGOW-GATES -Nerves -Areas anesthetized by IANB A. External Mucous membrane on the mesial Lateral side of theTECHNIQUE anesthetized by -Skin over zygoma -Lower border of tragus of of the mandibular ramus on a line condylar neck, just IANB -Posterior portion of cheek ear from the intertragic notch to the below the insertion -Mylohyoid nerve -Temporal region -Corner of mouth corner of the mouth, just distal to of the lateral nd -Auriculotemporal -Portion of external ear B. Internal maxillary 2 molar pterygoid muscle nerves -Anterior border of ramus -Mesiolingual cusp of nd maxillary 2 molarBUCCINATOR Long buccal nerve Soft tissue & periosteum -Mandibular molars Mucous membrane distal and 25(LONG BUCCAL) buccal to the mandibular -Mucobuccal fold buccal to the most distal molar gauge,NERVE BLOCK molar teeth tooth in the arch shortLINGUAL NERVE Lingual nerve -Anterior 2/3 of tongueBLOCK -Floor of oral cavity -Mucosa & mucoperiosteum on lingual side of mandibleMENTAL NERVE Mental nerve -Buccal mucous membrane -Mucobuccal fold Mucobuccal fold at or just Mental nerve as it 25BLOCK anterior to mental foramen -Mandibular premolars anterior to mental foramen exits the mental gauge, -Lower lip foramen short -Skin of chin

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