Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.

1. Mental nerve block
It is the terminal branch of the I A N.
Comes out of mental foramen at or near the mandibular
premolars.
Area suppiled: sensory innervations to the buccal soft tissues
lying anterior to the foramen.
Soft tissues of the lower lip & the chin.
Indication:
1) Soft tissues biopsy
2) Suturing of soft tiissues
Contraindications:actue inflammation at site of injection.
Advantages:1)high success rate
2)easy technically.
3)atraumatic.
Disadvantage: hematoma
Chances of positive aspiration:5.7%
Alternatives:
Technique:
25-27gauge niddle
Area of insertion :mucobuccal fold at or just anterior
to the mental foramen

2. Traget area :mentak nerve as it exist from foramen
Land mark : mandibular premolars & mucobuccal fold.
Orientation of the bevel : towards the bon
INCISIVE NERVE BLOCK
Incisive nerve:
Terminal branch of the I. A .N.
Originates as a direct continuation of the i.a .nat the mental
foramen& continues an
Area suppied: premolars ,canines,incisors,there buccal soft
tissue and bone.
It provide sensory innervation to those teeth located anterior
to the mental foramen.
block:
1)dental procedures requiring pulpal anesthesia on the
mandibular teeth anterior to mental foramen.
2)while treating premolar to premolar
Contra indication: acute inflammation,
Area anesthetized:
Muccal mucosa anterior to the mental
foramen.
Lower lip &skin of the chin.
Pulpal nerve fibers of premolars , canines
,&incisors.

3. Advantage: 1)provides pulpal and hard tissue anesthesia with
out lingual anesthesia.
2)used in case of bilateral I.A.N
3)high succes rate
Disadvantage:
Dose not provide lingual anasthesia
Partial anasthesia may develop at the mid line because
of nervefibers mayover lap with opposite side
Positive aspiration: 5.7%
Alternatives:1) local infitration ofbuccal tissues&pulpal
anesthesia of central& lateral incisors
Inferior alveolar nerve block .
Gow-gates mandibular nerve block.
Vazirani-akinosis mandibular nerve block.
Periodontal ligamental injection.
Technique:1)25-gague needle is recommended but most
commonly we use 27 gague needle.
2)area of insertion:mucobuccal at or just anterior to the
mental foramen.
3)target area:mental foramen through whichthe mental nerve
exit and in which Incisive nerve is located.
4)land mark:mandibular premolars and mucobuccal flod.

4. 5)oriention of the bevel: towards the bone.
Procedure:
The end