Pilot Study of the Inferior Alveolar Nerve Block Anesthesia Via the Retromolar Triangle in Patients of 40 to 60 Years Old

Sandoval, Marchant Catherine; Suazo, Galdames Iván; Cantín, López Mario & López, Farías Bernarda

Summary

The main mandibular anesthesia techniques used are directed to the mandibular lingula and Gow-Gates, especially the former presents considerable surgical risks, including intravascular puncture, which is presented in 15–20% of the cases. In this study, we applied this anesthetic technique to the inferior alveolar nerve via the retromolar triangle in 20 patients who were 40–60 years old to evaluate its effectiveness, determine the latency time, and ascertain whether the anesthesia administered is sufficient to carry out the surgery and endodontics. The technique proved to be effective in 75% of the cases, measured and controlled with pre-vitalometer test at 5, 10, and 15 minutes. Because this technique is simple, minimally invasive, and involves low risk, it is recommended as an alternative to conventional mandibular anesthetic techniques in patients with blood dyscrasias and patients who are suspected to submit to arterial hypertension but require anesthesia with vasoconstrictor. KEY WORDS: inferior alveolar nerve, retromolar triangle, mandibular anesthesia.

How to cite this article

SANDOVAL, M. C.; SUAZO, G. I.; CANTÍN, L. M. & LÓPEZ, F. B. Pilot study of the inferior alveolar nerve block anesthesia via the retromolar triangle in patients of 40 to 60 years. Int. J. Odontostomat., 2(1):17-20, 2008.