Madan Gautam A, Madan Sonal G, Madan Arjun D
J Am Dent Assoc. 2002 Jul;133(7):843-6. doi: 10.14219/jada.archive.2002.0298.
Achieving proper anesthesia is imperative to performing most dental procedures. The conventional inferior alveolar nerve block is the most commonly used nerve block technique. In certain cases, however, this nerve block fails, even when performed by the most experienced clinician.
The authors explore the reasons why the conventional inferior alveolar nerve block fails and describe several alternate techniques. They also present the protocol used in their office to achieve mandibular anesthesia.
Several alternatives to the inferior alveolar nerve block are available. Clinicians should investigate them, rather than repeat the inferior alveolar nerve block after it has failed. Practice Implications. Mastering anesthetic techniques maximizes success in the dental office. It enables clinicians to provide better and more comfortable treatment to patients.
进行大多数牙科手术时，实现适当的麻醉至关重要。传统的下牙槽神经阻滞是最常用的神经阻滞技术。然而，在某些情况下，即使由最有经验的临床医生操作，这种神经阻滞也会失败。
作者探讨了传统下牙槽神经阻滞失败的原因，并描述了几种替代技术。他们还介绍了在其诊所用于实现下颌麻醉的方案。
有几种下牙槽神经阻滞的替代方法。临床医生应该对这些方法进行研究，而不是在下牙槽神经阻滞失败后重复进行。实践意义。掌握麻醉技术可使牙科诊所的成功率最大化。这使临床医生能够为患者提供更好、更舒适的治疗。
