Buccal Nerve Block
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Buccal Nerve Block

Local And General Anesthesia

Oral And Maxillofacial Surgery

BUCCAL NERVE BLOCK

This block is also known as LONG BUCCAL NERVE BLOCK or BUCCINATOR NERVE BLOCK.

INDICATIONS:

  • Buccal and lingual soft tissues are to be anesthetized

CONTRAINDICATIONS:

  • Acute inflammation or infection at the site of injection

NERVES ANESTHETIZED:

  • Buccal nerve a branch of anterior division of mandibular nerve

AREAS ANESTHETIZED:

  • Soft tissues and periosteum buccal to the mandibular teeth


ANATOMICAL LANDMARKS:

  • Mandibular molars
  • Mucobuccal fold

TECHNIQUE OF INSERTION:

  • This injection is given immediately after inferior alveolar nerve block
  • A 25 or 27 gauge needle is used, with the help of your left index finger pull the buccal soft tissue in the area of the injection laterally for improved visibility
  • The syringe is directed towards the site of injection with the beveled end facing  the  bone and syringe parallel to the occlusal plane on the side of injection
  • Penetrate the needle distal and buccal to the last molar, with negative aspiration inject 0.2 to 0.5 ml of solution in the tissues over 10 secs
  • Withdraw the needle and make it safe, after approx. 20 secs upright the patient and wait for 3 to 5 mins before commencing the dental procedure

SIGNS AND SYMPTONS:

  • Subjective : Tingling  or numbness of lower lip and side of tongue indicating anesthesia
  • Objective : Loss of pain sensation over the area anesthetized

COMPLICATIONS:

  • Hematoma of the tissues

VIDEO:

Youtube Video Link


REFRENCES:

  1. Hand book of local Anesthesia by Stanley F. Malamed 5th edition
  2. Text book of Oral and Maxillofacial surger by S M. Balaji 2nd edition

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