Accessory Innervation Anesthetic Protocol: From Research Theory to Clinical Reality by Dr. Daniel Uzbelger Feldman
About This Event
The inferior alveolar nerve block has the highest failure rate not only in dental local anesthesia, but also among all local anesthetic blocks in medicine. The “accessory innervation to the inferior alveolar nerve” theory supports the idea that incidents of unsuccessful anesthesia may result from innervations of the adult mandible arising from the cervical plexus in addition to the auriculotemporal, buccal, mental, incisive, mylohyoid, and lingual nerves. Hence, to achieve profound pulpal anesthesia in the posterior mandible, an accessory innovation anesthetic protocol that anesthetizes all the accessory nerves has been clinically proposed. Three different accessory innervation anesthetic protocol approaches are described in this article, as well as how to overcome pulpal anesthesia failure by implementing the intraoral cervical plexus anesthetic technique. This protocol will help alleviate patient’s fear to the dental chair while improving our profession’s reputation.
Learning Objectives
- Understand the problems associated with anesthetic failures in permanent dentition with the use of currently available anesthetic techniques.
- Identify how accessory innervation may play a pivotal role in the high percentage of anesthetic failure on the posterior mandible.
- Comprehend the cervical plexus nerve description and distribution in the mandible.
- Recognize how these variations of anatomy allow for clinical decisions for implementing supplemental anesthetic techniques.
- Administer the intraoral cervical plexus anesthetic technique to their patients.
- Provide the accessory innervation anesthetic protocol to their patients.