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Should we be giving bilateral inferior alveolar and lingual nerve blocks for third molar surgery?

Published:October 04, 2013DOI:https://doi.org/10.1016/j.bjoms.2013.09.003

      Abstract

      Extraction of mandibular third molars is one of the most common procedures in oral and maxillofacial surgery, and it is normal practice to extract both teeth at one visit under general anaesthesia. However, when both teeth are extracted under local anaesthesia, bilateral inferior alveolar and lingual nerve blocks are required, which is a subject of debate among clinicians. Much of the controversy surrounds the safety and efficacy of bilateral anaesthesia even though many surgeons use local anaesthetic solutions for perioperative and postoperative pain relief after day case general anaesthesia with no reports of unwanted effects. The evidence presented in this review explores published research for and against the use of unilateral and bilateral inferior alveolar and lingual nerve blocks.

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      References

        • Holland I.S.
        • Stassen L.F.
        Bilateral block: is it safe and more efficient during removal of third molars.
        Br J Oral Maxillofac Surg. 1996; 34: 243-247
        • Adatia A.K.
        • Gehring E.N.
        Bilateral block: is it safe and more efficient during removal of third molars?.
        Br J Oral Maxillofac Surg. 1997; 35: 299
        • Kaweckyj N.
        Maxillofacial surgery basics for the dental team. Part I.
        2013 (Available from URL: http://www.dentalcare.com [accessed 17.04.13])
        • College C.
        • Feigal R.
        • Wandera A.
        • et al.
        Bilateral versus unilateral mandibular block anesthesia in a pediatric population.
        Pediatr Dent. 2000; 22: 453-457
        • Singh B.
        Mandibular nerve block for the removal of dentures during trismus caused by tetanus.
        Anesth Analg. 2006; 103: 252-253
        • Carleton A.
        Observations on the problem of the proprioceptive innervation of the tongue.
        J Anat. 1938; 72: 502-507
        • Weddell G.
        • Harpman J.A.
        • Lambley D.G.
        The innervation of the musculature of the tongue.
        J Anat. 1940; 74: 255-267
        • Adatia A.K.
        • Gehring E.N.
        Proprioceptive innervation of the tongue.
        J Anat. 1971; 110: 215-220
        • Fujiki T.
        • Takano-Yamamoto T.
        • Tanimoto K.
        • et al.
        Deglutitive movement of the tongue under local anesthesia.
        Am J Physiol Gastrointest Liver Physiol. 2001; 280: G1070-G1075
        • Adatia A.K.
        • Gehring E.N.
        Bilateral inferior alveolar and lingual nerve block.
        Br Dent J. 1972; 133: 377-383