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Inferior alveolar nerve block (abbreviated to IANB, and also termed inferior alveolar nerve anesthesia or inferior dental block) is a nerve block technique which induces anesthesia (numbness) in the areas of the mouth and face innervated by one of the inferior alveolar nerves which are paired on the left and right side.
The mental nerve can be blocked with local anesthesia.This can be used in surgery of the chin, the lower lip, and the buccal mucosa from midline to the second premolar.In animals, it can be used in surgery of the lower lip, [2] and lower teeth anterior to the site of administration. [3]
The depressor labii inferioris muscle may be resected (cut and removed) using surgery to correct an asymmetry of the lower lip when smiling. [1] This asymmetry can be caused by paralysis of the marginal mandibular branch of the facial nerve on one side, so the healthy side may be cut to create symmetry. [1]
After more than a year of pain with little relief, I spoke with a neurosurgeon about surgery. Doctors would open my skull and place a small divider between the blood vessel and the nerve to stop ...
Several nondental nerves are usually anesthetized during an inferior alveolar block. The mental nerve, which supplies cutaneous innervation to the anterior lip and chin, is a distal branch of the inferior alveolar nerve. When the inferior alveolar nerve is blocked, the mental nerve is blocked also, resulting in a numb lip and chin.
Neurectomy can be an alternative to a nerve decompression for nerve entrapment, such as when the nerves have no motor function and numbness along the dermatome is acceptable. A neurectomy is not a mutually exclusive option to a decompression as a neurectomy can also be used after a failed decompression. [1]
Paresthesia, also known as pins and needles, is an abnormal sensation of the skin (tingling, pricking, chilling, burning, numbness) with no apparent physical cause. [1] Paresthesia may be transient or chronic, and may have many possible underlying causes. [ 1 ]
Potential complications include injury to the inferior alveolar nerve which provides permanent numbness and damage to the lower lip and even death. Another factor to consider is the mentalis muscle which elevates the lower lip and chin. During the surgery, the mentalis muscles should be carefully reattached after the mandible bone has been excised.