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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 inferior alveolar nerves supply sensation to the lower teeth, [2]: 519 and, via the mental nerve, sensation to the chin and lower lip. [citation needed] The mylohyoid nerve is a motor nerve supplying the mylohyoid and the anterior belly of the digastric. [citation needed] [contradictory]
It provides sensation to the front of the chin and the lower lip, as well as the gums of the anterior mandibular (lower) teeth. It can be blocked with local anaesthesia for procedures on the chin, lower lip, and mucous membrane of the inner cheek. Problems with the nerve cause chin numbness.
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.
Injury to the inferior alveolar nerve resulting in numbness or partial numbness of the lower lip and chin has reported rates that vary widely from 0.04% to 5%. [23] The largest study is from a survey of 535 oral and maxillofacial surgeons in California, where a rate of 1:2,500 was reported. [26]
Some of these incoming fibers go to the motor nucleus of the trigeminal nerve (V), bypassing the pathways for conscious perception. The jaw jerk reflex is an example; tapping the jaw elicits a reflex closure of the jaw in the same way that tapping the knee elicits a reflex kick of the lower leg. Other incoming fibers from the teeth and jaws go ...
Low T is also linked with a lower libido and erectile dysfunction so that might cause you to perceive less sensitivity in your penis, Dr. Levine adds. Men concerned about low testosterone should ...
The commissure is the corner of the mouth, where the vermillion border of the superior labium (upper lip) meets that of the inferior labium (lower lip). The commissure is important in facial appearance, particularly during some functions, including smiling. As such it is of interest to dental surgeons.