Journal of Oral Implantology April 2012 - (Page 141)

RESEARCH The Efficacy of Mylohyoid Nerve Anesthesia in Dental Implant Placement at the Edentulous Posterior Mandibular Ridge Hasan Ayberk Altug, DDS, PhD1 Metin Sencimen, DDS, PhD2 Altan Varol, DDS, PhD3 Necdet Kocabiyik, MD4 Necdet Dogan, DDS, PhD2 Aydın Gulses, DDS, PhD2* The aim of this study is to evaluate the anesthetic efficacy of mylohyoid and buccal nerve anesthesia at the posterior edentulous mandible versus regional anesthetic block to the inferior alveolar nerve in dental implant surgery. The study was composed of 2 groups. In the first group (group A), 14 voluntary adults (7 female and 7 male) received local infiltrations of 1 mL articaine HCl 4% with epinephrine 1/200 000 to the ipsilateral mylohyoid and buccal nerves. In the second group (group B, control; 9 female and 5 male adults), the inferior alveolar and the buccal nerve blocks were performed. Visual analog scales were obtained from patients to determine the level of pain during incision, drilling, implant placement, and suturing stages of implant surgery. A combination of buccal and mylohyoid nerve block offered an acceptable level of anesthesia. Two patients from group A stopped the ongoing surgery and had extraregional anesthesia by inferior alveolar nerve block. In group B, patients were operated on successfully. Local anesthetic infiltrations of the mylohyoid and the buccal nerve may be considered alternative methods of providing a convenient anesthetic state of the posterior mandibular ridge. Key Words: mylohyoid nerve, posterior edentulous mandible, local anesthesia INTRODUCTION 1 Dental Service, Turkish Military Academy, Ankara, Turkey. 2 Department of Oral and Maxillofacial Surgery, Dental Sciences Center, Gulhane Military Medical Academy, Ankara, Turkey. 3 Department of Oral and Maxillofacial Surgery, Marmara University, Faculty of Dentistry, Istanbul, Turkey. 4 Department of Anatomy, Gulhane Military Medical Academy, Ankara, Turkey. *Corresponding author, e-mail: aydingulses@gmail.com DOI: 10.1563/AAID-JOI-D-10-00037 G enerally, a regional anesthetic block of the inferior alveolar nerve (IAN) is used for surgical procedures confined to the mandibular posterior region.1 However, it is known that this locoregional anesthesia technique will not always be preferred because of a relatively higher incidence of potential risks of neural and vascular injuries Journal of Oral Implantology 141

Table of Contents for the Digital Edition of Journal of Oral Implantology April 2012

Research Letters: A New Editorial Format for the Rapid Disclosure of Innovative Data and Concepts, Didactic Demonstrations, and Scientific Discussions
Effect of Defective Collagen Synthesis on Epithelial Implant Interface: Lathyritic Model in Dogs. An Experimental Preliminary Study
Presence of Aspartate Aminotransferase in Peri-Implant Crevicular Fluid With and Without Mucositis
Deformation of Implant Abutments After Framework Connection Using Strain Gauges
Implant-Retained Mandibular Bar-Supported Overlay Dentures: A Finite Element Stress Analysis of Four Different Bar Heights
The Efficacy of Mylohyoid Nerve Anesthesia in Dental Implant Placement at the Edetulous Posterior Mandibular Ridge
Metal-Ceramic Screw-Retained Implant Fixed Partial Denture With Intraoral Luted Framework to Improve Passive Fit
A Relaxed Implant Bed: Implants Placed After Two Weeks of Osteotomy With Immediate Loading: A One Year Clinical Trial
A Modified Technique for Removing a Failed Abutment Screw From an Implant With a Custom Guide Tube
Therapy for Missing Lower Medial Incisor by Means of Reduced Diameter Implants
Simplifying the Implant Treatment Plan for an Elderly Patient
The Use of Leukocyte- and Platelet-Rich Fibrin During Immediate Postextractive Implantation and Loading for the Esthetic Replacement of a Fractured Maxillary Central Incisor
Atraumatic Removal of an Asymptomatic Migrated Dental Implant Into the Maxillary Sinus: A Case Report
Tooth-Implant Connection: A Review

Journal of Oral Implantology April 2012