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[Topographic study of mandibular block landmarks]
S I Volkov1, S N Lebedev1, Yu V Lebedeva1
1Tver State Medical University, Tver, Russia.
This study mapped the pterygomandibular space using anatomical specimens. Findings identified key landmarks to improve the safety and effectiveness of mandibular anesthesia, reducing risks to nerves and vessels.
Area of Science:
- Anatomy
- Dental Anesthesiology
Background:
- The pterygomandibular space is critical for mandibular anesthesia.
- Accurate anatomical knowledge is essential to avoid neurovascular complications.
Purpose of the Study:
- To define precise anatomical landmarks within the pterygomandibular space.
- To enhance the safety and efficacy of inferior alveolar nerve blocks.
Main Methods:
- Macro- and micropreparation techniques were employed.
- Analysis of 12 anatomical specimens from fixed human corpses of diverse demographics.
Main Results:
- Specific landmarks were identified for a universal approach to mandibular anesthesia.
- The defined landmarks minimize risks to the medial pterygoid muscle, lingual nerve, and inferior alveolar neurovascular bundle.
Conclusions:
- The identified landmarks contribute to a safer and more efficient technique for dental anesthesia.
- This research aids in preventing iatrogenic damage during mandibular nerve blocks.
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