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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.

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Summary

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.

Keywords:
lingual and inferior alveolar nervesmandibular anesthesiamandibular ramusmedial pterygoid muscle

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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.