NERVE AREA ANESTHETIZED INDICATION CONTRAINDICATIO TARGET AREA AREA OF OTHER

ANESTHETIZED N INSERION INORMATION

INERIOR Inferior alveolar 1. Mandibular teeth to the midline 1. Procedures on 1. Infection or acute IAN as it passes downward 25-gauge long needle
ALVEOLAR Incisive nerve 2. Body of the mandible, inferior multiple man teeth in inflammation in the toward the mandibular
NERVE Mental nerve portion of the ramus one quadrant area of injection foramen but betofre it enters Depth of penetration:
BLOCK Lingual nerve 3. Buccal mucoperiosteum, mucous 2. When buccal soft 2. Pxs who mightbite the foramen 20-25mm approx. 2/3-
membrane anterior to the mandi 1st tissue anesthesia either the lip or the 3/4 the length of a
molar (anterior to 1st molar) tongue; for instance a long dental needle
is necessary very young children or
3. When lingual soft physically or mentally
tissue anesthesia is handicapped Height of injection: 6-
necessary 10mm
4.
Anteroposterior site of
injection: 2 points
INCISIVE 1. Mental nerve 1. Buccal mucous membrane 1. Dental procedures Infection or acute Mental foramen, through Mucobuccal fold 25-or 27-gauge short
NERVE 2. Incisive nerve anterior to the mental foramen, requiring pulpal inflammation in the which the mental nerve exits or just anterior to needle
BLOCK usually from the 2nd premolar to the anesthesia on the area of injection and inside of which the the mental
midline mandibular teeth incisive nerve is located foramen Depth of penetration:
2. Lower lip and skin of the chin anterior to the mental 5-6mm
3. Pulpal nerve fiber to the foramen
premolars, canine and incisors 2. When IANB is not
indicated-
recommended in palce
of bilateral IANB
BUCCAL Buccal nerve Soft tissues and periosteum buccal When buccal soft Infection or acute Buccal nerve as it passes Mucous
NERVE to the mandibular molars tissue anesthesia is inflammation in the over the anterior border of membrane distal
BLOCK necessary for dental area of injection the ramus and buccal to the
procedures in the most distal molar
mandibular region in the arch