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Mandibular Local Anesthesia: Technique Choices and Challenges
Educational Objectives
After completing this webinar, participants will be able to:
- Recognize the anatomical complexities of the pterygomandibular triangle
- Review basic Halstead mandibular block landmarks and anatomy
- Analyze the reasons for failure of mandibular blocks
- Compare and contrast features of high block techniques
- Consider benefits for both patient comfort and clinician confidence
Abstract
Local anesthesia is the dentist’s, dental hygienist's and patient’s primary functional relationship for pain control in dentistry. This Webinar is presented in conjunction with Dental Learning™ and focuses solely on mandibular block local anesthesia techniques. As such it seeks answers to the often-asked question, “Why Do I Only Get a Bad Batch in the Mandible?”
The neuroanatomy and histology of the pterygomandibular triangle will be reviewed to better understand the complexities of conventional inferior alveolar blocks (a.k.a. “standard” or “Halstead”). After a look at the “pros and cons” of conventional inferior alveolar blocks, we will discuss why short-needle blocks and the anatomically superior Akinosi (Closed Mouth) and Gow-Gates (High Ramal / Condylar Neck) high block techniques are so successful.
What is within our control? What is not? What can we do about it? These are questions which we all struggle to answer in our day-to-day practices. A multi-tasking or “mix and match” hybrid approach will be examined to increase patient comfort. These advanced techniques alone or in combination can result in predictably higher success rates.
Additional Information
Author Bio
Kathy B. Bassett, BSDH, RDH, MEd
Kathy B. Bassett has dedicated over 40 years to a variety of general and specialty dental environments, including over 30 years as professor of dental hygiene at Pierce College, Lakewood, WA, and 10 years as affiliate professor of oral health sciences, School of Dentistry, University of Washington, Seattle, WA. Kathy shares unique insights for successful local anesthesia to benefit both patients and clinicians, gleaned from a diverse background in dentistry, dental hygiene, and dental education. She is a co-author of Local Anesthesia for Dental Professionals and has co-authored numerous textbook chapters including in Clinical Practice of Dental Hygiene by Esther Wilkins, and Mosby’s Dental Hygiene: Concepts, Cases, and Competencies. She has also co-authored articles in Dimensions of Dental Hygiene, Decisions in Dentistry, and Dental Advisor. Kathy has presented hundreds of CE courses locally, nationally, and internationally on local anesthesia, restorative expanded functions, and patient assessment for myofunctional and sleep-related breathing disorders. As a lifelong learner, Kathy holds advanced training certificates in orofacial myofunctional therapy, dental sleep medicine for dental hygienists, and the Buteyko breathing method. Kathy’s work has been recognized by the Washington Association of Vocational Administrators –Outstanding Educator Award, the WDHA Educator of the Year Award, and the WDHA Martha Fales Award for contributions to the dental hygiene profession.
Mel Hawkins, DDS, BSCD AN, FADSA, DADBA
Mel Hawkins graduated from the University of Toronto, Faculty of Dentistry, with his DDS degree in 1973 and returned for his formal training in dental anesthesiology at the same university from 1975-1976. He is the founding director of the intravenous sedation, continuing education program at the University of Alberta, Faculty of Medicine and Dentistry, and was the founding director of the intravenous sedation program at the University of Toronto, Faculty of Dentistry. He has over 30 years of private practice experience in Toronto, Canada, with special emphasis on pain control and patient management and various local anesthesia requirements for the dental patient. In addition to lecturing throughout the U.S. and Europe for over 20 years, Dr. Hawkins is board certified as a diplomate of the American Dental Board of Anesthesiologists and is a fellow of the American Dental Society of Anesthesiology. Dr. Hawkins holds fellowships with the International College of Dentists and with the Pierre Fouchard International Academy. He has served on the continuing education committee for the American Dental Society of Anesthesiology. Additionally, Dr. Hawkins is internationally recognized as an author, lecturer, and clinician on topics concerning sedation and pain-free management of the dental patient.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of Dental Learning. Kathy B. Bassett, BSDH, RDH, MEd and Mel Hawkins, DDS, BSCD AN, FADSA, DADBA are consultant and/or speaker for the following companies and/or organizations: Dental Learning, Dental Learning. Kathy B. Bassett, BSDH, RDH, MEd and Mel Hawkins, DDS, BSCD AN, FADSA, DADBA may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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