Inferior alveolar nerve block

Inferior alveolar nerve block is the most commonly anesthetic technique used in dentistry.
It is also of interest for anesthetists, as it could be used effectively to produce anesthesia and analgesia for many surgical procedures involving areas of its sensory distribution,. These areas include the chin , the lower lip and its mucous membrane , the body of the mandible and part of its ramus . The lingual nerve often gets anesthetised in the same block procedure due to its close proximity , producing anesthesia of the anterior two thirds of the tongue as well as the floor of the mouth.

[@mrlorddark111]

literally the best explanation i have found for the inferior alveolar nerv block even my teacher did not explain it so well

[@sh_prashant]

From which college you've graduated?

[@Anipatsa]

Yeah that’s what I thought

[@akashkrishnan804]

Majority of em don't teach the practical side anything in college ...not because they don't know... It's just that they don't want new people in the field to develop...

[@KatieF307]

I have to concur with the assessment that this is the best lecture and demonstration of an inferior alveolar nerve block ever. I really love the pacing of this lecture, and the graphics along with the interactive diagram really improve the understanding of finding the right location to inject anesthetic.

[@DigitalAndInnovation]

This is by far the best video on this topic I have seen!

[@rosannacampusano163]

This video is very informative and detailed perfectly, would love to see more tips on local anesthesia. I'm in dental hygiene school and this is very helpful. Thank you

[@MohammadYounos]

You're most welcome. Thank you for your positive feedback.

[@veselindoykov8854]

N.mandibularis

[@ahmednegm1819]

@@veselindoykov8854 9

[@stress-free6163]

Thank you sir...best explained ...i wish i had a mentor like you ....i am really stressed about my practicals in oral surgery bcz in department of oral and maxillofacial surgery only friendship matters if you are friend with someone senior or any postgraduate only then you can learn some thing ..its really stressed for people who are introvert and anxious...they are neglected by society or dominance exists for them...

[@MrGW2fanboy]

Lol this is so true, I feel your pain. There are some great teachers out there that notice that and help people who are too anxious, shy or afraid to ask for help, but the majority dont unfortunately.

[@mohammadayman28]

أحسن شرح شفته لغاية دلوقتي .. شكراً لحضرتك!

[@brianchuang3681]

One of the best videos about the topic. Nicely corelated between the hard and soft tissue. Well done and thank you for contributing to science!

[@davehaltner1009]

Yes, very informative video. I just recently graduated hygiene school and I am just starting to give IAB’s. We numb all of the doctor’s patients so I’ll be doing them a lot!!

[@veynalmandelawe1193]

WOW, this is the best demonstration that I've ever seen. Thank you very much Dr. Younos, that was a very helpful video. Can you do other videos for the Maxillary Nerve Block?

[@vickychort8538]

A very thorough step by step explanation. A great help for all dental students. Keep up the good work.

[@InfernoFlame99]

lol i got a patient in my chair right now, they dont know its my first time giving an injection. Hope i dont give them a hematoma 🤣🤣

[@GDPNMG]

How did it go?

[@dentalflossy2237]

How did it go 😮

[@icyrockstar]

Nice video doc,but Clinical studies have shown that even when a proper technique is employed, inferior alveolar nerve blocks (IANB) fail in approximately 30% to 45% of cases. This may sometimes account for the pain during the operation following an apparently successful mandibular injection. Located to the lingual of the mandibular 2nd molar apex, an ascending branch of the mylohyoid nerve may exist, and innervate the mandibular teeth. There is the possibility of a small branch of the mylohyoid nerve that enters the mandible through the foramen coli, which can cause considerable amount of discomfort if present and not anesthetized. Traditionally, the nerve to the mylohyoid has been considered a motor nerve. However, dissection and clinical studies have challenged this dogma implicating the nerve to the mylohyoid as a nerve of accessory innervation to mandibular teeth. This may possibly account for some IANB failures. Not every patient will require this kind of anesthesia, but the dentist must be aware of its existence. In an attempt to minimize the IANB failure rate, it is routinely advised to inject a small amount of 2.0% Lidocaine lingual to the apex of the mandibular second molar, immediately followed by approximately ½ carpule of 0.5% Bupivacaine if available, to the same area, for more predictable and profound anesthesia.

[@runlikeachicken]

in other words just do a long buccal right after

[@fuckhacker9024]

​@@runlikeachicken x

[@sedaralmaliky4009]

But can we give patient 2 different kind of anaesthesia? Lidocaine then bupivacaine??

[@hopefaithandlove3348]

One the best video seen until.. Thank you so much sir ❤🙏

[@asmaabasal8755]

thanks for this amazing vedeo this my first time in two years to give anaesthesia so easy and actually feel bone touch❤️❤️ thanks again❤️❤️

[@MohammadYounos]

Very happy to hear that. I wish you all the best! 🙋🦷🦷

[@80smrithithayyalnayagi34]

Thank you so much i have been afride of ianb block This was very informative thank you so much

[@monab1067]

Thanks, so far the best explained video of inferior alevolar nerve block

[@MohammadYounos]

Thank you for your comment and I'm really happy that you found it useful.

[@fadimekinavli7059]

@@MohammadYounos many thanks can this be done by a dentist or to which specialist i need to go as have so much pain

[@inkara8831]

OMG!!!The best video!!! thank u so much!!!

[@nmda9578]

Very helpful for us dental students. Thank you!

[@farhanaahmed7163]

You make it look so easy! But ofc in practice it is so much more difficult >_< thank you for the tips, really appreciated!

[@priscomatro2490]

thank you for showing and emphasizing the important landmarks..

[@tommyshelby8909]

Thank you ! Very good video, very well explained. I did my first successfuls anesthésias with it !

[@azaya7608]

It is best method for learning &knowledge

[@soposhhh1122]

Thanks for this very informative video Dr.Younos! and thanks also for including the important landmarks :) i'm interested in dentistry and as of now i rely on youtube videos like yours and also kriss ai

[@hafsasout5689]

yess I agree Dr Younos is amazing with amazing ideos, btw can I know what kriss ai is ? I am a dental student haha so any info would be very helpful to me

[@lunasol435-tw8ij]

care to share about that kriss ai?

[@TitusMonger]

@@hafsasout5689 its an ai dental assistant! you can access it at their website it has a free feature.

[@hafsasout5689]

@@lunasol435-tw8ij it's an AI dental chatbot try visit their website you'll find it there

[@uzmitin]

how to use thiss kriss ai?

[@jasminahamad3884]

Thank u for the video but y didn't complete the video with lingual nerve block and buccal nerve block? Would have been better ..great video..was helpful indeed..

[@danaa.3819]

Jasmin Ahamad buccal nerve block is administered only in case of an extraction.. other wise this plus the lingual never would be enough

[@KatieF307]

Awesome video, now among my permanent bookmarks.

[@domezu4917]

The best video, thank you so much

[@ashwanilohri3539]

It will realy helpfull..good Explained then our Medical college Faculties..

[@montzar492]

Thank you so much dr may god reward you well

[@tipwo6921]

1 million views cuz u deserve it

[@rohmarasheed9976]

Woah!! Just amazing,its so comprehensive and so helpful, v weldone and thankyou so much for this 😊 v v well explained.

[@vinuthavinutha6742]

1

[@haneighteen18]

Is their tongue okay. Great video shukran

[@JulieEdward-th7hg]

Superb presentation 🙂

[@alb4079]

Stanley Malamed has a different explanation. He says that the poont of injection should be 3/4 the distance from the centre of coronoid notch to pterygomandibular raphe's deepest point.

[@ryanw3994]

2 different techniques

[@DentistryAFK]

This is what exactly I was searching for.great

[@Annathroy]

Just had this today. Made me dizzy and I almost passed out. They gave me some sugar water and they lied me down. Felt better after 5-10 min and we continued with the procedure

[@FEARYOYOYO]

Best explanation out there!

[@saraengnoite6766]

Jazak Allahu khairan doctor

[@remedios3895]

this was very helpfull, thank you

[@sarasak3364]

Besssst explanation thank you very much

[@kavitajain2547]

Awesum explaination sir Ur teachings are best

[@80smrithithayyalnayagi34]

Thank you so much this by far best vidio

[@azaya7608]

Imaginary explanation so nice so ideal

[@alienmo6653]

شكرا جزيلا جزاكم الله خير الجزاء

[@mdabrarsheikh8714]

Literally... the explanation is commendable so far I have seen.,well done👍✅

[@julianabrito9897]

Amazing explanation. Thank you!

[@j.marifamanal9758]

Very helpful. Thank you so much

[@GeneralDentist]

Good videos!

[@a7mdoc]

انا عشر سنوات طبيب أسنان ولازالت مهارتي تروح وترجع في inferior alveolar nerve block ، جنني من الصميم هذا العصب

[@festimdauti7737]

Thank you so much, briliant explanation!!

[@Character81]

You will find this technique a bit difficult to execute on a patient with massive tonge, that gets in the way. Unless someone retracts the tongue for you or you do it yourself with the mirror, the spot you are aiming for is not accessible. If the patient have a strong gag reflex in addition to the massive tongue, the fun goes to a whole new level 😂

[@gotohemp]

If there's a big ol tongue but I can see a little bit of the pterygo raphe I just try to calculate the midline based between mandibular angle and tmj ( with my fingers) and go in at a downward angle, once I get inside mucosa I correct the direction while pushing down on the tongue with the needle. This is only on the days where my dental secretary is unavailable and typically if the patient is in great pain. Otherwise I go for a cavity in the upper dentition.

[@dr_na6]

yes it’s happened with me 😭👋.

[@snow873]

Vasirani technique is very useful in that case

[@callmepeanotpie]

Big help! Thank you!💗

[@JulieEdward-th7hg]

My question is why does a IAN block numb all four of my lower incisors, not just the two incisors on same side? Does the nerve cross the midline and innervate the other side in some people? I seem to be a rarity, but no so rare as I know of others.

[@Tommy_manipur23]

This pterygomandibular raphe does not present in many of the patient. How to identify them if it is absent?

[@mbbslovers9572]

Best & clear video thanks for it 💝

[@buroojalmamri8799]

Thank you so much super helpful

[@emilyzheng7559]

thanks for the video❤❤❤❤❤

[@aswathyshaji376]

thank you sir. you explained it well and was informative

[@hasanulmunjir4149]

Very ince and informative video...Thanks a lot❤️❤️❤️

[@RabRaakhaan]

Best video

[@oumaimametioui5914]

Hello can you please explain what do you mean by negative aspiration

[@Jumana.671]

اشكرك من الصميم ، هذا المقطع راااااااائع ..

[@najlanizar5055]

Really helpful kp going do more

[@abdullaichristiana6313]

Thank you so much for this video

[@priabordoloi9298]

Thanks Dr for explaining it so well

[@passantsalama5100]

Very easy to understand, thank you so much!

[@juliuslyricus7038]

Thanks very much doctor ✌

[@amirapal]

thanksss, its so helpful

[@landofmilkchillies5832]

Do you have a video on posterior superior alveolar nerve block

[@Mary-eu6bm]

thank you, this is really helpful !

[@mohamednazl6063]

Lfg

[@zlenkodmd]

great video. thank you

[@MohammadYounos]

You're most welcome !

[@somaty77]

Thank you very much 🥺🙏🏻

[@nbdeacademypracticetopass3030]

Thank you

[@eslammhmd1949]

رهيب والله ♥️♥️♥️♥️

[@claudioquevedo5257]

I had my wisdom teeth removed and my inferior alveolar nerve was damaged causing a permanent "pins and needles" feeling in my alveolar block section. I'm lucky it wasn't completely severed and i can still faintly "feel" in that section. Does anyone know how common this is during a wisdom tooth extraction and is there any hope of it healing?

[@joestevenson5568]

95% of persistent block symptoms improve within 2 months 99% improve within 1 year Truly permanent damage is rare but not impossible

[@asmztech8499]

forgot to deliver to the lingual nerve?

[@texassecession6422]

If the patient only has numbness on the buccal tissues but not Inferior alveolar nerve, did I inject too anteriorly?

[@zepandandzebamboo]

and avoiding the ica?

[@en2095]

Thank you so much for the video!!!

[@dalerazimov6303]

Doctor👍

[@colorizedenhanced-silentmo3068]

Hello, Mohammad Younos. it's surprisingly pretty video. thank. :)

[@wardasaleh5217]

good job it's very useful thank you so much waiting for more videos 😊

[@MohammadYounos]

warda saleh You're most welcome.

[@kaieugenewong818]

Thank you, dental school doesn’t teach that technique!

[@JackEffenBauer]

They do, but this video is a great refresher. Good luck!

[@harikapedada8690]

Very help full sir,hope u do more vedios for dental students

[@molarsandmemoirs]

thank you so much for thus

[@nusratjanan1185]

Very useful sir

[@vartikashukla8914]

Thankyou so much sir❤

[@mmfd2072]

thank you very much , you are the best

[@tarekkhater3301]

thanks Dr

[@ashleybishton742]

This is what I need for my lower molar. Top molars will be fine I think. All extractions.

[@Malath98]

باجر اول عياده اليه بالاوبرتف واحتاج اتعلم بالبدايه شلون انطي بلوك واجيت هنا كلش متوتره وراح اموت من الخوف يا رب يكون شغلي حلو باجر 😭😭 29 اكتوبر 2022 السبت

[@sorooshkhedri1348]

great presenting skills please make more videos

[@narutoworld6874]

Thanks for sharing sir, very useful

[@firelight3912]

ربما يكرمك ويوفقك...

[@dimplegurnani5160]

Sir if the aspiration is positive , what to do then n if it’s paining to patient

[@kangtavenus1236]

Dimple Gurnani wait till your patient is ready for the next try . Usually upon proper application of tropical anesthesia patient don't complain of pain so if Ta positive then u will see blood inside your cartridge so withdraw and approximate your anatomy vividly .

[@dabeastxxx]

@@kangtavenus1236 it is topical not tropical 😃

[@shimaaahashem]

i remember you promised to do me this block one day ..good luck .. :)

[@MohammadYounos]

Yes Shaimaa, I remember this day. Thank you very much for your support. :)

[@gsh_op]

Wow 👌🏻❤️‍🔥

[@oliviavaldez4626]

I have that problem l get Cracy loca the pain is 24 hrs 😭😭😭

[@tylerphelan2504]

does this technique anesthetize the long buccal and lingual along with the IAN? or would you have to move a bit anterior and inject to block the long buccal.

[@miszjonamari]

Hi! Not the long buccal. You have to give another injection for the long buccal. It'll be facial and distal to the last molar (second molar for most patients.) I believe it 's up to 3 or 4 mm insertion only.

[@ahmedabdelwahab5181]

The LA does diffuse to the lingual nerve, to ensure proper anesthetizing of the lingual nerve you ought to withdraw the needle a little bit and give LA. However, this doesn't anesthetize the long buccal and you will need a separate injection for it.

[@long.life.helthdr.c.l.shar3734]

Veri. Thanks

[@likkewaan88p33]

you injected untill the hub of the needle !! the needle could break then and drift into soft tissue causing a medical emergency !! other than that the technique was perfect maybe point of insertion was a bit high.

[@g68unit]

Yeah he needs longer needles. Hubbing the needle is never a good idea.

[@hafsanur6642]

I was hoping someone else saw that, we were taught to never go to the hub

[@kanzaqureshi7471]

very dfrnt nd easy vid👍

[@MohammadYounos]

Kanza Qureshi Thank you for your positive feedback.

[@meriduniya892]

+Mohammad Younos sir plz help me