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Semkin V.A.

Otdelenie khirurgicheskoĭ stomatologii FGBU "Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii" Minzdrava RF, Moskva

Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Sogacheva V.V.

Izmaĭlova Z.M.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva

Dydykin S.S.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Lower teeth anesthesia in patients with limited mouth opening

Authors:

Semkin V.A., Kuzin A.V., Sogacheva V.V., Izmaĭlova Z.M., Dydykin S.S.

More about the authors

Journal: Stomatology. 2020;99(2): 105‑109

DOI: 10.17116/stomat202099021105

Views: 13662

Downloaded: 165

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Table of contents

LOWER TEETH ANESTHESIA IN PATIENTS WITH LIMITED MOUTH OPENING
LOWER TEETH ANESTHESIA IN PATIENTS WITH LIMITED MOUTH OPENING

To cite this article:

Semkin VA, Kuzin AV, Sogacheva VV, Izmaĭlova ZM, Dydykin SS. Lower teeth anesthesia in patients with limited mouth opening. Stomatology. 2020;99(2):105‑109. (In Russ.)
https://doi.org/10.17116/stomat202099021105

Подписка 2025-2 (Stomatology)
 
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Limited mouth opening is a common pathology in dental practice. Dental treatment of these group patients is hindered by low access to oral cavity, which complicates operative, prosthetic and surgical interventions. Local anesthesia is also difficult due to changes in anatomical landmarks, changes in bone structures and soft tissues ratio. M.M. Weisbrem and Gow—Gates technique in case with limited mouth opening 1—2 cm is ineffective. Mandibular convention block is more universal, as it is oriented to bone structures without binding to soft tissues. Variation of local anesthesia techniques at a various mouth opening degrees are offered.

Keywords:

oral surgery
mandibular block
local anesthesia
trismus
limited mouth opening
maxillofacial region anatomy
Inferior alveolar nerve

Authors:

Semkin V.A.

Otdelenie khirurgicheskoĭ stomatologii FGBU "Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii" Minzdrava RF, Moskva

Kuzin A.V.

State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Post-Graduate Education»

Sogacheva V.V.

Izmaĭlova Z.M.

Tsentral'nyĭ nauchno-issledovatel'skiĭ institut stomatologii i cheliustno-litsevoĭ khirurgii Minzdrava RF, Moskva

Dydykin S.S.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

List of references:

  1. Polushin YuS, Goluby I. V. Anesthetic support of operations for phlegmons of the maxillofacial region. Vestnik anesteziologii i reanimatologii. 2010;7(2):3-12. (In Russ.).
  2. Nesterov AA. Effective analgesia in the treatment of patients with «desomorphine» jaw osteonecrosis. Rossiiskii stomatologicheskii zhurnal. 2013; 6:31-32. (In Russ.).
  3. Samedov T, Ivanov Yu. Motor dysfunction of the lower jaw. Spetslit; 2018. (In Russ.).
  4. Tarasenko SV, Dydykin SS, Kuzin AV. Anatomical and topographic and radiological substantiation of additional methods for anesthesia of the teeth of the lower jaw, taking into account the variability of their innervation. Stomatologiya. 2013;92(5):44-48. (In Russ.).
  5. Kuzin AV, Semkin VA, Dydykin SS. Anatomical rationale for the features of anesthesia in the treatment of lower jaw teeth. Stomatologiya. 2015;94(4):35-38. (In Russ.). https://doi.org/10.17116/stomat201594435-38
  6. Kuzin AV, Neledva VV. Indications, methodology and clinical experience of using anesthesia according to Wazirani-Akinosi in surgical dentistry. Stomatologiya. 2015;94(2):27-29. (In Russ.). https://doi.org/10.17116/stomat201594227-29
  7. Sеmkin VA, Dydykin SS, Kuzin AV, Sogacheva VV. Anatomical rationale for the prevention of trauma of the lingual nerve with mandibular anesthesia. Stomatologiya. 2015;94(3):21-24. (In Russ.). https://doi.org/10.17116/stomat201594321-2
  8. Dydykin SS, Semkin VA, Kuzin AV, Sogacheva VV. Topographic and anatomical features of the location of the lingual nerve and its relationship with other anatomical structures in the region of the maxillary-lingual groove. Stomatologiya. 2016;95(1):21-23. (In Russ.).
  9. Sеmkin VA, Dydykin SS, Sogacheva VV. Features of the location of the lingual nerve and the frequency of its damage when removing the lower third molars. Stomatologiya. 2014;93(6):62-63. (In Russ.).
  10. Stolyarenko PYu. The contribution of dentists Jean Bershe, V.M. Uvarova and M.D. Dubova in the development of local anesthesia in the maxillofacial region. Samara. 2005. (In Russ.).
  11. Dubov MD. Local anesthesia in dental practice. L.: Meditsina; 1969. (In Russ.).
  12. Akinosi JO. A new approach to the mandibular nerve block. Br J Oral Surg. 1977;15(1):83-87.
  13. Shuvalov SM, Malahovskaya AA. The method of blockade of the motor branches of the mandibular nerve caused by dysfunction of the temporomandibular joint. Proceedings of the X All-Russian Scientific and Practical Conference «Education, Science and Practice». M. 2013. (In Russ.).
  14. Quek S, Young A, Subramanian G. The twin block: a simple technique to block both the masseteric and the anterior deep temporal nerves with one anesthetic injection. Oral Surg, Oral Med, Oral Pathol Oral Radiol. 2014; 118(3):65-67.
  15. Kanti V, Ananthan S, Subramanian G, Quek SY. Efficacy of the twin block, a peripheral nerve block for the management of chronic masticatory myofascial pain: A case series. Quintessence Int. 2017;48(10):725-729.
  16. Kononenko YuG, Rozhko NM, Ruzin GP. Local anesthesia in outpatient dentistry. M. 2012. (In Russ.).

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