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Dim lights Download Embed Embed this video on your site Vazirani Akinosi Nerve BlockThe Vazirani-Akinosi closed mouth mandibular block is a useful technique for patients with limited opening due trismus or ankylosis of the temporomandibular joint. A 25 gauge long needle is recommended for this technique. The right handed operator should be in the eight o’clock position whereas the left handed operator should be in the four o’clock position. The gingival margin above the maxillary 2nd and 3rd molars and the pterygomandibular raphae serve as landmarks for this technique. The patient should close gently on the posterior teeth. The needle is held parallel to the occlusal plane at the level of the gingival margin of the maxillary 2nd and 3rd molars. The bevel is directed away from the bone facing the midline. The needle is advanced through the mucous membrane and buccinator muscle to enter the pterygomandibular space. The needle is inserted to approximately one half to three quarters of its length. At this point the needle will be in the midsection of the ptyerygomandibular space. . Nerves anesthetized are the lingual and long buccal nerves in addition to the inferior alveolar nerve. |
Welcome to Registered Dental Hygienist Development, brought to you by Margaret Newville RDH, MEd. This resource is intended for both dental hygiene students and their faculty. Browse videos demonstrating the basic instrumentation used in beginning scaling techniques. There are also sample images of radiographs to practice identifying normal and abnormal findings. Expansion of RDH Development is in progress so check back frequently!
Midterms are over so we have reached the half-way point in the semester. It is important to focus on what you accomplished and not get discouraged by the amount of work that is still to be done. A famous quote to think about is: “Always bear in mind that your own resolution to succeed is more important than any other.” by Abraham Lincoln. We only have 6 more weeks so “just keep swimming” as a wise Junior once said. More News