Which is better Gow-Gates or Akinosi?

Which is better Gow-Gates or Akinosi?

Results show that the Gow-Gates technique was the most effective in inducing anesthesia while the Akinosi technique appeared to be the most acceptable among the patients.

What is Akinosi technique?

Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect.

What does vazirani Akinosi anesthetize?

Therefore, the V-A block will anesthetize the mandibular teeth to the midline and associated lingual periodontium and gingiva, as well as the facial periodontium and gingiva of the mandibular anterior teeth and premolars to the midline and possibly the buccal periodontium and gingiva of the mandibular molars within one …

Why do we aspirate in two planes?

Before injecting, one should aspirate in two planes to avoid accidental injection into the pterygoid plexus. After the first aspiration, the needle should be rotated one-quarter turn. The operator should then re-aspirate.

How do I give IANB?

[1] In this technique the needle is inserted 1.5 cm above the occlusal plane with syringe barrel located at the premolars area in the opposite site. After touching the bone, the syringe is then moved to the same side of injection and the needle then advanced while it is in contact with bone to a distance of 30-34 mm.

What is Intraligamentary injection?

Periodontal Ligament Injection (Intraligamentary Injection) The periodontal ligament injection has been used for a number of years as either a method of obtaining primary anesthesia for one or two teeth or as a supplement to infiltration or block techniques.

How do you give a lingual nerve block?

Lingual Nerve Block (selective anesthesia for tongue and floor of mouth)

1. Point of insertion of needle is distal and 6-8 mm inferior to the lingual gingival margin of the second lower molar.
2. The barrel of the syringe is place dover the contralateral incisor/canine region – angulated toward the second molar.

What is a Gow Gates nerve block?

28. GOW-GATES NERVE BLOCK  In 1973 Albert Edwards Gow-Gates described a true mandibular nerve which was administered by means of the intraoral approach using intraoral and extraoral landmarks to deposit the anesthetic solution at the neck of the condyle.

What is the akinosi technique for mandibular block?

The closed-mouth mandibular block, also known as the Akinosi technique, or the Vazirani-Akinosi technique, after those who first described it,4,5 is an alternative mandibular block. It was introduced as a means to improve on the 15% failure rate of the standard mandibular block.

What are the failures of Gow-Gates nerve blocks?

56. GOW-GATES NERVE BLOCK  Failures of anesthesia: 1. Too little volume. The greater diameter of the mandibular nerve may require a larger volume of anesthetic solution. Deposit 1. 2 ml of solution in the second injection if the depth of anesthesia is inadequate after the initial 1. 8 ml. 2. Anatomical difficulties.

What is the pathway during insertion of a Gogow-gate needle block?

GOW-GATES NERVE BLOCK  Needle pathway during insertion: 1. The patient’s mouth is wide open, and the needle is inserted at a point lateral to the pterygomandibular depression but medial to the temporal tendon on a plane from the corner of the mouth to the intertragic notch. www.indiandentalacademy.com 41.