TY - JOUR
T1 - Complications of an intra-arterial injection from an inferior alveolar nerve block
AU - Webber, Brian
AU - Orlansky, Herbert
AU - Lipton, Charles
AU - Stevens, Mark
PY - 2001/12
Y1 - 2001/12
N2 - Background. Unintended intravascular injections from inferior alveolar nerve blocks result in frustrating complications, both systemically and locally. It is imperative that the dentist diagnose the complication and treat it appropriately. Sometimes, several reactions occur simultaneously. Case Description. The authors present a case report that illustrates some of the many complications resulting from inferior alveolar nerve block injections. In this case, complications developed from intra-arterial injection of local anesthetic. The facial skin, intraoral structures and eye were affected. Within 60 minutes of the injection, all structures returned to their normal state. Prompt diagnosis and reassurance usually calm the patient. Clinical Implications. Even when clinicians use the utmost care, by aspirating before the injection and noting anatomical landmarks, intra-arterial injections can occur during inferior alveolar nerve blocks. Fortunately, permanent damage to nerves, facial and oral tissues, and eyes is rare. The practitioner should diagnose and treat the problems appropriately to avoid any irreversible complications.
AB - Background. Unintended intravascular injections from inferior alveolar nerve blocks result in frustrating complications, both systemically and locally. It is imperative that the dentist diagnose the complication and treat it appropriately. Sometimes, several reactions occur simultaneously. Case Description. The authors present a case report that illustrates some of the many complications resulting from inferior alveolar nerve block injections. In this case, complications developed from intra-arterial injection of local anesthetic. The facial skin, intraoral structures and eye were affected. Within 60 minutes of the injection, all structures returned to their normal state. Prompt diagnosis and reassurance usually calm the patient. Clinical Implications. Even when clinicians use the utmost care, by aspirating before the injection and noting anatomical landmarks, intra-arterial injections can occur during inferior alveolar nerve blocks. Fortunately, permanent damage to nerves, facial and oral tissues, and eyes is rare. The practitioner should diagnose and treat the problems appropriately to avoid any irreversible complications.
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U2 - 10.14219/jada.archive.2001.0123
DO - 10.14219/jada.archive.2001.0123
M3 - Article
C2 - 11780989
AN - SCOPUS:0035748480
SN - 0002-8177
VL - 132
SP - 1702
EP - 1704
JO - Journal of the American Dental Association
JF - Journal of the American Dental Association
IS - 12
ER -