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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 22 – Mandibular Block

PERSPECTIVE

The mandibular block is most often used for diagnosis of facial neuralgias, although it can also be used for surgical procedures on the skin overlying the lower jaw, except at the jaw’s angle. Dental procedures on the lower jaw can also be carried out, although the intraoral approach to the mandibular nerve is more commonly used by dentists to perform this block.

Patient Selection.

Patients appropriate for this block are those with facial neuralgias or with significant cardiopulmonary disease who require a surgical procedure in the region innervated by nerves affected by the mandibular nerve block.

Pharmacologic Choice.

Because small volumes (5 mL) of local anesthetic produce regional block of the mandibular nerve, virtually any local anesthetic agent is an acceptable choice.

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