Nerve block: buccal - Revision history

Masoodrm: /* Overview */

2025-12-10T18:45:34Z

Overview

← Revisión anterior		Revisión del 18:45 10 dic 2025
Línea 5:		Línea 5:
	*Also known as long buccal nerve block		*Also known as long buccal nerve block
	*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>		*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>
			*Often used in conjunction with inferior alveolar nerve block to anesthetize soft tissue in the entire lower jaw

	==Indications==		==Indications==

Rossdonaldson1: /* See Also */

2025-01-29T18:27:46Z

Rossdonaldson1: Rossdonaldson1 moved page Buccal nerve block to Nerve block: buccal

2025-01-29T18:26:59Z

Rossdonaldson1 moved page Buccal nerve block to Nerve block: buccal

← Revisión anterior	Revisión del 18:26 29 ene 2025
(Sin diferencias)

Rossdonaldson1 at 18:25, 29 January 2025

2025-01-29T18:25:53Z

← Revisión anterior		Revisión del 18:25 29 ene 2025
Línea 63:		Línea 63:

	[[Category:ENT]]		[[Category:ENT]]
			[[Category:Procedures]]

Rossdonaldson1 at 18:25, 29 January 2025

2025-01-29T18:25:11Z

← Revisión anterior		Revisión del 18:25 29 ene 2025
Línea 61:		Línea 61:
	==References==		==References==
	<references/>		<references/>

			[[Category:ENT]]

Rossdonaldson1: /* Overview */

2024-05-01T19:12:17Z

Overview

← Revisión anterior		Revisión del 19:12 1 may 2024
Línea 2:		Línea 2:
	[[File:Grant 1962 656a.png\|thumb\|Distribution schemes of the trigeminal nerve.]]		[[File:Grant 1962 656a.png\|thumb\|Distribution schemes of the trigeminal nerve.]]
	[[File:Mandibular nerve 3.jpg\|thumb\|Dissection showing branches of the mandibular nerve.]]		[[File:Mandibular nerve 3.jpg\|thumb\|Dissection showing branches of the mandibular nerve.]]
			[[File: Innervation-of-the-tooth-9-anatomy-of-local-anesthesia-pocket-dentistry.jpg\|thumb\|Dental Anesthesia]]
	*Also known as long buccal nerve block		*Also known as long buccal nerve block
	*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>		*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>

Rossdonaldson1 at 19:02, 1 May 2024

2024-05-01T19:02:22Z

← Revisión anterior		Revisión del 19:02 1 may 2024
Línea 1:		Línea 1:

	==Overview==		==Overview==
			[[File:Grant 1962 656a.png\|thumb\|Distribution schemes of the trigeminal nerve.]]
	[[File:Mandibular nerve 3.jpg\|thumb\|Dissection showing branches of the mandibular nerve.]]		[[File:Mandibular nerve 3.jpg\|thumb\|Dissection showing branches of the mandibular nerve.]]
	*Also known as long buccal nerve block		*Also known as long buccal nerve block

Rossdonaldson1: /* Overview */

2024-05-01T18:54:26Z

Overview

← Revisión anterior		Revisión del 18:54 1 may 2024
Línea 1:		Línea 1:

	==Overview==		==Overview==
			[[File:Mandibular nerve 3.jpg\|thumb\|Dissection showing branches of the mandibular nerve.]]
	*Also known as long buccal nerve block		*Also known as long buccal nerve block
	*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>		*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>

Rossdonaldson1 at 17:11, 1 May 2024

2024-05-01T17:11:53Z

← Revisión anterior		Revisión del 17:11 1 may 2024
Línea 51:		Línea 51:

	==See Also==		==See Also==
	[[Nerve Block: Inferior Alveolar]]		*[[Nerve Block: Inferior Alveolar]]

	==External Links==		==External Links==
	NUEM Oral Block blog post: https://www.nuemblog.com/blog/oral-nerve-blocks		*NUEM Oral Block blog post: https://www.nuemblog.com/blog/oral-nerve-blocks
			*Dr. Zibran OMFS Lecture: https://www.youtube.com/watch?v=ILzRM73VVH0
	Dr. Zibran OMFS Lecture: https://www.youtube.com/watch?v=ILzRM73VVH0

	==References==		==References==
	<references/>		<references/>

ARPerez: Procedure review for buccal nerve (long buccal nerve) block

2024-04-30T16:41:48Z

Procedure review for buccal nerve (long buccal nerve) block

Página nueva

==Overview==
*Also known as long buccal nerve block
*Provides buccal soft tissue anesthesia adjacent to mandibular molars<ref>Siddik AB, Sapra A. Anatomy, Head and Neck: Buccal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560732/</ref>

==Indications==
*Soft-tissue injury to buccal soft-tissue
*Gingival pain not relieved with inferior alveolar block ('See also' below)

==Contraindications==
*Allergy to anesthetic
*Infection overlying site

==Equipment Needed==
* Anesthetic (see below)
* 5mL or 10mL syringe
* Blunt fill or 18 gauge needle
* 25-27 gauge needle
* Gauze
* Long cotton tipped applicators
* Personal protective equipment (non-sterile gloves and eye protection)
* Bite block if necessary
** If bite block unavailable, may use 5-10 (or more) tongue depressors taped together as improvised bite block
* Appropriate, dedicated lighting such as an overhead lamp

==Procedure==
===Preparation===
* Place patient in supine if tolerated or seated with as much recumbency as tolerated
* Position yourself contralateral to target
* Consider use of topical anesthetic
** Method 1: Swish and spit viscous lidocaine in mouth for at least 30 seconds
** Method 2: Soak gauze or cotton tipped applicators with viscous or regular lidocaine and place them at target for 1-5 minutes

===Injection===
* Area of insertion: mucous membrane distal and buccal to distal molar
* Target Area: buccal nerve as it passes anterior ramus of the mandible
# Identify and/or palpate landmarks: mandibular molars, mucobuccal fold
# Orient needle so it is parallel to occlusal surfaces of the teeth with bevel towards the bone
# Advance needle until bone is felt
# Inject 1-2cc of anesthetic

===Special Considerations===
* Consider use of additional support for distraction, especially for pediatric or highly anxious patients (child-life specialists, parental coaching, iPad or cell-phone videos etc)
* Approach with needle from mandibular side to reduce patient's visibility of needle
* Avoid cold/refrigerated anesthetic to reduce pain or allow time for anesthetic to warm to room temperature

==Complications==
* Unintentional biting of soft-tissue by patient
* Hematoma/bleeding
* Pain

==See Also==
[[Nerve Block: Inferior Alveolar]]

==External Links==
NUEM Oral Block blog post: https://www.nuemblog.com/blog/oral-nerve-blocks

Dr. Zibran OMFS Lecture: https://www.youtube.com/watch?v=ILzRM73VVH0

==References==
<references/>

← Revisión anterior		Revisión del 18:27 29 ene 2025
Línea 54:		Línea 54:
	==See Also==		==See Also==
	*[[Nerve Block: Inferior Alveolar]]		*[[Nerve Block: Inferior Alveolar]]
			*[[Nerve and regional blocks (main)]]

	==External Links==		==External Links==