Variant Inferior Alveolar Nerves and Implications for Local Anesthesia

Author:

Wolf Kevin T.1,Brokaw Everett J.1,Bell Andrea2,Joy Anita3

Affiliation:

1. Research Assistant, Section of Anatomy, Department of Growth, Development and Structure, Southern Illinois University School of Dental Medicine, Edwardsville, Illinois,

2. Assistant Professor, Section of Pediatric Dentistry, Department of Growth, Development and Structure, Southern Illinois University School of Dental Medicine, Edwardsville, Illinois, and

3. Associate Professor and Section Head of Anatomy, Department of Growth, Development and Structure, Southern Illinois University School of Dental Medicine, Edwardsville, Illinois

Abstract

A sound knowledge of anatomical variations that could be encountered during surgical procedures is helpful in avoiding surgical complications. The current article details anomalous morphology of inferior alveolar nerves encountered during routine dissection of the craniofacial region in the Gross Anatomy laboratory. We also report variations of the lingual nerves, associated with the inferior alveolar nerves. The variations were documented and a thorough review of literature was carried out. We focus on the variations themselves, and the clinical implications that these variations present. Thorough understanding of variant anatomy of the lingual and inferior alveolar nerves may determine the success of procedural anesthesia, the etiology of pathologic processes, and the avoidance of surgical misadventure.

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

Reference61 articles.

1. The anatomy of mandibular anesthesia;Sicher;J Am Dent Assoc,1946

2. Gray's Anatomy;Standring,2009

3. Distribution of components of the retromolar mandibular canal in the buccinator muscle [in Spanish];Arias;Rev Asoc Odontol Argent,1967

4. The origin and distribution of the elements of the human mandibular retromolar canal;Schejtman;Arch Oral Biol,1967

5. The intramandibular course of the inferior alveolar nerve;Carter;J Anat,1971

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