Mandibular Nerve Block Periprocedural Care

Updated: Jul 05, 2016
  • Author: Anusha Cherian, MBBS, MD, DNB; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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Periprocedural Care

Equipment

Equipment used for mandibular nerve block includes the following:

  • 25-gauge long needle (36 mm)
  • Sterile syringe (either aspirating or nonaspirating)
  • Cotton-tip applicators for controlling bleeding
  • Mouth retractors
  • Local anesthetic solutions – Lidocaine 1-2% with or without epinephrine (1:100,000 or 1:200,000 concentration), bupivacaine 0.5%, or mepivacaine 2-3%

Generally, a dose of 1-5 mL is adequate for small dental procedures. If larger volumes are used, care must be taken not to exceed the maximum allowable dose. Reduction of the dose is required in pediatric and older populations, as well as in patients with cardiac, renal, or liver diseases.

Standard monitoring modalities (eg, pulse oximetry, noninvasive blood pressure [NIBP] monitoring, and electrocardiography [ECG]) should be available. Basic resuscitative drugs and equipment should be on hand.