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Design and development of a device for facilitation of Gow-Gates mandibular block and evaluation of its efficacy

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Abstract

Introduction

The Gow-Gates technique is a useful alternative to the inferior alveolar nerve block whenever the latter fails to provide adequate anesthesia. The main disadvantage of this technique is that the incidence of unsuccessful anesthesia may be as high as that for the inferior alveolar nerve block until the administrator gains clinical experience with it.

Objectives

The aim of this study was to develop a device that facilitates the Gow-Gates technique and to increase its success rate even for administrators who are unfamiliar with this procedure.

Materials and methods

Ninety patients participated in our study. Forty-five patients received Gow-Gates mandibular block with device, and 45 patients received it without instrument (control group). Ninety 5th-year dental students who had no previous clinical experience with the Gow-Gates technique injected the patients.

Results and discussion

The success rate of anesthesia of inferior alveolar nerve, lingual nerve, buccal nerve, and auriculotemporal nerve were 93.3%, 93.3%, 91.1%, and 91.1%, respectively, in the study group and 68.9%, 68.2%, 68.9%, and 68.2%, respectively, in the control group.

Conclusion

We concluded that our device facilitates the Gow-Gates technique and increases its success rate irrespective of the gender of the patient, the side of the mandible being injected, and the experience of the administrator who uses the instrument.

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References

  1. Bolding SL, Hutchins B (1987) Accessory innervation of the mandibular dentition in the cat. J Dent Res 66:157, Abstract 402

    Google Scholar 

  2. Brodsky CD, Dower JS Jr (2001) Middle ear problems after a Gow-Gates injection. J Am Dent Assoc 132:1420–1423

    PubMed  CAS  Google Scholar 

  3. Childers M, Reader A, Nist R, Beck M, Meyers WJ (1996) The anesthetic efficacy of the periodontal ligament injection after an inferior alveolar nerve block. J Endod 22:317–320

    Article  PubMed  CAS  Google Scholar 

  4. Clark S, Reader A, Beck M, Meyers WJ (1999) Anesthetic efficacy of the myelohyoid nerve block and combination inferior alveolar nerve block/myelohyoid nerve block. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87:557–563

    Article  PubMed  CAS  Google Scholar 

  5. Dunbar D, Reader A, Nist R, Beck M, Meyers WJ (1996) Anesthetic efficacy of the intraosseous injection after an inferior alveolar nerve block. J Endod 22:481–486

    Article  PubMed  CAS  Google Scholar 

  6. Fish LR, McIntire DN, Johnson L (1989) Temporary paralysis of cranial nerves III, IV and VI after a Gow-Gates injection. J Am Dent Assoc 119:127–130

    PubMed  CAS  Google Scholar 

  7. Frommer J, Mele FA, Monroe CW (1972) The possible role of the myelohyoid nerve in mandibular posterior tooth sensation. J Am Dent Assoc 85:113–117

    PubMed  CAS  Google Scholar 

  8. Gow-Gates G, Watson JE (1989) Gow-Gates mandibular block—applied anatomy and histology. Anesth Prog 36:192–200

    Google Scholar 

  9. Gow-Gates G (1973) Mandibular conduction anesthesia: a new technique using extraoral landmarks. Oral Surg Oral Med Oral Pathol 36:321–377

    Article  PubMed  CAS  Google Scholar 

  10. Gustainis JF, Peterson LJ (1981) An alternative method of mandibular nerve block. J Am Dent Assoc 103:33–36

    PubMed  CAS  Google Scholar 

  11. Heasman PA, Beynon ADG (1987) Quantitative and spectrum analysis of human myelohyoid nerve. J Anat 151:45–49

    PubMed  CAS  Google Scholar 

  12. Jacobs S, Haas DA, Meechan JG, May S (2003) Injection pain: comparison of three mandibular blocktechniques and modulation by nitrous oxide:oxygen. J Am Dent Assoc 134:869–876

    PubMed  Google Scholar 

  13. Jofre J, Munzenmayer C (1998) Design and preliminary evaluation of an extraoral Gow-Gates guiding device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:661–664

    Article  PubMed  CAS  Google Scholar 

  14. Kafalias MC, Gow-Gates G, Saliba GJ (1987) The Gow-Gates technique for mandibular block anesthesia. Anesth Prog 34:142–149

    PubMed  CAS  Google Scholar 

  15. Kaufman E, Weinstein P, Milligram P (1984) Difficulties in achieving local anesthesia. J Am Dent Assoc 108:205–208

    PubMed  CAS  Google Scholar 

  16. Levy P (1981) An assessment of the Gow-Gates mandibular block for third molar surgery. J Am Dent Assoc 103:37–41

    PubMed  CAS  Google Scholar 

  17. Malamed SF (1981) The Gow-Gates mandibular block; evaluation after 4,275 cases. Oral Surg Oral Med Oral Pathol 51:463–467

    Article  PubMed  CAS  Google Scholar 

  18. Malamed SF (2004) Techniques of mandibular anesthesia. Handbook of local anesthesia. Mosby, St Louis, pp 227–253

    Google Scholar 

  19. Munzenmayer C, Tima M (1989) La tecnica de Gow-Gates, una alternative para la tercera rama del Trigemino. Anuario Hospital las Higueras 6:96–97

    Google Scholar 

  20. Nist R, Reader A, Beck M, Meyers WJ (1992) An evaluation of the incisive nerve block and combination inferior alveolar and incisive nerve block in mandibular anesthesia. J Endod 18:455–459

    Article  PubMed  CAS  Google Scholar 

  21. Novitsky J (1938) Sensory nerves and anesthesia of the teeth and jaws. Mod Dent 5:5–10

    Google Scholar 

  22. Potocnik I, Bajrovic F (1999) Failure of inferior alveolar nerve block in endodontics. Endod dent Traumatol 15:247–251

    Article  PubMed  CAS  Google Scholar 

  23. Reitz J, Reader A, Nist R, Beck M, Meyers WJ (1998) Anesthetic efficacy of the intraosseous injection of 0.9 ml of 2% lidocaine (1:100,000 epinephrine) to augment an inferior alveolar nerve block. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:516–523

    Article  PubMed  CAS  Google Scholar 

  24. Sicher H (1946) The anatomy of the mandibular anesthesia. J Am Dent Assoc 33:1541–1557

    Google Scholar 

  25. Sillanpaa M, Vuori V, Lehtinen R (1988) The myelohyoid nerve and mandibular anesthesia. Int J Oral Maxillofac Surg 17:206–207

    Article  PubMed  CAS  Google Scholar 

  26. Sisk AL (1985) Evaluation of the Gow-Gates mandibular block for oral surgery. Anesth Prog 32:143–146

    PubMed  CAS  Google Scholar 

  27. Takasugi Y, Furuya H, Moriya K, Okamoto Y (2000) Clinical evaluation of inferior alveolar nerve block by injection into the pterygomandibular space anterior to the mandibular foramen. Anesth Prog 47:125–129

    PubMed  CAS  Google Scholar 

  28. Watson JE, Gow-Gates G (1992) Incidence of positive aspiration in the Gow-Gates mandibular block. Anesthesia and Pain Control in Dentistry 1:73–76

    PubMed  CAS  Google Scholar 

  29. Wilson S, Johns PI, Fuller PM (1984) Accessory innervation of mandibular anterior teeth in cats: a horseradish peroxidase study. Brain Res 298:392–396

    Article  PubMed  CAS  Google Scholar 

  30. Wilson S, Johns PI, Fuller PM (1984) The inferior alveolar and myelohyoid nerves: an anatomic study and relationship to local anesthesia of the anterior mandibular teeth. J Am Dent Assoc 108:350–352

    PubMed  CAS  Google Scholar 

  31. Yamada A, Jastak JT (1981) Clinical evaluation of the Gow-Gates block in children. Anesth Prog 28:106–109

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hamedan University of Medical Sciences, Shahid Fahmideh street, Hamedan, Iran

    Mohammad Zandi

  2. Department of Periodontics, Faculty of Dentistry, Hamedan University of Medical Sciences, Hamedan, Iran

    Shabnam Seyedzadeh Sabounchi

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  1. Mohammad Zandi
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  2. Shabnam Seyedzadeh Sabounchi
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Correspondence to Mohammad Zandi.

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Zandi, M., Seyedzadeh Sabounchi, S. Design and development of a device for facilitation of Gow-Gates mandibular block and evaluation of its efficacy. Oral Maxillofac Surg 12, 149–153 (2008). https://doi.org/10.1007/s10006-008-0126-4

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  • DOI: https://doi.org/10.1007/s10006-008-0126-4

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