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If the area surrounding the mandibular incisors is not fully anesthetized by the incisive nerve block, what should the clinician do?

a. Re-administer an incisive nerve block
b. Provide infiltrations at the desired site
c. Administer an inferior alveolar nerve block
d.Continue the procedure as the area will never be fully anesthetized

1 Answer

4 votes

Final answer:

The clinician should provide supplemental infiltrations at the desired site or consider an inferior alveolar nerve block if the incisive nerve block does not fully anesthetize the mandibular incisors.

Step-by-step explanation:

If the area surrounding the mandibular incisors is not fully anesthetized by the incisive nerve block, the clinician should consider providing supplemental infiltrations at the desired site. The incisive nerve, a branch of the inferior alveolar nerve, may not always transmit the anesthesia entirely to the incisor area due to anatomical variations.

Re-administering the incisive nerve block might not be effective if the initial administration technique was correct. Instead, infiltrations directly into the area where dental work is to be performed can target any accessory nerves that were not affected by the original block. Administering an inferior alveolar nerve block is another option, which anesthetizes the entire quadrant, but it may be more anesthesia than needed if only the incisors are involved. Option 'd' which suggests continuing without full anesthesia is not appropriate and can result in patient discomfort.

Overall, the clinician must assess the situation and decide whether supplemental infiltration or a different nerve block will offer the most effective and patient-comfort-oriented result.

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