Supplemental techniques

Question 1

When is the Gow-Gates block indicated?

Answer 1

Extensive procedures during quadrant dentistry or when the IA block fails

Question 2

Which nerves should all be anesthetized during a Gow-Gates block?

Answer 2

Auriculotemporal nerve
Inferior Alveolar nerve
Mylohyoid Nerve
Lingual Nerve
Long Buccal Nerve
Mental Nerve
Incisive Nerve

Question 3

What is the name of the technique used for the Gow-Gates block?

Answer 3

“Wide Open” technique

Patient keeps mouth open wide during and for 2 minutes after the injection

Question 4

What is the angle used for the GG block?

Answer 4

From the labial commisures to the intertragic notch

Question 5

Which nerves are anesthetized with the V-A block?

Answer 5

IA, lingual, mental, mylohyoid within the pterygomandibular space and the long buccal 75% of the time

Question 6

When is the V-A block useful?

Answer 6

When similar anesthesia is needed to that of the IA or GG blocks but in patients with severe trismus or who have issues holding their mouth open.

Called the “closed-mouth” mandibular block

Question 7

Where is the penetration site for the V-A block?

Answer 7

Soft tissue medial to the ramus
Directly adjacent to the maxillary tuberosity
Height of MGJ of maxillary molars