Centre De SANTE ALMA

Centre De SANTE ALMA LE CENTRE DE SANTÉ "ALMA" est la branche médicale de l'association "MANI FOUNDATION",qui à pour o Laboratory for blood check and Echography available

25/09/2025

Moustiquaires GRATUITE disponible au Centre de Santé ALMA POUR LES FEMMES ENCEINTES.
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Ecrivez YES en commentaire si vous voulez cette explication...
23/09/2025

Ecrivez YES en commentaire si vous voulez cette explication...

22/09/2025

Moustiquaires gratuite disponible au Centre de santé ALMA pour les femmes enceintes.
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Give the right answer and win win free laboratory tests for 20,000frs
22/09/2025

Give the right answer and win win free laboratory tests for 20,000frs

Have you ever heard of Tonsil stones??? Type AB if you want to know more. Savez-vous ce que c'est ? Écrivez AB pour en ...
19/09/2025

Have you ever heard of Tonsil stones??? Type AB if you want to know more.

Savez-vous ce que c'est ? Écrivez AB pour en savoir plus

Did you know some of the s***m malformations??
18/09/2025

Did you know some of the s***m malformations??

18/09/2025

What sparks the noble tradition of nurses predominantly taking blood pressure on the left hand rather than the right hand?

The 1st 10 people to Get the right answer will be credited. Like and share. Ans we shall talk about the signes, symptoms...
09/08/2025

The 1st 10 people to Get the right answer will be credited. Like and share. Ans we shall talk about the signes, symptoms and treatment.

Did you know ???
08/08/2025

Did you know ???

Inferior Alveolar Nerve Block (IANB) Technique 💉🦷1. Purpose✅ To anesthetize the inferior alveolar nerve, including its b...
17/05/2025

Inferior Alveolar Nerve Block (IANB) Technique 💉🦷

1. Purpose

✅ To anesthetize the inferior alveolar nerve, including its branches:
• Mental and incisive nerves
• Lingual nerve (indirectly)
• Mandibular teeth to the midline
• Buccal soft tissues anterior to the first molar
• Anterior two-thirds of the tongue and floor of the mouth

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2. Armamentarium

🛠️
• 25 or 27 gauge long needle (32 mm)
• Dental syringe
• 1.8 mL of 2% Lidocaine with 1:100,000 epinephrine (or suitable alternative)

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3. Anatomical Landmarks

📍
• Coronoid notch (greatest concavity on the anterior border of the ramus)
• Pterygomandibular raphe
• Occlusal plane of the mandibular molars
• Contralateral premolars (for orientation)

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4. Needle Insertion Point

🧭
• 6–10 mm above the mandibular occlusal plane
• Slightly lateral to the pterygomandibular raphe
• Approximately 1–1.5 cm medial to the coronoid notch
• At the height of the coronoid notch

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5. Needle Path and Depth

🧪
• Advance the needle slowly along an imaginary line from the premolars of the opposite side
• Target: mandibular foramen on the medial surface of the ramus
• Bone contact should be made at a depth of 20–25 mm
• If no bone is contacted: Withdraw slightly, reposition laterally, and re-advance

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6. Aspiration

🩸
• Always aspirate before injection
• If negative (no blood), proceed
• If positive, withdraw slightly and redirect

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7. Deposition of Anesthetic

💉
• Inject 1.5 mL slowly over 60 seconds near the mandibular foramen
• Withdraw needle slightly (~10 mm) to deposit 0.3 mL for lingual nerve anesthesia
• Optional: administer long buccal nerve block with 0.3 mL near the distal and buccal aspect of the last molar

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8. Signs of Success

🔍
• Numbness in the lower lip (mental nerve)
• Numbness of the anterior tongue and the floor of the mouth (lingual nerve)
• No pain during dental treatment

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9. Common Errors

⚠️
• Too shallow insertion → anesthetic not reaching the nerve
• No bone contact → wrong angle or depth
• Too medial/lateral → anesthetic deposited in incorrect tissue plane
• Injection too low → misses the nerve trunk

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10. Complications

⛑️
• Trismus (if pterygoid muscles are irritated)
• Hematoma (if blood vessels are punctured)
• Transient facial paralysis (if anesthetic is deposited in the parotid gland)
• Needle breakage (if inserted to the hub or sudden movement occurs)

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11. Tips

💡
• Always use landmarks and visualize anatomy
• Use gentle pressure and slow deposition
• If no subjective signs in 5–10 mins, consider reinjection

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Adresse

Maison Rose Damas Derriere Le College La Colombe
Yaoundé
00237

Téléphone

+237697975536

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