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Inferior Alveolar Nerve Block

The inferior alveolar nerve block is one of the most commonly employed techniques in mandibular regional anesthesia. While effective, this technique carries a high failure rate even when strict adherence to protocol is maintained.

The target for this technique is the mandibular nerve as it travels on the medial aspect of the ramus, prior to its entry into the mandibular foramen. The lingual, mental, and incisive nerves are also anesthetized. A 25 gauge long needle is preferred for this technique.

Technique- The patient should be in the semisupine position.
With the mouth open maximally, identify the coronoid notch and the pterygomandibular raphae. Three quarters of the anteroposterior distance between these two landmarks, and approximately six to ten millimeters above the occlusal plane is the injection site

MTA : Mineral Trioxide Aggregate (MTA) was introduced by Mohmoud Taorabinejad at Loma Linda University, California, USA in 1993

In Permanent teeth used for :

Pulp capping
Partial pulpotomy
Perforation repair - Apical, lateral, furcation
Resorption repair - External and internal
Repair of fracture - Horizontal and Vertical
Root end filling
Apical barrier for tooth with necrotic pulps and open apex
Coronal barrier for regenerative endodontics
Root canal sealer

Identify?

SmartView Sectional Matrix System

The SmartView clip is designed to operate at the gingival margin with forces directed perpendicular and down. It also doubles as a rubber dam clamp. The SmartView sectional matrix bands feature non-stick surfaces and are anatomically contoured. The instruments are all fabricated from stainless steel and tinted blue for easy identification.

Oral leiomyoma is a benign smooth muscle tumor with a low incidence. Oral leiomyomas present as slow growing, asymptomatic sub mucosal masses, usually in the tongue, hard palate or buccal mucosa. They may be seen at any age The diagnosis is mainly determined by histological studies and special stains that confirm the smooth muscle origin. Surgical excision appears to be the best line of treatment and recurrence is unexpected.

Figure: Clinical characteristics of the vascular leiomyomas. Multiple erythematous lesions on the tongue, cheek, and floor of the mouth were observed

Identify????

This is a case of Pulpolithe :pulp stone

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