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Gow-Gates Mandibular Nerve Block: feature An …

34 NOVEMBER 2002accessA Gow-Gates technique is indicated for use in quadrantdentistry in cases where soft-tissue anesthesia from the mostdistal molar to midline is needed, and where conventionalinferior alveolar Nerve block (IA block) is unsuccessful. Itssuccess rate is greater than 95% higher than that of IAblock and in many cases only one injection is required formandibular anesthesia. Its lower positive aspiration rate alsois an advantage, being 2% instead of the 10 15% associatedwith IA technique is named after Dr. GeorgeGow-Gates, who championed it as a successful alternative tothe IA Gow-Gates Mandibular Nerve block is a truemandibular block, since it anesthetizes almost the entiremandibular division of the trigeminal Nerve (mandibularnerve or V3). This Nerve is a short main trunk formed wherea smaller anterior trunk meets a larger posterior trunk in theinfratemporal fossa before it passes through the foramenovale of the sphenoid bone (Figure 1).

34 NOVEMBER 2002 access A Gow-Gates technique is indicated for use in quadrant dentistry in cases where soft-tissue anesthesia from the most distal molar to midline is needed, and where conventional

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