The mandibular lingula's position in children as a reference to inferior alveolar nerve block
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Purpose: The objective of this study was to evaluate the position of the mandibular lingula (ML) to provide data for inferior alveolar nerve block techniques in children. Methods: One hundred fifty-four panoramic radiographs of 7- to 10-year-old boys and girls were analyzed. Measurements were taken from the ML to the occlusal plane, and the percentile distances of the ML to ramal borders were determined. Results: The distance between the ML and the occlusal plane showed a gradual increase, but only in the male group was it statistically significant. MLs ratio position on the ramus remained constant in all analyzed groups. In the 7-year-old group, the ML was observed above the occlusal plane in 70% of girls and 55% of boys. That percentage reached 85% of all children by age 10. Conclusions: The mandibular lingula's ratio position remained constant. Inferior alveolar anesthesia should be administered at least 6 mm above the occlusal plane in 7- to 8-year-old children, while 10 mm could be indicated for 9- to 10-year-old children. The mandibular lingula should be considered a reliable reference for further studies of inferior alveolar nerve block techniques.
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Anesthesia , Dental , Pediatric dentistry , analysis of variance , cephalometry , child , dental anesthesia , female , histology , human , male , mandible , mandibular nerve , methodology , nerve block , radiography , Analysis of Variance , Anesthesia, Dental , Cephalometry , Child , Female , Humans , Male , Mandible , Mandibular Nerve , Nerve Block
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Journal of Dentistry for Children, v. 72, n. 2, p. 56-60, 2005.
