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. 1987 Jul-Aug;34(4):142–149.

The Gow-Gates Technique for Mandibular Block Anesthesia

A Discussion and a Mathematical Analysis

Michael C Kafalias, George AE Gow-Gates, Gary J Saliba
PMCID: PMC2186284  PMID: 3481514

Abstract

Reliable profound mandibular block anesthesia is questionable when depositing the anesthetic solution at the lingula. Complications can occur and the needle may impact a number of important anatomical structures by deep penetration. The Gow-Gates technique for mandibular anesthesia obviates these problems.

In this paper the Gow-Gates technique is reinterpreted using a geometrical approach based on lines and planes and is proved mathematically. In so doing a simple yet concise method of reaching the injection site is presented with a definite relationship between the anatomical pathway of the needle and a formal geometrical and mathematical pattern.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams R. A., Mount G. J. The clinical effectiveness of a disposable aspirating syringe. Aust Dent J. 1976 Jun;21(3):258–261. doi: 10.1111/j.1834-7819.1976.tb05760.x. [DOI] [PubMed] [Google Scholar]
  2. BREMER G. Measurements of special significance in connection with anesthesia of the inferior alveolar nerve. Oral Surg Oral Med Oral Pathol. 1952 Sep;5(9):966–988. doi: 10.1016/0030-4220(52)90050-9. [DOI] [PubMed] [Google Scholar]
  3. Bartlett S. Z. Clinical observations on the effects of injections of local anesthetic preceded by aspiration. Oral Surg Oral Med Oral Pathol. 1972 Apr;33(4):520–526. doi: 10.1016/0030-4220(72)90363-5. [DOI] [PubMed] [Google Scholar]
  4. Carter R. B., Keen E. N. The intramandibular course of the inferior alveolar nerve. J Anat. 1971 Apr;108(Pt 3):433–440. [PMC free article] [PubMed] [Google Scholar]
  5. Corkery P. F., Barrett B. E. Aspiration using local anaesthetic cartridges with an elastic recoil diaphragm. J Dent. 1973 Dec;2(2):72–74. doi: 10.1016/s0300-5712(73)80022-3. [DOI] [PubMed] [Google Scholar]
  6. Galbreath J. C. Tracing the course of the mandibular block injection. Oral Surg Oral Med Oral Pathol. 1970 Oct;30(4):571–582. doi: 10.1016/0030-4220(70)90176-3. [DOI] [PubMed] [Google Scholar]
  7. Gow-Gates G. A. Mandibular conduction anesthesia: a new technique using extraoral landmarks. Oral Surg Oral Med Oral Pathol. 1973 Sep;36(3):321–328. doi: 10.1016/0030-4220(73)90208-9. [DOI] [PubMed] [Google Scholar]
  8. Gow-Gates G. A., Watson J. E. The Gow-Gates mandibular block: further understanding. Anesth Prog. 1977 Nov-Dec;24(6):183–189. [PMC free article] [PubMed] [Google Scholar]
  9. HARRIS S. C. Aspiration before injection of dental local anesthetics. J Oral Surg (Chic) 1957 Oct;15(4):299–303. [PubMed] [Google Scholar]
  10. Levy T. P. An assessment of the Gow-Gates mandibular block for third molar surgery. J Am Dent Assoc. 1981 Jul;103(1):37–41. doi: 10.14219/jada.archive.1981.0467. [DOI] [PubMed] [Google Scholar]
  11. Malamed S. F. The Gow-Gates mandibular block. Evaluation after 4,275 cases. Oral Surg Oral Med Oral Pathol. 1981 May;51(5):463–467. doi: 10.1016/0030-4220(81)90001-3. [DOI] [PubMed] [Google Scholar]
  12. Murphy T. R., Grundy E. M. The inferior alveolar neurovascular bundle at the mandibular foramen. Dent Pract Dent Rec. 1969 Oct;20(2):41–48. [PubMed] [Google Scholar]
  13. Robertson W. D. Clinical evaluation of mandibular conduction anesthesia. Gen Dent. 1979 Sep-Oct;27(5):49–51. [PubMed] [Google Scholar]
  14. Rood J. P. The pressures created by inferior alveolar injections. Br Dent J. 1978 May 2;144(9):280–282. doi: 10.1038/sj.bdj.4804079. [DOI] [PubMed] [Google Scholar]
  15. Rood J. P. The pressures created by inferior alveolar injections. Br Dent J. 1978 May 2;144(9):280–282. doi: 10.1038/sj.bdj.4804079. [DOI] [PubMed] [Google Scholar]
  16. SCHIANO A. M., STRAMBI R. C. FREQUENCY OF ACCIDENTAL INTRAVASCULAR INJECTION OF LOCAL ANESTHETICS IN DENTAL PRACTICE. Oral Surg Oral Med Oral Pathol. 1964 Feb;17:178–184. doi: 10.1016/0030-4220(64)90138-0. [DOI] [PubMed] [Google Scholar]
  17. Sisk A. L. Evaluation of the Gow-Gates mandibular block for oral surgery. Anesth Prog. 1985 Jul-Aug;32(4):143–146. [PMC free article] [PubMed] [Google Scholar]
  18. Stone J., Kaban L. B. Trismus after injection of local anesthetic. Oral Surg Oral Med Oral Pathol. 1979 Jul;48(1):29–32. doi: 10.1016/0030-4220(79)90231-7. [DOI] [PubMed] [Google Scholar]
  19. Traeger K. A. Hematoma following inferior alveolar injection: a possible cause for anesthesia failure. Anesth Prog. 1979 Sep-Oct;26(5):122–123. [PMC free article] [PubMed] [Google Scholar]
  20. Watson J. E., Gow-Gates G. A. A clinical evaluation of the Gow-Gates mandibular block technique. N Z Dent J. 1976 Oct;72(330):220–223. [PubMed] [Google Scholar]
  21. Yamada A., Jasstak J. T. Clinical evaluation of the Gow-Gates block in children. Anesth Prog. 1981 Jul-Aug;28(4):106–109. [PMC free article] [PubMed] [Google Scholar]
  22. de Shazer D. O., Coffey S. L. Is the mandibular block obsolete? Chronicle. 1981 May;44(5):90–91. [PubMed] [Google Scholar]

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