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An Unforeseen Complication Arising From Inferior Alveolar Nerve Block: Is Anemia Possible?

Ezirganli, Seref DDS, PhD; Kazancioglu, Hakki Oguz DDS, PhD

doi: 10.1097/SCS.0b013e3182a2de1a
Brief Clinical Studies
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Complications after administration of local anesthesia for dental procedures are well recognized. We present here 2 cases of patients with anemic areas on their faces resulting from inferior alveolar nerve block (IANB). The precise cause of this complication is unknown; however, it may be derived from anastomosis of the maxillary artery, rapid injection of local anesthetic solution, misdirection of the needle, and spread of the solution to the upper region of the mandible. Although neurologic occurrences resulting from IANB are rare, dentists should keep in mind that certain dental procedures such as administering IANB could cause anemic areas on the face. Henceforth, dentists should consider the possibility of anemia after administration of IANB and pay attention to avoid complications during the procedure.

From the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey.

Received June 4, 2013.

Accepted for publication June 22, 2013.

Address correspondence and reprint requests to Seref Ezirganli, DDS, PhD, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey; E-mail: seref.ezirganli@gmail.com

The authors report no conflicts of interest.

© 2013 by Mutaz B. Habal, MD.