Bifid mandibular canal –an anesthetic challenge for maxillofacial surgeons– case report.

  • Madan Nanjappa Departament of Oral and Maxi-llofacial Surgery, Vokkaligara Sangha Dental College & Hospital, Bangalore, Karnataka, India.
  • Abhishek Bhattacharjee Departament of Oral and Maxi-llofacial Surgery, Vokkaligara Sangha Dental College & Hospital, Bangalore, Karnataka, India.
  • Abhishek Khatua Departament of Oral and Maxi-llofacial Surgery, Vokkaligara Sangha Dental College & Hospital, Bangalore, Karnataka, India.

Abstract

Bifid mandibular canal is a variation of the normal anatomy. Such anomalies can result in difficult anesthesia while performing surgeries of the posterior mandible under local anesthesia. Moreover there is a high chance of damaging the neurovascular bundle leading to complications. Here we present a case of a bifid mandibular canal which posed difficulty in achieving appropriate anesthesia. The inferior alveolar nerve is of special interest for maxillofacial and oral surgeons. Its relation with mandibular third molar plays an important role while performing disimpaction surgery, in cases of bilateral sagittal split osteotomy, prosthesis placement in resorbed ridges, mandibular trauma procedures, and may be traumatized by penetration of the implant drill.

Author Biography

Madan Nanjappa, Departament of Oral and Maxi-llofacial Surgery, Vokkaligara Sangha Dental College & Hospital, Bangalore, Karnataka, India.
Interim Editor -in- Chief

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Published
2018-09-12
How to Cite
NANJAPPA, Madan; BHATTACHARJEE, Abhishek; KHATUA, Abhishek. Bifid mandibular canal –an anesthetic challenge for maxillofacial surgeons– case report.. Journal of Oral Research, [S.l.], v. 7, n. 7, p. 255-258, sep. 2018. ISSN 0719-2479. Available at: <http://joralres.com/index.php/JOR/article/view/joralres.2018.069>. Date accessed: 25 may 2019. doi: https://doi.org/10.17126/joralres.2018.069.
Section
Cases

Keywords

anesthesia; dental; paresthesia; radiography; trigeminal nerve; inferior dental nerve.