Modified mylohyoid nerve anesthesia with 4% articaine with epinephrine and dexamethasone for mandibular dentoalveolar surgery

Introduction. The use of modified mylohyoid nerve anesthesia (MMA) technique, for dentoalveolar surgery, is uncommon. Case outline. We present a 51-year-old Caucasian female patient experiencing chronic inflammation and pain in the area of the missing lower left second premolar and molars. Cone beam CT imaging of the mandible revealed impactions of the mandibular permanent second premolar. 3,5 mL of 4% articaine and 1:100,000 epinephrine were administered with 0.5mL of dexamethasone, for a MMA technique behind the site of the third molar. ?he pain was measured thourgh visual analog scale (mm), which recorded values of 8 mm, with durations of anesthesia being 270?. Conclusion. Modified mylohyoid nerve anesthesia, can be utilized independently as a primary anesthesia or as a supplementary option for insufficiently effective or failed Halstead anesthesia.