A comparative study of the Gow-Gates technique and a standard technique for mandibular anesthesia

Montagnese, Thomas A.; Reader, Al; Melfi, Rudy C.

doi:10.1016/s0099-2399(84)80120-x

Cited by 50 publications

(30 citation statements)

References 9 publications

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“…The finding of Yamada and Jasstak (10) were similar to the current study; however, the perceived injection pain was the same with both techniques in most studies (22)(23)(24).…”

Section: Discussionsupporting

confidence: 88%

“…Although Gow-Gates indicated that it is not necessary to make the long buccal nerve separately anesthetized following his technique (6), the rate of long buccal nerve anesthesia varied from 20% to 89% in previous studies (14,22). Thus, when anesthesia of soft tissue is required in the molar teeth, it is recommended to anesthetize the soft tissue in molar regions by a separate injection (20).…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of the Gow-Gates and Inferior Alveolar Nerve Block Techniques in Providing Anesthesia During Surgical Removal of Impacted Lower Third Molar: A Controlled Randomized Clinical Trial

Jamalpour¹,

Talimkhani²

2013

Avicenna J Dent Res

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Background:In spite of common usage of the inferior alveolar nerve block (IANB), this method has some well-defined restrictions. Objectives: The purpose of the present study was to compare these two techniques for the surgical removal of impacted lower third molars. Patients and Methods: A total of 44 similarly impacted lower third molars (22 patients with two similar teeth) were selected. In each patient, one side was anesthetized with the Gow-Gates technique and another side with the IANB, randomly. The number of injections for achieving anesthesia, incidence of pain during injections, and the supplementary injections during surgery were recorded for each side Results: In Gow-Gates technique, less repetition of injection was required to achieve anesthesia as well as less supplementary injections during surgery; however, these differences were not significant statistically (P = 0.39, P = 0.11). The pain during Gow-Gates injections was significantly shorter than that of the IANB (P = 0.007). Conclusions: Even though the patients felt less pain during the Gow-Gates injection, this technique has no advantage over the IANB during surgical removal of impacted lower third molar.

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“…The finding of Yamada and Jasstak (10) were similar to the current study; however, the perceived injection pain was the same with both techniques in most studies (22)(23)(24).…”

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Efficacy of the Gow-Gates and Inferior Alveolar Nerve Block Techniques in Providing Anesthesia During Surgical Removal of Impacted Lower Third Molar: A Controlled Randomized Clinical Trial

Jamalpour¹,

Talimkhani²

2013

Avicenna J Dent Res

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“…But from present observations, the thin consistency of this fascia would unlikely impede diffusion of the anesthetic solution and thus blockage of the buccal nerve. Montagnese et al (1984) indicated that the most reliable location for anesthetizing the buccal nerve to be at its most superficial location as it crosses the anterior border of the ramus, a point that approximates the site of needle penetration in the Gow-Gates technique. It is here that Montagnese recommends depositing a small amount of anesthetic either just after the initial needle penetration or just before total withdrawal because, as seen in the current study, the buccal nerve is the first or last structure encountered in the pterygomandibular space by the path of the needle in the Gow-Gates procedure.…”

Section: Discussionmentioning

confidence: 99%

Blocking the buccal nerve using two methods of inferior alveolar block injection

Aker

2001

Clin. Anat.

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“…한다 (Goldberg et al, 2008;Malamed, 2004;Waikakul and Punwutikorn, 1991). (Cohen et al, 1993Kohler et al, 2008Levy, 1981;Malamed, 1981;Montagnese et al, 1984;Sisk, 1985;Watson andGow-Gates, 1976 Zandi andSabounchi, 2008 …”

Section: ) 주사침 자입 시 통증이 거의 없다mentioning

confidence: 99%

“…GMNB를 IANB와 비교하여 그 특 유의 장점을 보고하는 많은 논문들이 있으나 (Levy, 1981;Malamed, 1981;Montagnese et al, 1984;Sisk, 1985;Watson and Gow-Gates, 1976) 우리나라에서는 아직 이러한 연구들이 전무하다. 이는 구미 각국에서 는 GMNB이 각광을 받고 있는 국소마취법이지만 (Malamed, 1981;Sisk, 1985 …”

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Gow-Gates Mandibular Nerve Block Anesthesia: Is It an Old Forgotten Technique?

Han

Kim

Seo

et al. 2011

J Korean Dent Soc Anesthesiol

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Background:Since introduced by Gow-Gates GA in 1973, Gow-Gates mandibular nerve block (GMNB) has played an important role in the area of dental local anesthesia. However, compared to the conventional inferior alveolar nerve block (IANB), this technique seems to fail to attract the attentions of general practitioners in South Korea. The aim of this study was to prove the clinical real value, mainly the anesthetic efficacy, of GMNB in minor oral surgery.Methods: The study group comprised 40 patients (15 males and 25 females) who were randomly allocated to receive GMNB or IANB for extraction of third molars. Both techniques utilized two 1.8 ml dental cartridges of 2% lidocaine including 1：100,000 epinephrine for each patient. Pulpal and gingival tissue anesthesia of mandibular premolars and molars were recorded at 0, 15 and 40 minutes after administration of local anesthetics using both an electric pulp tester and a sharp dental explorer.Results: The success rates of pulpal and gingival tissue anesthesia in the IANB group were not significantly different from the GMNB group in overall efficacy. Patient's and operator's satisfaction ratings were also not significantly different between two groups. Interestingly, the injection pain of GMNB group was significantly lower than that of IANB group.Conclusion: This study demonstrated that the anesthetic efficacy of pulpal and gingival tissue of GMNB was not inferior to that of IANB. The GMNB could be a good alternative of the IANB in most of minor oral surgical procedures. (JKDSA 2011; 11: 16～21)

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A comparative study of the Gow-Gates technique and a standard technique for mandibular anesthesia

Cited by 50 publications

References 9 publications

Efficacy of the Gow-Gates and Inferior Alveolar Nerve Block Techniques in Providing Anesthesia During Surgical Removal of Impacted Lower Third Molar: A Controlled Randomized Clinical Trial

Efficacy of the Gow-Gates and Inferior Alveolar Nerve Block Techniques in Providing Anesthesia During Surgical Removal of Impacted Lower Third Molar: A Controlled Randomized Clinical Trial

Blocking the buccal nerve using two methods of inferior alveolar block injection

Gow-Gates Mandibular Nerve Block Anesthesia: Is It an Old Forgotten Technique?

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