Practice abstract


British Dental Journal 202, 32 - 33 (2007)
Published online: 13 January 2007 | doi:10.1038/bdj.2006.114

Subject Category: Anaesthesia and sedation

Upper lip blanching and diplopia associated with local anaesthesia of the inferior alveolar nerve

J. K. Scott1, B. J. Moxham2 & I. P. Downie3

  • Describes a rare case that can occur in the practice setting.
  • Outlines management guidelines.
  • An anatomical/physiological explanation is proposed.


A case of transient left lateral rectus nerve palsy, following an inferior alveolar nerve block to enable the surgical removal of a permanent mandibular left third molar tooth, is reported. The anatomy related to this case is considered together with suggestions for management of such patients.

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  1. Senior House Officer, Department of Oral and Maxillofacial Surgery, Salisbury District Hospital, SP2 8BJ
  2. Professor of Anatomy, Cardiff School of Biosciences, Cardiff University, Museum Avenue, Cardiff, CF10 3US
  3. Consultant, Department of Oral and Maxillofacial Surgery, Salisbury District Hospital, SP2 8BJ

Correspondence to: J. K. Scott1 e-mail: julesyscott@yahoo.co.uk




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