Complications can occur and the needle may impact a number of important anatomical structures by deep penetration.
The Gow-Gates technique for mandibular anesthesia obviates these problems.
The Gow-Gates mandibular nerve block is a true mandibular block, since it anesthetizes almost the entire mandibular division of the trigeminal nerve (mandibular nerve or V3).
This nerve is a short main trunk formed where a smaller anterior trunk meets a larger posterior trunk in the infratemporal fossa before it passes through the foramen ovale of the sphenoid bone.
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