The Vazirani-Akinosi Closed-Mouth Mandibular Nerve Block: A Superior Alternative to the Conventional Inferior Alveolar Nerve Block – A Comprehensive Review

Author(s)	Dr. Sayyed Abrar
Country	India
Abstract	The conventional inferior alveolar nerve block (IANB) is the cornerstone of mandibular anesthesia in oral and maxillofacial surgery. However, its success rate is variable due to anatomical challenges, patient limitations, and technique sensitivity. The Vazirani-Akinosi closed-mouth technique offers an alternative approach with improved success in specific clinical scenarios such as trismus, anatomic variations, and soft-tissue pathologies.
Keywords	Vazirani-Akinosi technique, inferior alveolar nerve block, mandibular anesthesia, oral surgery, closed-mouth technique, trismus, nerve block failure.
Field	Medical / Pharmacy
Published In	Volume 7, Issue 6, November-December 2025
Published On	2025-11-15
DOI	https://doi.org/10.36948/ijfmr.2025.v07i06.60456

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