DENTAL ANESTHESIA : Mandibular Anesthesia : Gow-Gates technique

Reliable profound mandibular block anesthesia is questionable when depositing the anesthetic solution at the lingula. 

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. Thus, the nerves anesthetized with a Gow-Gates mandibular nerve block are the inferior alveolar, mental, incisive, lingual, mylohyoid, auriculotemporal, and buccal (long) nerves in about 75% of patients. 

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