Regional Nerve Block of the Temporomandibular Joint Capsule: A Technique for Clinical Research and Differential Diagnosis

Abstract

In previous studies in which regional anesthesia of the temporomandibular joint capsule was used to examine the role of the joint in mandibular movement and distinguish it from muscle control, the anesthetic techniques used have not been satisfactorily described. The accuracy of the injeetion technique described in this paper was determined by dissection and radiographic examination of fixed and fresh specimens. Using this technique, trial patient studies were made using an anesthetic solution to which a radiopaque medium was added. Radiographic examination of the patients affirmed the location of the injected material, while clinical assessment determined its functional effectiveness. Using the described technique, anesthetic solution was accurately and reproducibly introduced posteriorly and laterally to the temporomandibular joint to achieve anesthesia of the joint.