title: Temporary Diplopia After Gow-Gates Injection: Case Report and Review.
abstract: Complications associated with various local anesthetic techniques have been recorded in case reports and reviews. This current case reports a transient incident of blurred, double vision (diplopia) following a Gow-Gates mandibular block injection. There is descriptive discussion on possibilities associated with intra-arterial injection, intravenous injection, diffusion through tissue planes, and the autonomic nervous system pathway to lend credence suggesting the etiology of the complication. For practitioners, recognizing when a complication arises from anesthesia delivery and managing the patient in an appropriate manner is essential to an overall agreeable outcome.
authors: Assistant Professor, Department of Integrated Reconstructive Sciences, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
authors: Bernadette Alvear
authors: BA
authors: Fa
authors: Resident, Advanced Education in Orthodontics and Dentofacial Orthopedics/MBA Residency, Roseman University of Health Sciences, Henderson, Nevada.
authors: Steven R
authors: SR
authors: Speaker
authors: Professor, Department of Biomedical Sciences, and Vice Chair of Diagnostic Sciences and Services, Department of Dental Practice, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California.
authors: Alan W
authors: AW
authors: Budenz
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental / Q000009:adverse effects*; D004172:Diplopia / Q000209:etiology*; D006801:Humans; D007267:Injections; D008297:Male; D008340:Mandibular Nerve; D009407:Nerve Block / Q000009:adverse effects*
keywords: Dental anesthesia; Dentistry; Local anesthesia; Mandibular nerve