Anesthesia · single question

Which complication has the LEAST chance of occurring after an inferior alveolar nerve (IAN) block?

  1. Ecchymosis (superficial bruising)
  2. Infection
  3. Trismus (muscle spasm)
  4. Hematoma (bruising from vessel injury)
Show answer and explanation

Correct answer: B. Infection

  • A. Incorrect — ecchymosis IS a common complication. Surface bruising from hematoma spreading is frequently observed.
  • B. Correct. INFECTION following an IAN block is the LEAST COMMON complication. Using sterile single-use needles and standard aseptic technique makes infection extremely rare. The other complications (hematoma, ecchymosis, trismus, paresthesia) occur more frequently than true injection site infection.
  • C. Incorrect — trismus IS a common complication. Hematoma formation in the medial pterygoid muscle can cause muscle inflammation and spasm (trismus).
  • D. Incorrect — hematoma IS a common complication. Needle penetration into the pterygoid plexus or inferior alveolar vessels causes hematoma.

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