Oral Surgery · single question

Which landmark is used as the injection site reference for the inferior alveolar nerve block?

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  1. Coronoid notch
  2. Internal oblique ridge
  3. External oblique ridge
  4. Pterygomandibular raphe
Show answer and explanation

Correct answer: B. Internal oblique ridge

  • A. The coronoid notch helps orient the syringe barrel, but the actual target landmark is the internal oblique ridge.
  • B. Correct. The internal oblique ridge (also called the temporal crest or mandibular lingula region) is the landmark for IAN block needle placement, with the injection directed medial to it.
  • C. The external oblique ridge is on the buccal surface of the mandible — not the reference for IAN block placement.
  • D. The pterygomandibular raphe is a visual landmark but the needle is directed laterally to it — not into it.

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