How to Give Painless Dental Injection by Michael DiTolla, DDS, FAGD

Subtitles: Spanish (U.S., Mexico, Latin America), Arabic, Hindi
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Few, if any, crown and bridge procedures do not begin with a local anesthetic injection. In patient surveys, fear of local anesthetic injections is typically either the #1 or #2 reason given for why people have avoided the dentist. In addition to the stress that the patient feels about the injection, published literature states that dentists miss inferior alveolar blocks 15-20% on the first attempt, which can result in a dentist attempting to work on a partially anesthetized tooth. Furthermore, most dental schools still only teach the traditional Halstead approach to lower blocks, essentially guaranteeing some degree of frustration.

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TIMESTAMPS:
0:00 - Intro
0:19 - Dental techniques for reducing injection pain
2:14 - Dental devices for reducing injection pain
3:25 - Buffered local anesthetics
4:21 - Lower block alternatives (Gow-Gates Injection)
6:19 - Multiple infiltration alternatives (AMSA Injection)
7:47 - Conclusion (topical techniques, upgrading lower block technique)
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9:27 - Blooper

This class demonstrates an injection for inferior alveolar block anesthesia which had a nearly 95% success rate in the literature—the Gow-Gates technique. Also demonstrated is an innovative injection for esthetic cases allow dentists to anesthetize the maxillary anterior teeth, as well as all palatal tissue and most facial tissue, without affecting the patient’s ability to smile utilizing the Anterior Middle Superior Alveolar nerve block. Also discussed is the enhanced action of buffered local anesthetic solutions.

Learning Objectives
Understand the different types of local anesthetics.
Evaluate and Identify when single tooth anesthesia may be preferable to a nerve block.
Demonstrate how to administer the Gow-Gates Technique and the Anterior Middle Superior Alveolar Nerve Block, two injections not usually taught in Dental Schools.

Please Note:
After viewing the techniques, procedures, theories and materials presented herein, you must make your own decision about specific treatment for patients, exercise personal, professional judgement regarding the need for further clinical testing or education, and rely on your own clinical expertise before trying to implement new procedures.

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