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gauge, short needles for all injections. Patients will let you know
when they need additional anesthetic.
Talking to a recent graduate from dental school, I realized he
needed help using anesthetics on his patients. Injecting into the
infra-orbital foramen is not a procedure patients enjoy. Injection
in the palate for removing a tooth needs to be done close to the
tooth being removed. Patients will be more comfortable with
only the injections needed to get the job done.
Injections to remove upper teeth need to be done in the soft
tissue slightly anterior to the tooth being prepared for a
restoration or removal, without touching the periosteum (a layer
of tissue that covers the jaw bone). An injection in which the
needle is forced under the periosteum is painful after the
anesthetic comes out.
If the anesthetic does not relieve the pain in the time it takes
to prepare for the surgery, use an anesthetic injection into the
periodontal ligament. Or do the X tip Drill and Guide sleeve for
interosseous introduction of the anesthetic directly through the
jaw bone for the tooth‟s nerve. Heavy thick jaw bone makes the
interosseous technique difficult and it should be avoided if this is
the case.
For teeth that do not become completely numb, an anesthetic
can be introduced directly into the root canal, for optimal pain
control.
Use the mental foramen to anesthetize the lower anterior
teeth including the bicuspids. Anesthesia in this area works
quickly for operative or surgical procedures. Extractions in this
lower anterior area will require injections on the lingual jaw
tissue of the tooth being removed.
Detoxification of the anesthetic can be accomplished with
three to four thousand milligrams of vitamin C, after an
appointment. Inform your patients not to take vitamin C for
forty eight hours prior to the appointment. Vitamin C before an
appointment may make the anesthetic less effective.
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