Local Anesthesia in Challenging Situations

Multiple studies have shown that even for uninflamed teeth, success rates for an inferior alveolar nerve block (IANB) are much lower than we think. In fact, they usually hover around the 50-60% mark, regardless of the operator!   Unfortunately, for mandibular molars with an irreversible pulpitis (the dreaded “hot tooth”), these success rates drop precipitously, […]