Articaine ID Blocks and the Crestal Intraosseous Approach for Local Anaesthetic - PDP143

In this episode, Dr. Wayne William, our straight-talking, no-BS Prosthodontist guest will bust some myths and improve your daily delivery of safe and effective local anaesthesia.
Highlights of this episode:
0:00 Introduction
3:45 The Protrusive Dental Pearl
5:57 Dr. Wayne Williams’ Introduction
8:50 Buccal infiltration with articaine for lower molars
13:51 Crestal Intraosseous Approach (CIA)
24:16 ID Blocks - is it safe?
32:06 Hitting Bone while giving injections - safe or not?
34:12 Failure rate for ID Blocks
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[@bananaboots989]

great video Jaz! anecdotally the only temporary paresthesia that ive had has been with lignocaine IDB rather than Articaine that i now prefer

[@protrusive]

like he said - Dentists around the world use Articaine for ID block with good success and safety

[@blumousey]

Personally I haven't used lidocaine in years. Just articaine and citanest.

[@smyledoc]

I would love to see how the Wand is setup in the operatory so that it is not in the way of everything.

[@TheDutchGuyOnYT]

I’m not afraid of the mandible block, but got my successes with perio-ligament injections because people love it. I would say 19 out of 20 people are satisfied, after 4-6 point anesthetic high pressured injections in the ligament. For restaurations, extractions, etc. Immediate set in, afterwards people can eat and drink. Almost no numbness. I always tell them it’s a 90-95% anesthetic, they will accept little discomfort during the procedure. Management of expectations. Today my quick sleeper will arrive, very curious if that will take over the current method. :)

[@protrusive]

awesome wishing you the best with the QS!

[@LoLFilmStudios]

It’s rare that a doctor too afraid to do something relatively predictable will lead to new discoveries.

[@saradayarlagadda9379]

Thank you very much, great doctors

[@cococream7471]

Hi dr. Ji. It has really been difficult for me to perform the inferior alveolar nerve block. So I'll take a look at this video. By the way, it is the first time I see your channel and I am fascinated with it.

[@protrusive]

Good to still practice ID blocks and regain confidence in it - revising anatomy usually helps me

[@cococream7471]

@@protrusive Thanks a lot Dr Ji. ☺️

[@dantaarogyam.jaykothari]

How do u manage to numb buccal and lingual soft tissues for rubber dam clamp application,if u are not using ID block? For example,if you are treating lower 1st molar and you want to apply rubber dam clamp on 2nd molar,than how do u proceed while not giving ID block,and still numbing both side soft tissues?

[@protrusive]

Hi Jay - good Q - for 99% of my isolation I find that a Kerr Softclamp suffices - its much kinder to the tissues than metal clamps and therefore I do not need lingual or palatal LA

[@nawandeepkalra4319]

Love it

[@jesseroel8362]

I'm actually a victim of ID block paresthesia. It's been three months I've had my 38 extracted and half of my tongue is still numb along with the lingual aspect of my gingiva. I was told it was probably cause of the guttering but i always felt it was because of the needle physically damaging my IA nerve. Now I'm sure of it. But I don't know how to fix it. Eating food is no fun and my speech has become less clear. Please if you know any solution to this I'd like to know. (I've already finished a month's course of Neurobion tablets and currently getting neurobion forte injections but i doubt they will help)

[@hamaadhussain7665]

Is everything you said also true for upper molars? In regards to infiltrations not actually numbing the tooth itself?

[@protrusive]

Hi Hamaad - a lot was said in this episode! What exact part were you referring to? As a general rule, maxilla is much more porous and easier to numb

[@ArlindRamadani-yc1gh]

At 16’ minute of this video your marketing videos comes on but the captions of the doc speeking keep showing even tho he is not speaking fix this if u can

[@protrusive]

Hi. Thank you for telling us! We already fixed it. Regards, Mari from Team Protrusive

[@gregors.5734]

The Wand and needed accessories are way to expensive.

[@Nickilt]

Just be gentile while anesthetizing, take your time I’ve never had a problem with ID blocks, or bruises or pain related whatsoever. I tend to use more articaine these days

[@amitpatel5]

So I’ve always been very tempted to buy a quicksleeper. From this video it seems it is the best form of LA?? Completely predictable anaesthetic

[@protrusive]

For me, I felt this podcast was a huge advocate for the Wand as the best, rather than quicksleeper :)

[@indiaturbanator]

why does he not like pdl injections?

[@protrusive]

because its a misnomer - ie the name suggests that the LA travels through the PDL space and right to the apex. This is not the case. Whilst it may seem to work, it's not from the mechanism that we imagined