Category Archives: Local Anesthesia

How Does Your Endodontist Do it?

If you are interested in an endodontic refresher lecture, come and join me next Thursday at the Pacific Dental Conference (PDC 2019).  Two and a half hours lecture filled with pictures and videos demonstrating the initial endodontic treatment.

Dr. Ektefaie PDC 2019


Too Hot to Handle!

One common question that many of my friends ask me is “How do you deal with a hot tooth?”

After giving adequate block injections and local infiltrations, I usually use intraligamental or intraosseous type of injections. My first choice for a few years has been using a syringe called Paroject. This syringe is used for intraligamental injections which is in a way intraosseous as well since the pressurized anesthetic solution in the PDL space will penetrate into the adjacent cancellous bone. I give 6-point intraligamental injection around the hot tooth using local anesthetic without epi and this usually does wonders.

Another effective method is using the intraosseous anesthesia with the Stabident and X-Tip systems. The details of the two systems can be reviewed in the article “Intraosseous Anesthesia” from the Endodontics: Colleagues for Excellence (Winter 2009) publication by the American Association of Endodontists (AAE).

Have I been 100% successful with all the hot teeth I have dealt with in the past few years? Absolutely not! If that happens, don’t forget there is always the good old practice-builder technique: the “Intrapulpal Injection“.


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