I was taught this technique at Loma Linda School of Dentistry by Dr. Neils Bjorn Jorgensen, and have given thousands of them WITHOUT any problems. Great Video. Doctor George Whitehead
i am glad i have found this channel. I think actually one of my classmates recommended it. thank you for explaining at a really good pace and clearly :)
Thanks Irina for your kind comments. I offer an online course that covers all of them in detail if you are interested in learning more you can visit www.onlineexodontia.com. Stanley Malamed is a great resource for learning as well if you prefer textbooks. All the best to you!
Although I did use this technique a few times, I still prefer local infiltrations for some reason. This was very helpful information though! in a case of multiple extractions this is definitely the way to go!
Do you also do just infiltration for lower molars that need a root canal? I’m asking because I’m a new and inexperienced dentist and I don’t master yet the inferior alveolar nerve block technique..
@@ingridcarter9407 dude you're not going to get adequate pulpal anesthesia without an infiltration. you need a proper mandibular block, especially if the tooth has symptomatic irreversible pulpitis...an infiltration will not be enough. i recommend gow gates technique with articaine. give 2 carps and have them sit up with bite block in mouth for 5 minutes
I was taught that bending the needle interferes with blood cell flow through the lumen, possibly giving a false negative aspiration. Not great in a highly vascular area.
That's an interesting thought that I have never considered. Was the rationale explained? I don't notice any difference in the resistance to injected the anesthetic so I would have assumed the backflow would be the same as a needle that wasn't bent? Thanks for the comment Bianca - would love to learn more on this thought if you don't mind sharing.
The idea if aspirating twice is to ensure that the needle lumen isn't resting against a vessel wall. My video on aspiration explains this concept. In reality this is a minor detail, just it's the textbook way of doing it so I mention it in the video. All the best!
Useful technique when you have infection ( abscess) or in young children where bone is dense ( zygoma ) as in both cases infiltration just won't work . Thank you for demo
Hi there. I have my upper wisdom and two molars before the wisdom being extracted on both sides. Is this the injection they will give me and will it be affective at removing any pain during the procedure?
It's likely that you would have this block done, but sometimes the dentist / surgeon will just place the needle beside each tooth and do multiple injections. Either way should be effective. If not, then be sure you make them aware as there is no reason to have pain during an extraction. All the best!
@@OnlineExodontia thanks for your reply. I've had 12 extractions this year already (long term stomach issues with acid) and have these last 6 teeth to remove. The bottom wisdoms and molars were totally fine but the pre molars were all painful and I needed more LA. Was just hoping these would be the same as the lower wisdoms and molars haha thank you
It's significantly higher than a lower block. I don't want to sound like one of those people...but truly the PSA is tough to miss. Consider that if you do miss, you're still basically infiltrating. Although not perfect, it is quite predictable and effective.
There are many ways, some of which are available online, however I wouldn't recommend it! Removing a tooth can be challenging and you could cause some significant harm if trying to do so I would not recommend it. All the best!
@@OnlineExodontia Thank u! What advice would you give to someone who wants to hone his local anesthesia administration skills? Obviously, you don’t wanna be practicing on real patients as a student. I was considering purchasing something like a manikin or a phantom head. But can’t, for the love of me, find anything remotely useful.
@@Iren-be9ss This is a great question...I don't know of any hands-on training aids for this, but I would assume it would come in handy! Let me know if you discover anything. All the best!
@@OnlineExodontia Oh, and btw, great content you post here. It's priceless for students like myself. You are freaking awesome. Keep it up! Wish you uploaded more frequently though.
Adam - I got it on E-bay many years ago. Unfortunately, although many have asked, I cannot find it any longer. Perhaps you'll have more luck! If you do, let me know! All the best!
The student that did mine scraped all my cheek bone with the needle lol. Thought wtf u doing mate. The other side was even worse when it failed and I could feel the pain of him pulling away at top molars. Left some root in the one too. Was a terrible dentist visit hahaha.
@@OnlineExodontia still healing like 6 months after. Still got bit of a hole left in the left socket I can feel with my tongue but almost closed up. The other side seems to have healed up nicely.
Certainly bending needles will weaken them at the hub where they are most likely to separate, but is there another reason you say this? Always looking for new information! All the best and thanks for watching!
Hi Andrea - check out a video from my other course and jump to 5:15 if you want to see the bending part. Putting a single bend in a needle and having it break is highly unlikely and as discussed in the linked video, it's a message that's propagated through the dental field, yet may not carry much significance. Thanks for watching and all the best! ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-8UhSg8grI6s.html
