Few, if any, crown and bridge procedures do not begin with a local anesthetic injection. In patient surveys, fear of local anesthetic injections is typically either the #1 or #2 reason given for why people have avoided the dentist. In addition to the stress that the patient feels about the injection, published literature states that dentists miss inferior alveolar blocks 15-20% on the first attempt, which can result in a dentist attempting to work on a partially anesthetized tooth. Furthermore, most dental schools still only teach the traditional Halstead approach to lower blocks, essentially guaranteeing some degree of frustration.
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