If I am starting a root canal and my initial attempt(s) at achieving anesthesia are incomplete, there are a number of addirional injection options available , including intraligamental,intrapulpal and intraosseous anesthesia.
Assuming that my initial block or infiltration anesthetic was not entirely effective, I find that intraligamental injections are my favorite technique to make a root canal pt comfortable. Intraligamental injections usually are best achieved when a dentist uses a special intraligamental syringe that delivers a few drops of anesthesia under pressure at the four corners of a tooth. When properly administered, this type of anesthesia will make a patient comfortable during their root canal . The only draw back is that occasionally teeth given an intraligamental injection become slightly tender for a day or two when a patient applys chewing pressure.
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