DentaltownUK May 2018 - 41

1970s, Gow-Gates popularized a technique
addressing the auriculotemporal, lingual, inferior
alveolar, buccal, incisal and mylohyoid nerves all in one
injection, with a high percentage of success compared
with traditional techniques.8 Despite this evidence, the
AI theory was never accepted as the core explanation for
anesthetic failure.3
The AI-to-the-IAN theory supports that the
incidents of unsuccessful anesthesia may result from
innervations of the adult mandible arising from the
cervical plexus (CP) in addition to the auriculotemporal,
buccal, mental, mylohyoid, incisal and lingual nerves .
This theory, introduced by Nevin in 1922, had not been
universally accepted because of the lack of anatomical
evidence demonstrating that the CP nerve can extend to
the mandible.
On the basis of a systematic literature review, human
cadaver dissections and a randomized control trial clinical
study completed by our research group and independent
studies, results confirmed that the CP supplied AI to the
inferior border of the posterior mandible in 97 percent
of cases through the transverse cervical nerve (TCN)
and the great auricular nerve (GAN), which could be
responsible for anesthetic failures during root canal
procedures in the posterior adult mandible.3,5 ,9,10,11,12
Hence, to achieve pulpal anesthesia in the posterior
mandible, an accessory innervation anesthetic protocol
(AIAP) that anesthetizes all the accessory nerves must
be devised.5
In private practice, I have been utilizing the AIAP
for root canal procedures with considerable success. The
way "clinical success" has been measured is by having
practically no need of doing the intrapulpal technique.
The AIAP is:
* Safe. In my clinical experience administering the
AIAP on 300 cases average per year over 11 years,
no accidents have been reported.
* Reliable. Easy to be administered every time in
every patient.
* Effective. Practically, an "intrapulpal-less" practice.



Table of Contents for the Digital Edition of DentaltownUK May 2018

No label
Mike Gow: Healthcare Needs a Trip to Mars
Howard Speaks: The Importance of Same-Day Dentistry
What's New in Continuing Education?
Show Your Work: Ceramic Is Not Dead and Occlusion Is Important
BACD News
Message Board: 4.5 Year Align, Bleach Bond Review
An Openbite Case
Patient Care
Cover Story: London Calling
Message Board: 6mm long implant with 10-yr follow-up
Time to Review
CE: Accessory Innervation Anesthetic Protocol
Dental Lighthouse
The 3D Printing Revolution
DentaltownUK News: NASDAL Goodwill Survey Results
Students
DentaltownUK Quiz
DentaltownUK May 2018 - No label
DentaltownUK May 2018 - Cover2
DentaltownUK May 2018 - 3
DentaltownUK May 2018 - 4
DentaltownUK May 2018 - Mike Gow: Healthcare Needs a Trip to Mars
DentaltownUK May 2018 - Howard Speaks: The Importance of Same-Day Dentistry
DentaltownUK May 2018 - 7
DentaltownUK May 2018 - What's New in Continuing Education?
DentaltownUK May 2018 - 9
DentaltownUK May 2018 - 10
DentaltownUK May 2018 - Show Your Work: Ceramic Is Not Dead and Occlusion Is Important
DentaltownUK May 2018 - 12
DentaltownUK May 2018 - 13
DentaltownUK May 2018 - BACD News
DentaltownUK May 2018 - 15
DentaltownUK May 2018 - Message Board: 4.5 Year Align, Bleach Bond Review
DentaltownUK May 2018 - 17
DentaltownUK May 2018 - 18
DentaltownUK May 2018 - An Openbite Case
DentaltownUK May 2018 - 20
DentaltownUK May 2018 - 21
DentaltownUK May 2018 - 22
DentaltownUK May 2018 - Patient Care
DentaltownUK May 2018 - 24
DentaltownUK May 2018 - 25
DentaltownUK May 2018 - 26
DentaltownUK May 2018 - Cover Story: London Calling
DentaltownUK May 2018 - 28
DentaltownUK May 2018 - 29
DentaltownUK May 2018 - 30
DentaltownUK May 2018 - 31
DentaltownUK May 2018 - Message Board: 6mm long implant with 10-yr follow-up
DentaltownUK May 2018 - 33
DentaltownUK May 2018 - 34
DentaltownUK May 2018 - 35
DentaltownUK May 2018 - Time to Review
DentaltownUK May 2018 - 37
DentaltownUK May 2018 - 38
DentaltownUK May 2018 - CE: Accessory Innervation Anesthetic Protocol
DentaltownUK May 2018 - 40
DentaltownUK May 2018 - 41
DentaltownUK May 2018 - 42
DentaltownUK May 2018 - 43
DentaltownUK May 2018 - Dental Lighthouse
DentaltownUK May 2018 - 45
DentaltownUK May 2018 - The 3D Printing Revolution
DentaltownUK May 2018 - 47
DentaltownUK May 2018 - 48
DentaltownUK May 2018 - 49
DentaltownUK May 2018 - 50
DentaltownUK May 2018 - DentaltownUK News: NASDAL Goodwill Survey Results
DentaltownUK May 2018 - Students
DentaltownUK May 2018 - 53
DentaltownUK May 2018 - 54
DentaltownUK May 2018 - DentaltownUK Quiz
DentaltownUK May 2018 - Cover4
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