Dentaltown May 2021 - 26

message board
Steven D Bender DDS
Member Since: 05/10/04
Post: 43 of 129

I posted these pics probably 100 years or so ago (maybe just feels like it). The canal is
typically halfway between these two points. Be sure to come from a point approximating the
opposite bicuspids to avoid hitting the anterior border of the ramus. ■

2/13/2021

davidpalmer
Member Since: 04/14/00
Post: 44 of 129

Giving painless injections has been the biggest practice-builder of my career. Except for
when you occasionally brush the lingual nerve with the needle, your patients should never feel
the injection on IAN or anywhere (except minor pressure on palatal). I've lost track on how
many times I've explained this on DT and helped countless dentists learn how to truly become
painless dentists from start to finish.
Tommy gives lidocaine like the MDs and OS do. Yes, it gets the job done but it's not painfree. 30ga needle, warmed Prilocaine plain given very slowly, followed by slow injection of lido
or Septocaine is a huge practice-builder. It's also safer to prevent paresthesia. Jamming a big
needle against the ramus and hitting the IAN, followed by injecting quickly, is how dentists get
in trouble with paresthesia, in my opinion.
I've used 30ga short needles my entire practice (more than 30 years). Never bend at the hub
and they are perfectly safe to use. Big needles, room-temp lidocaine and speed all combine to
hurt the patient. Not good. Many dentists just don't want to inject as slowly as they should or
use warmed Prilocaine plain as their initial injection. I don't understand why dentists wouldn't
even try such a fantastic way to relieve the stress of the injection.
Sticking needles in people every day is highly stressful to both patients and dentists. Just
saying. ■
2/14/2021

drtommymurph
Member Since: 04/05/02
Post: 45 of 129

David, you should talk to your malpractice carrier about that 30G needle obsession you
have. There was a double-blind research a few years ago that said patients could not tell the difference in a 25G, 27G or 30G. All needles scare people. All needles hurt or don't hurt depending
on the patient and the provider's opinion on their technique. ■
2/14/2021

Timmy G aka Nowhere Man
Member Since: 04/14/02
Post: 46 of 129

I don't believe that study. Four years through college as a phlebotomist and my career as a
dentist tells me otherwise. Just one guy's opinion. ■
2/14/2021

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26

MAY 2021 // dentaltown.com

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Dentaltown May 2021

Table of Contents for the Digital Edition of Dentaltown May 2021

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Dentaltown May 2021 - Cover3
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Dentaltown May 2021 - Outsert_SI1
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