The lighting is great, the monologue is really crisp and concise, the visuals are optimal; a 5 minute video that teaches a lifetime of dental wisdom... Well done!

I’m here because I failed twice today getting my patient numb with IA. This helped so much! Can’t wait to practice this next time

So concise and understandable demonstration, I’m grateful 👍

I cannot even tell you how helpful your videos are . Thank you

This is the BEST video on IAN I have seen so far. Better than Spear videos. Awesome!! I'll be sharing this!

Thank u so much sir......these demos are truly amazing and of course the background matters too which is great.

I am here after the first anesthesia session as D2! Thank you very much for your content! Your points are spot on as what we are being taught!

34 years of being a Dentist and every now and then I miss completely. There is virtually nothing that is more frustrating for me! At my experience there is nothing but embarrassment when asking for help also

I got like halfway thru the vid and immediately knew you deserved a sub. Great teaching 👍

Straight to the point. Thank you very much !

great video. Good quality and awsome commentary

I like your suggestion; this is almost a hybrid gow-gates standard inferior alveolar block 👍

This was so helpful and well explained 👏🏽

Nice explanation. Thanks for posting this video.

I just started my clinical practice in uni, and I've been struggling with these a lot! even though I studied the anatomy numerous times, I lost all confidence when it comes to inferior alveolar blocks, but now I feel a little more confident, thanks

I would just add that depending on how you are trained in dental school there are different approaches. Some dentists aim directly for the lingula from the contralateral canine or first premolar. But I was taught to aim from the second premolar, make contact with the ramus, then swing the barrel over to the ipsilateral side, insert the the needle a little bit further posteriorly and then swing the barrel back to the contralateral canine to essentially follow the curvature of the medial surface of the ramus. I've found that this approach works really well and I've never missed a block since D3.

Awesome video and points!!

Thank you for the helpful insights!

Best ian video by far

It's mind boggling how many dentists fail to successfully implement this technique only because of how badly they were instructed to it or how they neglect basic anatomy. I teach a course on anatomic variations to implanvology trainees and it still surprises me how they don't know the basics. Thank you for shedding some light into the matter, I hope it reaches as many dentists as it can.

One of the best benificial videos ever seen

Awesome technic 👍 Thank you Very much sir

this is sooo helpful thanks sir

Wow, really helpful tips

Thanks a lot!!!! this really benefitted me as a GP dentist

Thanks v v much sir 🙏🙏🙏🙏🙏, u made it simple & cleared most of my doubts., God bless you with all happiness sir

amazing demonstration , thank you

I'm not practicing, not a dentist, and not a medical professional really. But I recently got my wisdom tooth out (Lower R8) (Palmer numbering). There was cavity on that tooth. Extraction was done by local anesthesia. The dentist did a first dose and I think she poked me to test and asked if I felt anything ( I did not feel anything). But when she was going to start extraction as she was pulling I felt sharp pain and had to raise my hand. She did a second dose. Then she continued but there was still pain but less than the first but I just didn't say anything. Note that the consult and extraction were done on the same day and there was no panoramic x-ray being done. Honestly the extraction was not a good experience. I'm on day 9 of recovery now (there's still pain on 2/10 scale). First to sixth day of recovery the pain was at 7-9 region. I got a dry socket. Visited second time on the 4th day of recovery. Anyways sorry this is not really related to the video because I actually do not know what the details of the video is talking about. Just the gist.

Thank you teacher

Dr.Karan good sir

The Gow-Gates block have always been advocated for this difficult area.

thx for the help never got tought this in dental school

Thank you !

thank you teacher

Great effort Thank you very much dr

Great video. Another tip is practise...practise..practise.. you'l get perfect with experience

Thank you

Beautiful explanation short, concise and covers most difficult anatomies. Any insight on the Gow-Gates infiltration technic saw it the channel glidewell.

Can you please make IANB technique please with tips

Amazing video thank you

I used to have a dentist that couldn't get me numb... tried for 2.5 hours to get me numb for a root canal on #19... which was the worst procedure i ever had. After 6 years i had to have that tooth extracted last week due to sever abscess... The surgeon got me numb first try... Gave me 30 minutes, came back to check gave me another dose and another 10 minutes... That was enough to extract the tooth, remove the bone, and clean out the abscess.... Awake... with in two hours the Novocain already started wearing off and I was good to go. Now I'm just waiting for the giant hole in the side of my jaw to heal up.

Awesome 👏

Hi doc, the video was great. Can u do Vazirani Akinosi and Gow Gates in Detail. Thanks.

very much useful tips for me...thank you very much doctor😊😊

phenomenal. Thank you.

كلام جميل وصحيح ومفيد

use the wand and you will never fail again. I do all my blocks with the wand, injecting very slowly.

Thanks dr for your great video My question articaine is safe in block

I went to the dentist recently, who shot me 4 times around there, and all 4 shots did nothing. This dentist worked on the other side, without issue. Not coincidentally, I have pretty bad TMJD on the side that he failed to numb. What about TMJD and swelling/inflammation could be prohibiting the anesthetic from hitting the nerve? Is there a better method? The dentist pretty much just kicked me out and said "I can't work on you," even though he's worked on 4 other teeth in my mouth. He doesn't want to deal with me, anymore.

There are patients who complain of pain even after they say they are anesthetize in the tongue cheek n lip .why is it so

Would it be good to use the first molar as a guide...and rest the barrel at the corner of the mouth...would that be a more accurate position than the premolars ?

Thanks for the knowledge. Am Emma a dentist from Uganda. I’ve encountered a situation while extracting retrained roots of the lower left third molar. I removed the distal root first and the patient was basically okay no pain all good. But when I attempted to as well remove the mesial root the patient wailed in pain just shortly after removing the distal root. Infiltrated all around the root inclusive infra-pulpal but in vain. I had to discharge the patient with antibiotics and pain meds. Where could the problem have arisen? Thanks

Did my first LA first IAN on my peer yesterday. Didn't work. And the next time of LA will be on patients. However many times I watch videos, asked profs, touched the skulls, or used a Q-tip to simulate, I WON'T LEARN.. The only way I can learn is to do it again, and I don't want to do it on patients until I'm ready.

Hello, what do you think about the Akinosi Vazirani technique? Is it superior to Weissbrem technique and can we practice Akinosi on a daily basis? It looks like an easier one and could be applied in patients with trismus. Thank you!

Plz tell where to hit the injection..directly on hitting bone or 1mm backward after feeling bone?

Any tips for when the IAN is completely blocked (lip anterior to mental foramen profoundly numb) but tooth still has sensation? I've heard of obscure innervations like mylohyoid, but not quite sure what the best approach would be to block these.

Is this what is referred to the Gow Gate block? I am doing research into what block procedure is likely the best for a bottom rear tooth that has been unable to be anesthetised and now looking like needing root canal treatment. Be nice to know if this is an alternative to Gow Gate or is actually is this procedure being shown. Thanks...

I usually tell them they are imagining the pain, ( I call it discomfort- never pain), especially after I've given them three or four carpules. But seriously, great video. PS Does this count as CE??

You mentioned articaine for local infiltration. Do you recommend any other anesthetic besides lidocaine for the IAN block?

Hi. Thank you for this video. I always aspirate to check there is no blood. But despite that: I find quite a few of my patients feel dizziness or sudden heart palpitations after my block Can you give me some tips?

Great vid! Just a quick question regarding the injection site. If your patient is lacking the pterygomandibular raphe, what can be a trustworthy index to aim for to be sure you are on point for the lingula? Regards, a 4th year dental student

Thanks dr for your great video my question bucall infiltration anathesia by articaine effective for aprofound pulpal anathesia for mandibular premolar

Thanks eternally

I failed my competency test today because i failed to anesthetise the mental nerve branch of IAN. Really sad today😭

Related (or unrelated?) -- what's your opinion of Greater Auricular Nerve blocks for tinnitus? There's a video by Dr. Yiannios on this that resolved a patient's nerve issues for a short while. Is that something I as a patient could ask my dentist to do to test a theory?

So if we aren't over the premolars when injecting, where do we place the syringe?

Hey, got a hole from a filling that fell out of my 2nd premolar, and I'm debating when I should visit a dentist to get the tooth removed.. my breath is becoming slightly effected rn, but there's no discolouration to the tooth, pain or even sensitivity. been draining the abscess from the spot on my gum for months, and then it just disappeared one day.. just noticed a small dark red patch forming on the inside section (other side) and I'm wondering what will happen if I leave it much longer.. there's absolutely no pain in the area, just afraid it might lead to some bad things.. what should I be doing to give myself some more time?

I need to show this to a certain doctor

What are the signs that confirm the action of anesthesia?

I don’t know how i ended up here.

Please show us How to cap the needle

Can Septanest Articaine be used too?

Hi. Amazing video. I have extreme trouble with this in patients with very bulky cheeks and divergent mandibles. My needle does not ever hit the bone and keeps going posteriorly in such case. Its super frustrating I have huge trouble in retracting the fatty tissues in these patients to even palpate the coronoid notch and I can't even see the raphe. It just makes me nervous every single time I have to do a block and I am a post grad student of endodontics. Its embarassing

Subtitles plz

Lo quisiera en español

😊

👌👍👍

Sometimes even after pricking 2 to 4 times. I don't achieve a bony contact. Wat should be done in such cases??

Isn't this basically Gow-Gates?

who still does that kind of anaesthesia? This is near 2022....hello! wake up!

What a horrible angulation, Cant see a thing... What was that!!!!

Keep going to translate Arabic