I prefer complete V3 mandibular block using Gow Gates with needle contacting neck of condyle. It covers both IAN and Long Buccal N. Cervical plexus block is rarely used, that too by highly trained OMFS
I routinely due 2 different blocks for mandibular injections. I start with plain anesthetic in an akinosi then do a high inferior alveolar. I also use a compounded topical that helps with the long buccal😊
What you already did here is a true nerve block it is gaw gates technique it is nice to aim higher but the normal nerve block it is a bit lower 10 to 6 mm above the ptrygo-mandibular raphae 2/3 it's length and Barrell to the occlussal plane.
Dr Ash, while having a great learning experience from your videos, a small critique for this one. Long Buccal nerve block only provides soft tissue anesthesia of the buccal soft tissue around mandibular molars and is usually for manipulation of the same during an extraction. Can you please explain the rationale behind your administration of the long buccal nerve block? Thanks and a big shoutout for your excellent videos! Keep up the great work doc!
What are you teaching doc ? Index finger used for palpation ? You words - between two arches? pick a random spot ? Posterior mandibular raphae ? it's a game ? This is how you teach ? I was so surprised when you said pick a random spot and used the word between two arches. And I almost stopped watching when you said I am doing root canal for twenty years just to prove that what you are doing is right. Nope that's not presentation from a professional.
Great video. Thank you Sir for sharing. Wanted to ask that If I'm doing a canal procedure in three visits and I do the access opening and manual filing upto no. 15/ 20 K file the first day. In the 2nd visit, the patient feels pain when inserting the file to the working length. Can I do the root canal preparation under the anesthesia?
You ever have some one that's super hyper sensitive I have a back molar and everytime I go to the dentist an try to work on it they can't they give me so much to help the pain but nothing works idk what to do and why it's like that
Hey fourth year dental student here. I was looking into your course online. For after i sign up and pay 29.99 will i also have access to max and mand molar course? Just want confirm because thats what I am reading on the site.
I would rather get 4 root canals than 1 bad extraction without nitrous oxide. With nitrous oxide you could rip out anything that’s numb!!! I can’t handle the ripping pressure bone cracking just awful.
Its so so so funny, seems like no dentist is learning how to do proper anesthesia without giving serious pain to patients while performing the injektion. instead crazy protokols bout cocktails of different anesthetics. even better the computer aided anästhesia, i feel sorry for people who have to buy and use such crap. too bad, if you know what you are doing, no need for that. for 30 years now : Articain + epinephrin (1:100000, 1: 200000 and of course without any epinephrin) that´s it. Failures? yes, very rare and most when i didn`t get the needle in the correct spot. i love it when patients with lots of experience in getting painful injektions look at me and ask:" did you made the injektion? i didn`t felt anything, beside my mandibula is getting numb". Its all about the technique, how you use the needle and how careful you treat the patients tissues. that´s it , And its possible to learn, but you have to be caring and skillful. that´s the problem: 90 % of dentist are not skillfull at anything besides writing unjustfied huge invoices.
Thank you doctor Ashley I've been doing your anesthesia technique for a while and didnt have problems since then...
I prefer complete V3 mandibular block using Gow Gates with needle contacting neck of condyle. It covers both IAN and Long Buccal N. Cervical plexus block is rarely used, that too by highly trained OMFS
I like gow gates, but it takes so long to come on that if you miss (and I do) you're now way behind.
Thank you Ash, thank you for everything! You are a big part in forming me as a dentist! Greetings from Germany!
I routinely due 2 different blocks for mandibular injections. I start with plain anesthetic in an akinosi then do a high inferior alveolar. I also use a compounded topical that helps with the long buccal😊
What you already did here is a true nerve block it is gaw gates technique it is nice to aim higher but the normal nerve block it is a bit lower 10 to 6 mm above the ptrygo-mandibular raphae 2/3 it's length and Barrell to the occlussal plane.
Dr Ash, while having a great learning experience from your videos, a small critique for this one. Long Buccal nerve block only provides soft tissue anesthesia of the buccal soft tissue around mandibular molars and is usually for manipulation of the same during an extraction. Can you please explain the rationale behind your administration of the long buccal nerve block?
Thanks and a big shoutout for your excellent videos! Keep up the great work doc!
Great question. I use it for the rubber dam clamp.
@@AllThingsDentistry Thank you so much for your prompt response!
fuck man I wish you were part of my faculty lmao. love your videos. thanks so much
Thank doc
I’m form Syria,a country which don’t have any online payment methods
How can I get the course?
Just a curious question as to why you only did the ppl injects on the lingual areas of the tooth and not the buccals as well?
Thats intraligament injection
I havn't see vestibular infiltration can you explain me
I want you to be my Dentist. Period! 😩
What are you teaching doc ? Index finger used for palpation ? You words - between two arches? pick a random spot ? Posterior mandibular raphae ? it's a game ? This is how you teach ? I was so surprised when you said pick a random spot and used the word between two arches.
And I almost stopped watching when you said I am doing root canal for twenty years just to prove that what you are doing is right. Nope that's not presentation from a professional.
Great video. Thank you Sir for sharing. Wanted to ask that If I'm doing a canal procedure in three visits and I do the access opening and manual filing upto no. 15/ 20 K file the first day. In the 2nd visit, the patient feels pain when inserting the file to the working length. Can I do the root canal preparation under the anesthesia?
How do you record your videos Ash?
You ever have some one that's super hyper sensitive I have a back molar and everytime I go to the dentist an try to work on it they can't they give me so much to help the pain but nothing works idk what to do and why it's like that
maybe you have an active infection in/around that tooth
I personally had that in my own teeth. It’s nerve wracking to say the least!
Hey fourth year dental student here. I was looking into your course online. For after i sign up and pay 29.99 will i also have access to max and mand molar course? Just want confirm because thats what I am reading on the site.
What school are you at
❤❤
I would rather get 4 root canals than 1 bad extraction without nitrous oxide. With nitrous oxide you could rip out anything that’s numb!!!
I can’t handle the ripping pressure bone cracking just awful.
J'ai pas compris la video
The dentist
Whaaat
Its so so so funny, seems like no dentist is learning how to do proper anesthesia without giving serious pain to patients while performing the injektion. instead crazy protokols bout cocktails of different anesthetics. even better the computer aided anästhesia, i feel sorry for people who have to buy and use such crap. too bad, if you know what you are doing, no need for that. for 30 years now : Articain + epinephrin (1:100000, 1: 200000 and of course without any epinephrin) that´s it. Failures? yes, very rare and most when i didn`t get the needle in the correct spot. i love it when patients with lots of experience in getting painful injektions look at me and ask:" did you made the injektion? i didn`t felt anything, beside my mandibula is getting numb". Its all about the technique, how you use the needle and how careful you treat the patients tissues. that´s it , And its possible to learn, but you have to be caring and skillful. that´s the problem: 90 % of dentist are not skillfull at anything besides writing unjustfied huge invoices.
@ch-sebreichlich3841 ua-cam.com/video/gWju37TZfo0/v-deo.htmlsi=jSxeZTl3biKoueWt