Hello Dental Pulp! Accessory Innervation Anesthetic Protocol by Dr. Daniel Uzbelger
About This Event
The inferior alveolar nerve block has the highest failure rate not only in dental local anesthesia but also amongst all local anesthetic blocks in medicine. The accessory innervation to the inferior alveolar nerve theory supports that the incidents of unsuccessful anesthesia may result from innervations of the adult mandible arising from the cervical plexus in addition to the auriculotemporal, buccal, mental, incisive, mylohyoid, and lingual nerves. Hence, to achieve profound pulpal anesthesia in the posterior mandible, an accessory innovation anesthetic protocol which anesthetizes all the accessory nerves has been clinically proposed. Three different accessory innervation anesthetic protocol approaches are described in this course as well as how to overcome pulpal anesthesia failure through the intraoral cervical plexus anesthetic technique implementation. This protocol will help alleviate patient’s fear to the dental chair while improving our profession’s reputation.
Learning Objectives
- At conclusion, participants should be able to understand the problems associated with anesthetic failures in permanent dentition with the use of currently available anesthetic techniques.
- At the end of this course, participants should be able to identify how accessory innervation may play a pivotal role in the high percentage of anesthetic failure on the posterior mandible.
- At culmination, participants should be able to comprehend the cervical plexus nerve description and distribution in the mandible.
- At the end of this presentation, participants should be able to recognize how these variations of anatomy allow for clinical decisions for implementing supplemental anesthetic techniques.
- After course completion, participants should be capable to administer the intraoral cervical plexus anesthetic technique in their patients.
- At finale, participants should be capable to provide the accessory innervation anesthetic protocol to their patients.

