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I have to admit, the main reason I heavily switched to buccal articaine was to avoid ID blocks.
Dr. Wayne William, our straight-talking, no-BS Prosthodontist guest will bust some myths and improve your daily delivery of safe and effective local anaesthesia.
In this episode he taught us the Crestal Intraosseous Approach (CIA), a technique developed by Dr. Wayne to improve our buccal infiltrations.
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The Protrusive Dental Pearl: Check out the couple of videos I posted recently on YouTube and on the app
“There is no such thing as a periodontal ligament injection” Dr. Wayne Williams
Highlights of this episode:
- 3:02 The Protrusive Dental Pearl
- 5:49 Dr. Wayne Williams’ Introduction
- 8:06 Buccal infiltration with articaine for lower molars
- 13:09 Crestal Intraosseous Approach (CIA)
- 22:28 ID Blocks – is it safe?
- 28:13 Hitting Bone while giving injections – safe or not?
- 31:04 Failure rate for ID Blocks
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
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If you enjoyed this episode, check out Hot Pulps, Painless Palatals and ID Block Failures


[…] Be sure to watch the first part of this episode: Articaine ID Blocks and the ‘CIA Technique’ for Local Anaesthetic […]