Articaine ID Blocks and the ‘CIA Technique’ for Local Anaesthetic – PDP143

There is a massive trend of Dentists ditching ID blocks in favour of articaine buccal infiltrations. For many that are still using ID blocks routinely, they are afraid of using Articaine due to fear of paraesthesia. Should we be doing less ID blocks? And when we do, is it ACTUALLY harmful to use articaine or is that a myth? 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. https://youtu.be/LbOxlXIZCkw Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl:  Check out the couple of videos I posted recently on YouTube and on the app https://youtu.be/yFfKVLmSr5Q Robin Hood Dentistry - a careful and well-considered enameloplasty https://youtu.be/3QLby2U_W3E No More High Restorations 2023 Update - Stop Grinding Away Your Composites! "There is no such thing as a periodontal ligament injection" Dr. Wayne Williams Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 3:02 The Protrusive Dental Pearl5:49 Dr. Wayne Williams’ Introduction8:06 Buccal infiltration with articaine for lower molars13:09 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. Get the OBAB One-Time Pre-Launch Deal before 21st March to get access to OBAB for two whole years and get a fully mentored case worth £550. Plus get £1445 of exclusive extras!!!  If you enjoyed this episode, check out Hot Pulps, Painless Palatals and ID Block Failures Click below for full episode transcript: Jaz's Introduction: There's been a huge trend in dentists doing less and less inferior alveolar nerve blocks and to be fair, I've been part of this, right? Jaz's Introduction: I'm actually, I wouldn't say afraid. I'm not afraid of doing ID blocks. I'm just do them way less because I'm afraid of some of the POTENTIAL COMPLICATIONS that you see in papers and in opinion articles about the potential risk of paraesthesia and other complications from ID blocks, and therefore I've been a bit put off. So what I did many years ago is I started to do more and more articaine infiltrations, buccally, and to be fair like I told Wayne, Dr. Wayne Williams, the prosthodontist who's a fantastic straight talking guests. I love straight talking guests. Right? You're going to love him too. And I shared with him that, look, I only do about one ID block a month. A) Because I'm getting so much success with my buccal articaine. But B) Because I'm being overly cautious, I'm really trying to prevent it. Because I think this scare mongering has worked on me. I am a little bit worried about the risk and the more ID blocks you do, the more you increase your risk or so I thought, because there's so much we talk about in this episode in terms of the power of a buccal, articaine, but also, knowing when to respect and knowing when that might not be serving your patient the best, and why he should be perhaps doing some more ID blocks. And in fact, Wayne even says that he's a huge advocate of articaine for ID block. So we're going to cover a lot of controversial topics and as you heard already, Wayne is no stranger to controversy and I love that so much. One thing I really respect about Wayne is that he helped to develop the CIA, the Crestal Intraosseous Approach. I had to really,