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Inferior Dental Blocks Versus Infiltration Dentistry: Is it time for change?

Research output: Contribution to journalReview article

Original languageEnglish
Pages (from-to)204-218
Number of pages15
JournalDental Update
Issue number3
Early online date28 Mar 2019
Publication statusPublished - Mar 2019


King's Authors


Dentistry is unique in that high volume surgery is undertaken efficiently on conscious patients, an anathema to most other surgical specialties who predominantly operate on unconscious patients. Local anaesthesia provides an efficient block to nociceptive pain (the first stage of the pain pathway) but only addresses one small part of the pain experience. Currently the inferior dental block (IDB) is the ‘go to’ standard for dental LA for mandibular dentistry despite its significant shortcomings. Unfortunately, as creatures of habit clinicians continue to practise what is taught at dental school, namely IDBs, when evolving more patient-safe practice takes time to be taken up by the workforce.

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