Your patient is profoundly numb after the IA injection in al…

Your patient is profoundly numb after the IA injection in all areas except they are not profoundly numb on tooth 24. You decide to re-administer the IA injection. Your patient is still not profoundly numb on tooth 24. Before you re-administer the IA what technique and anatomical factors are most appropriate and should be considered?

Your 155lb healthy patient is having their first premolars e…

Your 155lb healthy patient is having their first premolars extracted for orthodontics. The dentist has administered 4 carpules of Articaine 4% 1:100,000 and bilateral MSA and MI injections. The mandibular first premolars are not profoundly anesthetized. He asks you to come “back up the patient with anesthetic” for him. How many more carpules of the same anesthetic can you safely administer?