Sometimes when we plan intrapulpal anaesthesia, the tooth starts to hurt just before we reach the pulp and we cannot proceed. Sometimes the pain persists even after we enter the pulp and try an intrapulpal injection. In such cases, would it help to leave the tooth as it is and prescribe an antibiotic, or would the patient be in severe pain?

Question

Doç. Dr. İsmail Davut Çapar · Accepted Answer

After effective intraligamentary anaesthesia, intrapulpal anaesthesia should be tried as a last resort. For the intraligamentary injection, the solution should be delivered under pressure with a pressure syringe and blanching of the gingiva should be visible. With a conventional anaesthetic syringe, it is often impossible to deliver the solution under sufficient pressure.

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