Dental hygienists are regularly providing local anesthesia safely and effectively across the United States.

Most states allow dental hygienists to perform this important clinical function but controversy remains.

In addition to the conventional Halsted inferior alveolar nerve block and two well-known alternatives, this discussion will examine key features of other mandibular block techniques and short needle approaches.

The use of buffered articaine offers several advantages in dental pain management.

This hybrid agent offers distinct benefits over other local anesthetic drugs.

Periodontal ligament injections can help achieve the anesthesia necessary for successful dental treatment.

Fluid pressure and tissue type play important roles in the success of this pain management approach.

Computer-controlled local anesthesia delivery provides benefits to both patients and clinicians.

Clinicians should be aware of current Food and Drug Administration-approved recommendations when determining the appropriate dose for individual patients.

Effective psychological pain and anxiety management techniques can help patients who are averse to needles and injections receive the dental treatment they need.