Abstract
Complete pulpal anesthesia is critical during endodontic treatment. The clinical goal is for patients to have a pain-free endodontic experience. Despite clinical signs indicating complete local anesthesia, patients may still experience pain. This clinical challenge often requires the use of supplemental injections. This review describes the indications, limitations, and advantages of each type of supplemental injection, thus serving as a useful clinician’s guide to management of the patient with incomplete anesthesia.
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