The Best Anesthetic Tricks for Hot Teeth

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Every dentist knows the feeling: the patient is in pain, the anesthesia isn’t working, and your schedule is falling apart. A hot tooth can be one of the most stressful situations in clinical dentistry, but it doesn’t have to be. In this video, Dr. Ryan Smith shares a predictable, battle-tested system to achieve profound anesthesia every single time.

You’ll learn how to stay calm, in control, and confident no matter how inflamed the tooth is.

✅ What you’ll learn:
• The science behind why hot teeth are so difficult to numb
• Simple tweaks to make your standard injections far more effective
• Advanced injections like PDL, intraosseous, and intrapulpal: when and how to use them
• The “Triple Cocktail” protocol: block, infiltration, and intraosseous sequence for consistent results
• How to manage patient expectations and reduce stress in difficult anesthetic cases

Hot teeth don’t have to ruin your day. When you understand the science and master this system, you’ll keep your schedule on track and your patients completely comfortable.

💬 Question for you: What’s your go-to technique when a block fails on a hot tooth? Drop it in the comments — Dr. Smith reads every one!