Jana Adams is a semi-retired 65 year-old. She is a routine patient and reliable historian. She reports no change in her health and takes a daily multi-vitamin with minerals. Her blood pressure is 126/80 today, pulse 76, and respiration 14 breaths per minute. She is 5' 1" and weighs 130 pounds. Ms. Adams is scheduled for the replacement of two discolored restorations on the facial aspects of #7 and #8. She has had no past difficulties with local anesthesia and tolerated the injection procedure today. The preparation of #7 is completed in comfort however shortly after the preparation of tooth #8 begins Ms. Adams reports the tooth is painful.
-What initial injection technique(s) will provide pulpal and facial gingival anesthesia with the least penetrations?

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Jana Adams is a semi-retired 65 year-old. She is a routine patient and reliable historian. She reports no change in her health and takes a daily multi-vitamin with minerals. Her blood pressure is 126/80 today, pulse 76, and respiration 14 breaths per minute. She is 5' 1" and weighs 130 pounds. Ms. Adams is scheduled for the replacement of two discolored restorations on the facial aspects of #7 and #8. She has had no past difficulties with local anesthesia and tolerated the injection procedure today. The preparation of #7 is completed in comfort however shortly after the preparation of tooth #8 begins Ms. Adams reports the tooth is painful.
-What initial injection technique(s) will provide pulpal and facial gingival anesthesia with the least penetrations?

Jana Adams Is a Semi-Retired 65 Year-Old