Jay-I posted this on CDocs this morning and was hoping this forum could benefit from your answer. Thank you.
Especially for the surgeons out there, I’m looking for some help/feedback on this case. Placed #29 and #30 Biohorizon implants with a digital guide. The guide fit perfectly and with plenty of keratinized tissue I did the case with tissue punches. I always only infiltrate the area for these cases and in the past have not had a “numbing” issues. For both sites, right off the bat with the 2.0 drill he was feeling pain even when I was not down to full depth. I placed guide pins and took a pa radiograph to verify that I was indeed where I needed to be, which I was. On to the 2.5 drill…..same thing. Tough guy, he said that he wanted to get it done regardless of how he was feeling the osteotomy. Just to be sure, I placed my 2.5 drills to depth and took a CT scan which again confirmed that I was where I planned the case. And after the CT scan, I blocked him. He showed all signs of profound anesthesia but still was feeling the drills and placement of the implants. I used plenty of irrigation and a slow pumping motion so as not to overheat the sites(all standard procedure). This is the first time I have experienced this and was wondering if anyone could shed some light on it. Septocaine and Marcaine for the infiltration and Lidocaine for the block(what I always use). Thanks in advance.
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