OHI-S Predictable Local Anesthesia for the Maxilla and Mandible 7 lessons 4h 19min

Daniel Uzbelger Feldman examines dental local anesthesia through pain physiology, pharmacology, and the anatomy of maxillary and mandibular innervation. The course begins with the injection experience and anesthetic mechanisms, then considers anatomical variability, block failure, accessory innervation, and supplemental strategies. A dedicated lesson presents the Intraoral Cervical Plexus Anesthetic Technique, followed by a discussion of emerging formulations and delivery technologies. The listed English-language program contains six lessons plus one additional lesson, totaling 4 hours 19 minutes. It is intended for dental clinicians studying the reasons anesthesia may be unpredictable and the rationale behind different approaches. The complete supplied lesson contents appear below.

Topics

Lesson 1. Foundations of Dental Anesthesia and Pain Perception

• Foundations of dental anesthesia

• What patients actually feel during injections

• Sequence of events during injection: Needle insertion, Temperature change, Chemical irritation at the needle tip, Pressure and tissue distension, Central amplification

• Conceptual mechanisms of anesthesia

• Evolution of dental structures and C- and A-delta fibers

• Evolution and history of dental anesthesia

• Overview of local anesthetic types and formulations

Lesson 2. Mechanisms of action and Limitations of Dental Anesthesia

• Mechanisms of action: sodium channel blockade, nerve fibers, and conduction physiology

• What pharmacology cannot explain

• Pain science: perception, modulation, body language, and myths

• Setting the stage: why dentistry presents unique challenges compared to medicine

Lesson 3. Maxillary Anesthesia: Anatomy, Variability, and Painless Clinical Protocols

• Anatomy of the trigeminal nerve: origin and pathway

• Anatomy of the maxillary nerve: origin and pathway

• Nerve structure and pathways

• Fascicles: nerve comparison and paresthesia

• Diffusion of local anesthetic in the maxilla

• Primary maxillary techniques

• Maxillary anesthetic variability

• Why buccal infiltration alone often fails in molars

• Why infraorbital anesthesia matters

• How to eliminate pain when delivering palatal techniques

• Protocols for integrating the palatal root without palatal injections

• Needle insertion protocols

• Protocols for painless maxillary anesthesia

Lesson 4. Predictable Maxillary Anesthesia: Techniques for 100% Success

• Painless maxillary anesthetic technique for a single tooth

• Needle insertion and topical anesthetic application

• Pressure and tissue distension

• Protocols for painless maxillary anesthesia for multiple teeth

• Painless anesthesia: single tooth vs multiple teeth

• Dosage awareness and toxicity

• Dose awareness: technique calculation

• Anesthetic selection for different clinical scenarios

Lesson 5. Mandibular Anesthesia Failure: Limitations, Anatomy, and Clinical Challenges

• Limitations of mandibular anesthesia

• Anatomical variations of the mandible

• Inferior alveolar nerve considerations

• Failure of conventional mandibular anesthesia

• The real problem: 35 million failed mandibular blocks per year in the U.S.

Lesson 6. Predictable Mandibular Anesthesia: Intraoral Cervical Plexus Technique

• ICPAT: Intraoral Cervical Plexus Anesthetic Technique. Dr. Uzbelger’s published technique

• Results from clinical trials and validation studies

• How to eliminate intraligamentary, intraosseous, and intrapulpal injections

• Anatomical exploration of mandibular anesthesia

• Anatomical analysis of mandibular innervation

• Evidence for accessory innervation: historical, modern, and Dr. Uzbelger’s studies

• Sihler’s staining and cadaveric findings: the cervical plexus reaches the mandible

• The first anatomical proof of the accessory innervation pathway

• Step-by-step video demonstration of the Intraoral Cervical Plexus Anesthetic Technique

• Step-by-step protocols of accessory innervation technique protocols (AITP)

Lesson 7. The Future of Dental Local Anesthesia: Innovation, Technology, and New Formulations

• The role of anatomy-driven anesthesia in modern dentistry

• Warm, buffered, or electronic delivery systems

• New formulations: will we evolve?

• How dentistry can finally eliminate fear by achieving predictable anesthesia

• A new paradigm: shifting from reactive failure management to preemptive anatomical control

• Integrating technology: ultrasound guidance, imaging, and AI assistance

Listed Lesson Durations

Lessons 1–6 are listed as 55, 9, 32, 33, 20, and 82 minutes respectively. The nine-minute lesson is a clinical video. No separate duration is supplied here for Lesson 7.

Clinical scope: “100% Success” is retained as an original lesson title, not a guarantee of clinical outcome. ICPAT and elimination of supplemental injections are presented as course subjects, not assured results in every patient. Recorded education does not replace supervised clinical training, anatomical and pharmacological knowledge, or appropriate competency assessment.

File scope: Event participation, publisher accounts, platform access, and publisher-hosted extras are not included.