ANESTHESIA FOR INCISAL ATTRITION
Incisal restorations are usually placed without anesthesia. Quixotically, this may be the case even if the teeth have cervical sensitivity.
PRESENCE OF CERVICAL SENSITIVITY
If cervical sensitivity is aggravated by handpiece water spray and HVE,it can be eliminated during the procedure by topical fluoride varnish on the cervical defects. Alternatively the neck of the tooth can be wrapped with occlusal indicator wax (Kerr) or syringable rubber dam material, for example, Dam Cool (Danville Dental). Both methods exclude air from sensitive cervical areas during the appointment.
If anesthetic is preferred, a short-acting epinephrine-free anesthetic such as Carbocaine 3%,(Cooke-Waite) is often sufficient.
On the lower arch, bilateral mental injections are the placement of choice. In the maxilla, smaller-than-usual quantities of infiltration are often sufficient.