The treatment plan for Sam Babbitt included one and one-half hours for scaling and root planning on the mandibular left quadrant. The dental hygienist completed the injections with one cartridge of lidocaine with 1:100,000 epinephrine. After testing for adequate anesthesia, scaling and root planning started on the left molars, then the premolars, and lastly the lower incisors. Mr. Babbitt originally said everything felt numb. When the dental hygienist began to root plane #24 he complained that the lower left front teeth did not feel very numb anymore and the gum really hurt right where she was working. The dental hygienist told Mr. Babbitt he needed additional anesthesia. Mr. Babbitt was not very happy because he did not want his tongue to be numb for a long time because he has a meeting later in the day.
-What injection other then repeating the left IA nerve block, could be given to regain anesthesia of the left mandibular incisors?
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