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Why local anaesthesia fails on infected teeth & how to manage it?
You gave a full dose. Correct technique. Patient still in pain. It's not your fault — it's chemistry. 🧪 Here's what actually happens when LA fails on an infected tooth: 🔬 The science: Infected tissue = acidic environment (pH drops from 7.4 → ~6.0) Local anaesthetics (lidocaine etc.) are WEAK BASES In an acid environment → LA gets ...
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