Mandibular Cross Innervation-What Should I Do?

We have all been there before, as you approach #24/25 you are bracing yourself for the potential patient "jolt" as they experience pain from cross-innervation from the opposite quadrant. About 30% of the time I see this in practice so it is good to have a clear understanding of your options in this case. The video below gives a suggestion on how to deal with this situation. Other options are to hand instrument the area (instead of using the ultrasonic,) give a PDL injection, give a papillary injection or as a last resort give an IA in the opposite quadrant.