Intrapulpal injection: factors related to effectiveness.
UNLABELLED: The intrapulpal injection is commonly used when conventional anesthetic techniques fail during endodontic procedures. OBJECTIVES: This was a double-blind clinical study conducted to determine whether anesthetic solution was related to an effective intrapulpal injection. STUDY DESIGN: Thirty-five intrapulpal injections were given, all with back-pressure and either saline solution or anesthetic (2% lidocaine with 1:100,000 epinephrine). RESULTS: Thirty-three of the 35 injections were effective. Statistical analysis showed no significant difference between the two solutions. CONCLUSIONS: Data indicate that an effective intrapulpal injection depends on back-pressure and is independent of the solution used.