I am having difficulty accessing the DL and ML line angles on mandibular
teeth for the intraligamentary injection. Is there anything I can do to make
gaining access easier?

We recommend approaching the PDL space from the lingual as the anatomy
shows that it is the path of least resistance for the anesthetic solution. It is
important to always start the Intra ligamentary injection from the distalingual
of the tooth. This allows the anesthetic to be deposited closest to the
direction from which the nerve enters the tooth.

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