If the area surrounding the mandibular incisors is not fully anesthetized, what should the clinician do?

The most effective action when the area surrounding the mandibular incisors is not fully anesthetized is to provide infiltrations at the desired site. This approach targets the specific area needing anesthesia, allowing for more localized control. Mandibular incisors can sometimes be more challenging to anesthetize effectively, particularly with nerve blocks that might not fully cover the required area.

Infiltrative anesthesia delivers local anesthesia directly into the tissues, ensuring that the desired area receives the anesthetic agent where it’s needed most. This technique can enhance patient comfort and increase the likelihood of achieving the desired anaesthetic effect, particularly in instances where nerve blocks have proved insufficient.

The other options do not address the immediate need effectively; for instance, re-administering an incisive nerve block may not guarantee improved anesthesia in the specific area. Administering an inferior alveolar nerve block may cover a broader area, but it is typically used as a primary method rather than a remedy for inadequate anesthesia. Continuing the procedure without sufficient anesthesia is not advisable, as it may cause unnecessary discomfort to the patient.