The Gow-Gates technique is used when the Inferior Alveolar fails to provide adequate anesthesia. Advantages of this technique versus the inferior alveolar technique are its low failure rate and low incidence of positive aspiration. A 25 gauge long needle is recommended for this technique. The right handed operator should be in the eight o'clock position whereas the left handed operator should be in the four o'clock position. The target area for this technique is the neck of the condyle below the area of i
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