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The inferior alveolar nerve block (IANB) is popular anesthesia technique for most restorative and surgical procedures in the mandible; however, IANB can be technique-sensitive, painful, and slow, and it has considerable postoperative discomfort. In this video, Dr. Jose-Luis Ruiz showcases an excellent alternative that he has been using and teaching for 15 years for every procedure in the mandible. Subperiosteal mandibular anesthesia is easy, fast, safe, almost painless, and is accompanied by only minor postoperative pain. Watch as Dr. Ruiz shares the step-by-step process in this video.