@teachertinardh: The Gow-Gates is a mandibular block, with a different technique normally taught in most dental.programs. While the drawbacks of having the patient keep their mouth open wide can be a challenge, the broad aspect of tissue anesthesia, low rate of positive aspiration, and success rate make it a winning injection. You can increase your success rate by slightly sitting your patient up and propping their mouth open. It's not always necessary, but can help. This is just an example...every patient is different. Keys to success... 🔑 tissue palpation so you know the anatomy. 🔑 use of a long needle 🔑 assure boney contact It's a great injection! #LocalAnesthesia #TeacherTinaRDH #DentalEducation #Dental