Understanding anatomical complexities of mandibular technique by examiningthe structures and barriers within the pterygomandibular triangle is reviewed. Theconventional IANB, the Akinosi and Gow-Gates mandibular blocks will be presentedin combination with multi-tasking supplementation with infiltration. Other “tips andtricks” may contribute to a higher success rate. What is within our control? What isnot? What can we do about it? What’s the status of articaine and paresthesia?