This lecture is designed for anyone who wishes to expand their understanding of the newest pharmacologic agents and delivery techniques of local anesthesia. A wide range of techniques will be presented, including the Gow-Gates mandibular block and methods for addressing hot teeth situations. Alternative anesthesia modalities, including compounded topical formulations, anesthetic buffering and reversal agents, and more will be discussed! This course combines the latest innovations in local anesthesia with the best newer techniques for delivery. Practitioners will return to their practices with greater confidence in their ability to deliver comfortable and efficient local anesthetic injections.