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The Treatment Plan for Ralph Cook Includes a Restoration for Tooth

Question 19

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The treatment plan for Ralph Cook includes a restoration for tooth #12. There is a large, bony exostosis on the facial aspect that extends from the canine to the first molar. An MSA was attempted however failed to achieve adequate anesthesia.
-What is the likely cause of inadequate anesthesia?

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Dense bone covering the facial...

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