Journal of Advances in Medicine and Medical Research

Successful and efficient pain management techniques are necessary for management of orofacial pain. A routine technique used for intraoral pain management is local anaesthetic administration, but in some cases, it is difficult to achieve anaesthesia such as in hot teeth cases with symptomatic irreversible pulpitis(SIP). To achieve pulpal anaesthesia inferior alveolar nerve block (IANB) is considered the standard technique but it is not successful in 41-81% cases of irreversible pulpitis. Various techniques can be used to overcome this anaesthetic failure such as use of premedication, supplementary injections, alternative anaesthetics, anaesthetic solution volume adjustments, and cryotherapy etc. Management of hot tooth is difficult to manage in clinical scenarios hence a complete review on its management helps in handling patient with hot tooth which is difficult to be anesthetized.  Thus, this review article is aimed to describe hot tooth, its identification, signs and symptoms and discuss different techniques for hot tooth management.