REVIEWS

So I just finished watching the whole video tutorial and read the booklet. For my first four cases this afternoon I was 4 for 4! All patients were numb instantly and I had a raving review from a girl that was so glad her lip and tongue weren't numb. One of the 4 that I did was on 28 and 29 and it got both of them numb instantly. What an awesome system! I heard about intraosseous injections and tried the technique a few times before buying the kit and had no success. You need to know the little nuances that Dr. Tuttle has learned from his 20+ years of honing the technique to be able to do it right. And all of my attempts so far, after watching the tutorial, were a complete success. I just needed to know and follow all the steps!

You did a fantastic job at the UDA. I've successfully done 3 procedures this morning with your technique. I'm blown away. Thank you for your genuine, straightforward presentation. I'm already raving about it to everyone.

Dr Tuttle: Saw you Friday at the UDA Conv. and today did #18 O and #30 MO with your technique! It was great. Typically I would not want to do those in the same appt., but I tried your technique. PT felt no pain during the work and said the initial poke was nothing. That really was Awesome. Thanks for sharing your knowledge.

TNN was a huge success for this difficult situation and saved the patient the expense and complexity of general anesthesia.

I have been in Dentistry for 28 years and have worked with Dr. Tuttle for 19 years as his RDA and now his Office Manager. Having been to several conventions and introduced to many new products, I am most excited about this revolutionary way to numb our patients. As a representative for TuttleNumbNow I was overwhelmed by the excitement and reception of the TuttleNumbNow protocol. The expressions of the dentists and their staff were priceless. The response I received from each person I talked to was so positive and supportive. In fact they couldn’t wait to get their kits and start on Monday. My favorite experience was when I handed them the TuttleNumbNow kit and said… “Congratulations……this will change your life.”

I've been doing it for almost a week now with amazing success. Amazing doesn't even begin to describe it. I do it on the upper and lower. I've used it for extractions, crowns, endo, fillings and crown seats. I've followed up with my patients afterwards and nobody has reported any problems. My question to all of you is this: Can you think of any possible complications to depositing anesthetic directly into the bone? After all, this is what you're doing with the X-Tip. Maybe hitting up against the roots could be a problem... I've only been doing it for a week but I've been able to get people numb immediately, use SIGNIFICANTLY less anesthetic and they don't leave with a numb lip!! I feel like I have found the Holy Grail of dentistry. Am I missing something? Has anyone else been doing this? If it's this effective and easy why were we not taught this in dental school?

I am always reading posts but rarely post myself. This last week I realized that I needed to share my recent experience so others can benefit from the information. I have been doing crestal (intraseptal) anesthesia with fairly good success for the last couple of months but it was somewhat unpredictable on MN second molars. After some frustration I ordered the TNN technique information. I wasn't sure it would be worth it, but after using his technique on about 10 patients this week I am kicking myself for not ordering it sooner. Amazing! Predictable and huge time saver and so many benefits for patients. I try new techniques constantly but this one may be a true game changer for me and my patients.

Just placed an implant #30 using the TNN method. Pt reported feeling nothing during the procedure and just walked out very happy that his face didn't feel completely numb. I maintain that the hardest part is still just trusting that it works. I would imagine that comes with time. Total game changer.... Can't imagine not having it.  Took about a week to become proficient. Started using it last week with great success. I have used it about 10 times and only had trouble on one. CEREC crown on 19, the injection felt different when I did it so probably operator error. The hardest thing is just having faith that it works. I start working on the tooth and I am worried they are gonna feel it, but they don't. It arrived today. I'm a believer... Rct on a hot #20 today as well as a large mod on 30. Thank you.

Just did my usual double block for a #20 ext., and he was still feeling it. TNN (I had to use the regular needle I had and it still worked fine), and he was immediately numb. Follow the technique and you're in the bone. It's crazy. If it works this well every time, it is seriously a game changer.

I've been using consistently for about a week. It's a game changer. I think it's freaking out my assistant that we are numbing and going straight to work. I cold test everything before prepping. When I get 1/4 carp in I have my assistant cold test....if not numb I just keep slowly going....and she keeps testing.

I'm at about 20 times now using the TNN technique. I found there to be a little learning curve. But at this point I feel very comfortable with it, and it is my primary technique for lower molars for all direct restorations. I will also use it for crowns that are lab fab on mand molars as well. With Cerec I want the anesthesia to last through the seat appointment, so I am still doing blocks, though I may just do TNN twice instead. I have found what Greg has said to be accurate. It works instantly. It is very comfortable to administer. Wears off quickly. My patients definitely prefer it to a block. Uses less anesthesia (I use two carps for my blocks every time). I'm not sure that there are many real drawbacks, pretty much just advantages. The only drawback for me is that you can't tell by symptoms if the pt is numb. You need to test. Otherwise, I'm a big fan. I do prefer to use the guide. It just stabilizes the needle for me. Bob

Yes, I love this technique. After much internal debating about forking over money, I bit the bullet and bought the kit. I just started trying it out last week and have had great success with mandibular molars and premolars! Haven't used it on maxillary teeth or anteriors yet since I infiltrate on those. I haven't had any problems sliding it in, and I've verified adequate anesthesia with Endo Ice immediately after each time. I'll still block for multiple teeth in the quad or if I think it will take longer (I have a slow temp asst right now). But I love having this technique available to use. I still struggle on IANBs sometimes.

lt worked in 3 attempts. You're the genius my friend. Thx again for sharing.

Patients almost never, and I mean almost never, react adversely at all during this injection. It's comparable to maxillary infiltration as far as how painful it is. Maybe the most beneficial, stress reducing thing I've ever done is becoming proficient at this.

I haven't dealt with anyone that doesn't want to get numb for any other reason other than they don't want a numb lip and tongue. This isn't about the effectiveness of the IA or being technically good at it. I could be Malamed with a needle in my hand and it wouldn't matter with my patients. All of this being said, I do TNN on all of these patients now so all is good.

I've been using this technique for a couple of months now. It works. I've tried Perkins in the past with mixed results this works pretty well. I hate I had to pay 500 for the technique video but when I consider how many times I've used this technique and "picked up the drill" and immediately went to work it has been worth it. My partner has watched the video as well and has also integrated it into his practice also. Over all it works. I don't always feel like I've completely penetrated bone like I want but when I test the tooth it is numb and I was able to proceed working right away.

A few months ago, I saw Malamed in person and he talked about a crestal IO and in conversation with him he said this is just a variation of that technique after I described what I was doing.

Regardless, it works. It is technique sensitive but for the most part has worked very well. I've used it on endo/crown and bridge/fillings/implants the only thing I haven't used it on is an extraction but I suspect it would work just fine on that as well. I just like the ability to drown that tooth in anesthetic and make certain the tooth is numb before I extract.

 Bigmes

I've been using the Tuttle Numb Now technique for a few months now, and I'm a big fan. There is certainly a learning curve, but now I expect it to be simple and easy every time. The first dozen times I tried it was a little hit and miss. I achieved anesthesia almost every time, but it wasn't necessarily easy. Now, it's a breeze almost every time. My patients are very happy to not even know they are numb. No "fat lip" feeling. No numb tongue. And I'm very happy that they are instantly numb. That helps with fitting things into a busy schedule. I'm also very happy with it being very low cost, actually cheaper than doing a mandibular block, and exponentially cheaper than using Xtip or Wand, both of which I have used through the years. For me, it was money very well spent, and my patients and I will benefit from it for the rest of my career.

 

Loving the technique. Btw, had a DO on #29 on Thursday. Infiltrated with septo like I always do that works 99% of the time. Came back. Started working. Not numb. Used TNN and quickly it was profound and back to work. My old approach wound have been to dump more local or then block. Saved me a lot of time and the patient from a block and more waiting. Thanks so much.

So I went ahead and bought the TNN. I had a chance to try it today. it works wonders. Patient: 16 yo female. Come in for fillings #31-OB, #30-MO, #29 DO. TNN between #31 + 30 and 30 + 29. Pt felt nothing. I kept asking her if she felt anything during the injection and the procedure. I felt really good hearing that. I hate hurting my patients.

First of all, I would like to thank you! I have been using your technique and it has been amazing. I was able to use it on a patient that I previously had a difficult numbing, and in other routine situations where I used to use IA and it has worked great.

I am still learning, however, we are having about a 70% success rate after a week. This will be a game changer for us in a busy pediatric practice. I will give you some follow up in a month or two when I can speak with some experience. Thanks again!

I wanted to tell you how amazing TNN has been. I went to Disneyland right after I saw you speak at the UDA but was excited to get back to the office and give it a try. The first time I tried using it was a #29 MOD on a 15 year old. It worked pretty good. His lip and tongue did not get numb and his tooth got almost all the way numb. He said it was way better then having his face numb. I knew I had a been a little hesitant and probably didn't give him enough anesthetic. I used about 1/4 carpule. The lingual tissue blanched so much I was worried maybe I went all the way through. So that night after work, I used the technique on myself. I cold tested #29 (my #30 has a root canal) and then numbed myself in the mirror. I used pre-numb before on a q-tip but really pushed the papillae to numb it with pressure. When I entered with the needle, I didn't feel it all. Then I did the bone tap and redirect technique and the third time it went in. You can't feel the needle enter the bone, it just suddenly keeps going so you know you are in. I deposited a little over half the carpule on myself just to see how it felt and what my post op symptoms were. When I pulled the needle out it was obviously numb. All the teeth had that numb feeling. I picked up the endo ice and checked my tooth again it was dead. I tested the teeth all the way to the midline and they were numb too. I could feel the cold once I got all the way to #25. My lip did end up going numb too but only for about 30 minutes. I timed it on my phone and my teeth all felt normal at 1 hour 20 minutes. I had no pain in the gum tissue or bone when it woke up. I felt fine. Usually, I personally am numb for 4 hours when I get an IAN. Anyway, doing that made me much more confident using it on my patients. I have been telling all my patients about it and giving them the option to give it a try if they want. They all have wanted to do it the TNN way instead of the old way. I have been using 1/3 carpule or about 2 rubber stopper widths worth of anesthetic. No one feels the injection, I can drill right way with no pain and patients are beyond excited that their lips and tongue are not numb. I have yet to try it on the maxillary arch but for the mandibular arch it is a dream. The mandibular block has not really been a problem for me in the past. Usually I can get patients numb with one carpule of lidocaine if I am doing a block. The TNN technique intrigued me for two reasons. The first being patients may have a better experience and not dread the "shot" as much. And second that I can drill right away. The TNN way has been amazing. My patients love it and you truly can just drill. The second patient I used it on, the cavity ended up going really deep and I was getting anxious he might start to feel something but he never felt a thing. I just wanted to give you a shout out that this is technique is awesome and in my opinion you are the boss for coming up with it! Thanks for sharing. Thanks for your time. And I must say again that its pretty neat I can use so little anesthesia and still have the patients so numb. There is a part deep within me that still needs to accept this works. Every time I do it I find myself sweating for the patient that its going to hurt when I am drilling but they never do. Patients love the quicker treatment time and that they don't feel numb other than the tooth. It makes the day different too. I used to chat with the patient, numb them up and then go do my hygiene check and come back and start drilling. Now I chat, numb, drill and fill and then see the hygiene patient. Not to say that I am racing the hygienist but I do have a sense of pride when I am completely done and she's finishing up and I am waiting for her. I can see how this can change how my office schedules.

Update/Summary: I have been using the TNN technique consistently for 10 months in full-time practice. I use it every day. I start with it as primary anesthesia on every case on which I can possibly use it - this is different from when I only used intraosseous injection for patients who absolutely wouldn't get numb from IAN. I have fewer complaints of injection pain and post-injection soreness. My team promotes it, of their own volition. My patients talk about it with family and friends. I am able to do dentistry more efficiently and more comfortably, as a result of using TNN. There may be a modification of this technique, or another that comes along in the future to make it even less technique sensitive to do IO anesthesia. I'm not going to wait for another device that may be sold along with that; I am going to seize this opportunity to take extra good care of my patients, to be more efficient with my time and theirs, and to have something that makes my practice stand out from those who would wait around for their Schein or Patterson rep to tell them how to do dentistry. Past: I was first introduced to Dr. Greg Tuttle's anesthetic technique several years ago, when he brought it up in a brief conversation during a family event (Greg is my uncle). He is always eager to share and discuss the products, techniques, and advances that are currently working best for him (in fact, one of those discussions 21 years ago caused me to consider dentistry as a career path). At that family event, Greg told me in adequate detail how he approached this technique, and he encouraged me to try it out. I must admit, my first attempts at the technique were guarded, biased, and not very patient. First, I assumed that I was going to hurt my patient by sticking the needle directly in the attached gingiva, after only an application of topical. Therefore, I would generally infiltrate the area before trying. Secondly, I beaked the ends of my needles much too frequently because I would get impatient and apply too much pressure, trying to penetrate the bone. I thought it was just the force of the needle that pushed it into the space, so I did not get a good result from this approach. Thirdly, I don't feel like I retained all of the important parts of the technique in order to be confident that anesthetic was being delivered, and would be effective. I tried the technique, off and on, for about two years; I only used it 6-8 times over that period, and many of those were as a secondary technique to an ineffective IA block. Present: Dr. Greg Tuttle approached me again about trying the technique, because it had been extremely successful for him, and he was eager to find out if it was something that could be taught and reproduced by someone else. He gave me another tutorial, and I was attentive to the differences that I missed the first time. I got the proper equipment, briefed my team on the new technique, and dedicated an entire week to using the technique on any accepting patient that needed work on lower posterior teeth (I presumed that this area would be the most effective to know whether it was effective vs an IA). My team and I also recorded some patient testimonials, immediately after treatment during the first 2 days. Getting the feel of how much pressure to apply and how to know when a needle penetration is successful is the most challenging part of doing this. I would often be unsure of the bone penetration, but having delivered the proper amount of anesthetic under pressure, and being careful to watch that it wasn't just draining out somewhere else, I achieved profound anesthesia nearly every time with one injection. I was also apprehensive that the needle-stick directly in the gingiva after only applying topical would be extremely uncomfortable to the patient. I had it done on myself by Dr. Greg Tuttle, before I tried it on a patient. The pain and pressure were less than an infiltration or IA; my patients tell me that they like the technique for this reason as well as the limited spread of anesthesia, the more profound anesthetic effect, and that the numbness seems to wear off much more quickly. The most challenging part of the technique, as I continue to use it now, every working day, for almost a year, is to slow down and concentrate on following the steps properly and without excessive haste. I have to remember that the incredible amount of time I save by getting to work right away with profound anesthesia is worth a slightly longer injection time. I think that this method will only work consistently for the clinician who is willing to learn and practice the proper technique, and continue to renew the ability through case selection and focused study. The most valuable change that I made by learning the TNN technique is the paradigm shift that encourages me to use intraosseous infiltration as my primary mode of anesthesia, rather than blocks or traditional infiltrations. I believe this makes my injections more effective, safer, and more pleasant for the patient. It allows for much quicker onset, and the after-effects of anesthesia resolve much more quickly. Future: The most beneficial aspect of using this technique in practice, by far, has been the ability to immediately start treatment on lower molars, premolars, and canines with already-profound anesthesia. I have consistently beat my normally-scheduled treatment time for several fillings in a quadrant or crown preps by 30 min. I could now confidently shorten these appointments by 15-30 minutes and still stay on time, while still performing excellent dentistry. I still do not very often use the technique for upper teeth. I haven't had the confidence in my ability to perform the technique in the different positions and angles required vs the lower teeth. I also don't find much wait time when I anesthetize upper teeth to make a large difference for anesthesia onset. Therefore, I have stuck with doing infiltration for most upper tooth work. However, If I was to focus more on the benefit to the patient of a more concentrated numbness (tooth, gingiva, and bone rather than also cheek and face and eye), I would concentrate on using TNN for upper teeth more consistently. I see the benefit - I just have yet to make the modifications to my own technique. My patients rave about the benefits of TNN. They are much more comfortable during and after the procedures, and so far none have complained excessively about the gingival injection. The profundity of anesthesia has not always been perfect, but even on those cases where the patient could still feel something, he or she said it was slight, and I was able to deliver more anesthetic with the same technique. I believe that an IA or infiltration would have had the same incidence of sensitivity, because I had about the same percentage of patients need a "boost" of anesthesia after starting work on them. My patients are also excited about the fact that we are one of the few offices in the country, and perhaps the world, offering this sort of progressive anesthetic technique as a primary anesthesia method. With and without my prompting, they share this information with family and friends.

Update: still working well for me. Did crown prep #19 on nice pt earlier, stated could never get numb on tooth before, and needed to be gassed to get the tooth somewhat comfortable. Did the TNN, no complaints, discomfort. Pt happy and comfortable for first time on this tooth. Oh and do exactly as his protocol states, used 1:200k epi septo before, not nearly as effective as 1:100k epi Septo like I used this morning. No I'm not connected to him in any way, just satisfied with TNN.

just watched the training video (instant access---yeah).......i admit i tried it based on the posts on this thread....but the actual technique is different. Video well produced. I have a #18 on my schedule twice today. will give it a try and report (if the day doesn't get away from me)

I used it today on a crown prep on #19. Big 6'3 260 pound African American guy with a huge jaw. At first I didn't think I was going to get thru the bone but after a little bit it dropped right in. Numb instantly. Worked like a charm. Tooth #20 crown and buildup this morning. Used TNN. Started injection at 7:10 AM and finished with impression at 7:30AM. Such a game changer in terms of speed and efficiency. I know a lot of people say they can get by with infiltration with Septo on lower premolars but that hasn't always worked for me. When the needle drops into the bone on a case like this, I'm very confident that the tooth is going to be numb.

I'm really loving this. I keep telling my partners after each successful one. I actually just did fills on 29,30,and 31 on one of my hygienists and she was so amazed that she didn't have a numb tongue or lip. All of my hygienists want to learn how to do it now. Thanks again for sharing

What I can say now ? You have invented extraordinary method and for the first time solved the IA block problems. You deserve highest place on the Dental podium. One day your name will be included in the most famous dental handbooks (anesthesia according to Dr. Tuttle). It will be great to see that. I am sure. I owe you a lot dear Dr Tuttle.

Got this today. Got the package yesterday, I watched the video this morning and used it with a patient that needed a DO #19. AWESOME !!!!!! Honestly, I think you need to manufacture your own needles to capitalize on this technique. I've been in practice for 23 years and this is truly revolutionary in my opinion. I routinely give intraosseous on the maxilla because the spongy bone is easy to penetrate, but never had any luck on the mandible. I've tried all the anesthetic gadgets out there from syrajet to vibraject to ligajet. I can tell this is the most gentle, effective method for the mandible. Thank you!! If you need investors or help with R&D I'm in.

May 20, 2016 -- I just ordered the kit and should get it next week. I have reviewed the online material sent and it is very clear and concise and different than I would have guessed just by trying myself based on reading the thread. As far as support, I received 2 emails and a follow-up phone call w/in the first 24 hours and a quick response to 2 questions I emailed regarding particular cases and where to inject. If it works as well as advertised, this is definitely a game changer. Looking forward to next week.

May 26, 2016 -- So in summary. 18 and 29 were completely numb w/ a total of 3/4 carpule of septocaine. No numb lip or tongue. Pt. didn't appear to have much discomfort on injection. No waiting for anesthesia. Giving the anesthesia did take more pressure and more time than expected, but not nearly as much time as waiting/hoping on a IA nerve block. I don't know if I will use it for routine maxillary fillings as I find that septocaine infiltrated has a quick onset and minimal discomfort anyway, but if it can eliminate 90% of my mandibular blocks it is totally worth it to me.

Greg has been very quick with email responses. If it works as well as advertised it will be well worth the price. I've had fantastic success with buffering lido and blocks but do get the occasional trisums case. TNN will be a little more expensive (septo instead of lido and the needle is $14/box instead of 10/box) but if it eliminates complications and numb lib/tongue I'd be happy to pay a little more per injection. I tried it with small fills, then large fills, and then a crown. no problems so far. took a few attempts to penetrate bone with my first cases but its getting easier with practice. going distal to a 2nd molar is a bit of a challenge but I expect that to change with more practice.

Hi, just wanted to let you know how well the technique is working. I have used it over 100 times the last 4 weeks since the UDA convention, with a huge success. It is truly a total game changer in dentistry! I would like to order a few more of the white plastic needle benders. I actually leave it on during the entire procedure, as it makes it easier to bend the wire and to apply needed pressure when penetrating the bone. Please let me know how I can obtain a few more of the white plastic needle benders. Thanks for allowing the technique to be learned!

Videos are very good and very well produced. I can see why there is a very specific video instruction for this protocol. Just did a pretty deep occlusal on #17 with 1/3 of a carpule of septo.  This technique is the real deal. FTR, my BS meter typically runs very hot and I was skeptical at first.  It's crazy - fairly deep #17 occlusal (definite hole in the occlusal, not just a stick), I did the technique and immediately started drilling.

Have tried it about 5 times now- amazing! I didn't believe just four taps without pressure would get you through the bone- immediate anesthesia. Thank you!!

Worked like a dream on large #18MO on a patient who stated he always needs extra. Worked immediately with 1/3 carpule, thanks! I've had enough good results with TNN that I am a believer. I run into times when I have to revert back to IAN though or infiltration on uppers.

I'm another purchaser. The kit is well put together. I just tried it for the first time today. I did cheat a little. It was a crown prep (Cerec so longer appointment). I chose an easy tooth (20) to start. I infiltrated first and then used the technique. I was surprised how easy it was to penetrate the cortical plate. I started prepping right away without discomfort . . .but like I said I did infiltrate first because I knew I needed anesthesia in another hour to seat the crown.

I just graduated and am waiting on my license. I ordered TNN but won't get to use it until I have my license. I was in the neighborhood so I decided to go and watch Greg work in his office a morning last week. Here's what I observed: -for the lower (I only saw him work on posterior teeth) TNN was always the primary method of anesthesia -It did not work 100% on the first try. Sometimes, the needle would get stuck. He would replace the needle and go back in the same spot. There was one occasion he couldn't get in. He went to the opposite side of the tooth and then was able to penetrate bone and get the pt numb. He pointed out that a needle is $0.19 and a carpule of anesthetic is $1. For that reason, he'd rather use more needles than anesthetic. I thought that was a very valid point. He used WAY less anesthetic than any other dentist I've ever seen. -there was a pt that he used TNN but the pt was still feeling it. He gave local infiltration and it did the trick. -Every time he finished TNN, he immediately picked up the drill and began working. -He never gave an IAN block. -He is a lean guy, tries to keep things simple. -He is just a normal dentist, practicing several days per week (4 I think). It was a great experience and he was super nice. Showed me pictures of many implant cases he's done and gave me recommendations of materials/supplies to try.

As a very new user, 2 patients. It will be great once I get comfortable with this technique. First lady 18, 19, and 31, very small mouth and fat cheeks. Right side was easy, left side was awkward. Left side had to move locations, but did work. Also just cold tested immediately instead of drilling. I still blocked today because I was filling 17 and 21. 1 poke instead of 2. I am very happy with my purchase. I've spent more buying random instruments and cassettes just to hope to be more efficient. Even if this is strictly a back-up technique, which it won't be for me, it would be worth it for sure. Everyone has that one patient that is very very difficult to get numb. If you don't yet, you will. I'm already stabbing the sh* out of them doing infiltration with septo, pdl, 3 IAs. At that moment, I would pay $1000 for something that would work. If she gets numb 3 fillings and a happy day. No numb. No money. Feel like sh* dentist. Patient not that happy. Is it a lot of money to learn a shot. Yes. Wait, how much was dental school. No. How much is a CE course that I learned almost nothing. Tuttle did the leg work, and has a well thought out plan. If my buddy invented this and told me how to do this for free that would have been great, but nope pay the piper. Or don't, and always wonder.

I never post, but follow pretty closely. Just wanted to put in another comment in support of TNN. I have the wand, and was skeptical about TNN, but I'm a helpless early adopter so I couldn't resist buying the kit. It took me about 2 weeks to get proficient with it. Looking back now, I can recall some deviation from the protocol that led to failure just about every time. You really have to follow the steps to fine detail to make it reliable. I often tried to cheat or apply my opinion of how it might work better, but I've had great success with it since I stopped questioning the protocol. I use it multiple times a day and truly love it when it is the best technique for the project at hand. It is just plain satisfying and saves time and concern. I never dreaded IAN, but realize I'm just much more at ease when I go with this method.  I thought I might as well put one more solid review out here for something I really enjoy and use daily.

15 year old this morning. O filling on #19, B filling on #3. Infiltrated with 1/2 carpule 4% septocaine for #3, used TNN technique for #19. Actually used less anesthetic for #19 than I did #3. It was weird on a 15 year old, penetrated the bone on the first attempt. I bought the materials a few weeks ago and have been using it sporadically as I am getting more and more comfortable to it. It works wonders when you are in a time crunch and need to just sit, numb, and drill

I just wanted to drop you a line to let you know how my Friday went using your technique. #1: #30-Occlusal composite. Worked as described. Drilled immediately and restored. Patient felt almost nothing for the injection and nothing with the drill. #2: #31-12 y/o girl. #31 DOB amalgam. Injected mesial to #31. Same as above. #3: 36 y/o. Decay removal and RCT on #19 and 20-Both irreversible pulpitis. I wondered if my success was because the previous patients were young. I did block with prilocaine and lidocaine but did TNN between #19 and 20 immediately after giving the blocks. Cold tested right away. Both had no sensation. Felt nothing for the whole procedure. I saved 30 minutes today waiting for anesthesia. All 3 patients were much more comfortable. You need to tip back in an easy chair and realize you’re doing good things with this

TNN ROCKS. Been using it all day today. It's amazing. Thanks buddy.

There is a learning curve, but it is great to be able to start treatment right away and the patient can start their life right away following the procedure. This is a great addition to anesthesia skills and Tuttle should be acknowledged for discovering and promoting it.

TNN has had a learning curve as others have stated, but it really has changed the way I practice. I have had very high success (near 100%) when following the protocol. I can freeze most teeth with one TNN injection, but a few do require further injections which are outlined in the TNN material. Patients seem to prefer this to a lower block (which I still use on occasion). I love the versatility it gives me, If I'm running behind I may block to stall, if i have a short amount of time I use TNN and start immediately. I find I can squeeze in quick same day fillings and extractions with no stress. For lower molar extractions I usually block and then TNN right away, that way I can do the extraction immediately and the patient remains numb longer from the block. This is an interesting thing I have noticed. I used to use 3-4 chairs regularly and now I am doing the same amount or more dentistry, but rarely use the third chair(and can't remember the last time I used the fourth). We seem to be turning over rooms MUCH faster. Early on I had a few questions with wisdom teeth and Dr. Tuttle was very helpful. If you would benefit from being able to instantly freeze a tooth and if you routinely work on 1-2 teeth in an appt I think this is no doubt worth the cost to learn. I'm not sure this would be a game changer in a FMR office, but for my general practice, I use it EVERY single day.

I just wanted to share my love of this new technique. I ordered the product and it sat on my desk staring me in the face for a week or two. Finally figured out that I should just use it to supplement my normal block stuff until I got comfortable. Then I finally did away with the IA!! Very rarely do I give blocks now. I just did restorative in all 4 quads this morning. #2,15,18,30,31. I infiltrated on #2/15 and did TNN on #18/30/31. 2 punctures on the lower with 3/4 carp total! She felt nothing and at the end was totally blown away with how she had no lip numbness and the procedure was painless. I've read this whole thread and can't understand why the $500 is too expensive? This would have traditionally been a 2 visit apt in my practice as I don't like to do bilateral blocks. Just wanted to share my experience with it and PM me if you want more feedback. p.s. like all others that have replied, I don't get any kickbacks or have any financial ties to TNN, I'm just a really happy customer. I've reached out to Greg a few times with questions, and he is always super helpful.

I've tried this technique on a few patients with amazing success. You're right, you need to go thru the technique and use the right needle, angle, etc. Today I did 2 crown preps on teeth 30, 31 with the technique. I just called and check on her and she has no soreness at all! This is a contrast to the sometimes painful recovery from PDL injections with the ligajet. So far after 1 week, I think this is a total GAME CHANGER! Thank you, thank you, thank you. It's the best $500 I've ever spent on dental anything.

One big advantage of the TNN is “no drill”. The sound of the drill is unnerving to people especially if you are doing an X-tip or Stabident to correct a failed series of blocks…they KNOW they are not frozen when you work on the tooth and assume the area around the tooth is also not anesthetized….now this is usually a wrong perception….you can usually do a painless Stabident or X-tip into an area where a buccal injection has already been given….but to a nervous patient, you are drilling an area which is not…numb. And if you cannot perforate thru the buccal plate of bone fairly quickly…their apprehension increases. If I can get it to work, the TNN might be much easier in this regard. If the patient asks “what are you doing”?, it is easier to say “I am just adding more anesthetic to the area” and you can do it quietly and vibration-free with the TNN. Not so with X-tip and Stabident! Hardest part for me is to get the needle into the cancellous bone….and I have used X-tips and Stabidents before. The needle needs to be “finessed” into the bone and unlike the Stabident or X-tip, you do not always “feel” the drill drop in as it perforates the buccal plate. So that requires a bit of tactile feel and watching

The TNN technique does require the proper technique and feel. But once you get the feel for it, its one of the easiest techniques to administer besides a simple infiltrate. A lot of you, like me, may question spending $ to learn this technique. Based on what I've seen in my hands, I wish I would have paid money years ago. It's a total GAME CHANGER for me and will dramatically decrease the time and stress of working in Mandibular teeth.

I was at the ADA in Denver also and just happened by the booth. I was a little surprised because I knew Greg when I practiced in the Sacramento area 20 years ago and had no idea he had developed a product. Anyway, I checked out the technique after catching up a little with Greg and decided the $490 wouldn't break the bank. Just tried it on my first patient this morning. It worked great. #31 MO fairly deep on a 62 y.o. female. Put down the syringe picked up the handpiece (I don't have a drill for fillings ) and patient felt nothing. She commented after the procedure how the tooth feels numb, but her lip and tongue weren't. She came in for an early appointment because she had a lunch date with friends and didn't want to be numb for dining out. She was very pleased that she not only didn't feel the procedure or injection, but that she didn't have numbness anywhere else. Best of all I had very low stress because of it. It is easy to do and effective. Great product!

You have something of great value. I have given two lectures in the last six months and made mention of your technique in both. You have my support and encouragement. There is little doubt in my mind that the technique will stick and your name will live on. Keep after it!

Thanks Greg...I am so blessed to have incorporated TNN into my practice. It has allowed me to be soooo much more efficient. The timing was perfect as I took over all the patients in the practice myself as my business partner retired last August. I would never be able to do the amount of dentistry that I do with the old Inf Alv Block (numb and wait protocol). It has been a great "game changer" for me and my career. Bless you my brother !!!

Just finished reviewing videos and packet. I'm so mind-blown now! Thank you so much for this wonderful technique. I was a little worried I wouldn't be able to grasp the technique or that I would cause trauma to the patient or that the patient will be extra sore post op but everything was very clear, thorough and very straightforward. I will be trying this technique on my husband! My only regret is not purchasing sooner as I thought it would be quite extensive to be certified.

 

I started implementing your technique this week. Today I have used it exclusively and it has worked every time, including a crown prep on #18 I just finished in half the time because of TNN. I was very skeptical, but my hat is off to you.

I have been a dentist for 20 years and I can honestly tell you, that your technique is the best one out there. I have had my share of difficult-to-numb patients. Just now, I had the hardest ever in the chair. He relates he has had pain his whole life while getting dental work, that no one could ever get him numb. I learned your technique one month ago and was reluctant to try it. I decided to give it a whirl. This guy did not only get numb, on #31 for a crown, but he was so numb and so comfortable that he asked if I could do a #29 crown as well. I went ahead with both crowns. So the technique has been paid for already. I will use it constantly now. Again, many thanks!

Gotta give props to Dr Tuttle! Purchased the kit last week sometime end of the day. Next morning watched the video and did the injection. AWESOME!! It does exactly what he says it does. I started with #19 DO and was done in about 12 min INCLUDING ANESTHESIA! I have always hated the IA NOT because I miss the nerve, but because it's the most painful injection I give. Also having to wait for it to kick in leaves a large variable in time that I don't like. Patients hate the numb lip and tongue as well. This is a technique more than anything else. Been in practice 24 yrs and this is truly revolutionary in my opinion. I emailed Tuttle a letter after using it for the first time because I was so excited at how well it worked.  FOR ALL OF YOU ON THE FENCE, WHAT ARE YOU WAITING FOR??? ORDER THE KIT!!! To me it doesn't make sense why $490 is opposition enough to not order it. You will make that back in a couple days from time savings or by using a fraction of anesthetic that you normally would. You will learn to inject a lower molar with a lot less pain and a lot more predictability than an IA in a lot less time. HOW MUCH IS THAT WORTH?? Also patients will be much happier. I did a cerec #31 on a long time patient using the technique. Took me 45 min including anesthesia. After I was done, I told the patient I learned a new way to anesthetize a single tooth without having the lip and tongue numb. He was SO THANKFUL it didn't hurt that his lip and tongue weren't numb. Also, that I cared enough to keep learning ways to take better care of my patients. The ONLY downside I've encountered is length of anesthesia. Did 4 wisdoms in 30 min and patient started to feel pain before leaving, so I had to give traditional blocks. That's my 2 cents.

Whoever knocks Tuttle hasn't tried it, or hasn't practiced enough to use it right. It's awesome. Full disclosure: never met the guy, just paid for the video because I wasn't smart enough to attend the FREE lecture he did four months before (that several of my friends attended) at the state dental show. Lesson learned. Best $500 I ever spent... If you knew how awesome it was, you wouldn't see [what Tuttle is doing] as self-promotion. The guy is trying to get to as many people as possible. I'm on a Facebook group of classmates from D-school, the 5-6 of us on there that use TNN all agreed it was the best thing we added to our practice last year, easy. I'll back up the technique because it really is fantastic. I don't stress nearly as much as before, and I'm gonna brag that I am really good at IA blocks, but TNN is just so low stress and patients love it, I'll shamelessly promote it as well.

My struggles with lower molar anesthesia have been well documented here on this thread and others. The AGI injection has worked reasonably well, but not the profound and CONSISTENT anesthesia that I want on a daily basis. Out of frustration and desperation, I took the plunge and ordered the Tuttle Numb Now kit. Quite simply, it works exactly as advertised !! It is very evident that Greg has spent considerable time and money perfecting this technique. I began using it last week and it has worked every time even on my nemesis, the lower 2nd molar. Instant, profound anesthesia and you can go to work immediately. Greg has been very helpful answering all of my questions and really is a nice guy. The videos and step by step instructions are excellent. Along with my loupes and headlamp, this is some of the best money I have ever spent on my career. Wish I had learned this decades ago! Had one of the most productive days in my 22 year career today. Now, this was not all due to my new anesthesia technique. Half of the production was already treatment planned. But, 2 Rct/Bu/crowns were worked in to an already busy schedule due to my confidence in being able to get them completed without wrecking the schedule due to anesthesia problems. Can't tell you how powerful this is. Did a MOL composite on tooth #18 on one of my assistants today using TNN. Completely numb instantly. She said it was the most pain-free injection she had ever had. Said she could only slightly feel the anesthetic flowing in but that it was completely painless. I usually hate doing work on my employees, but knew it would be a great way to get true and honest feedback on the technique. Yes, the needle makes a big difference. But, so does the technique of how to use it. I never could get it to work very well with a regular needle and trying to figure it out on my own. I sincerely hope that my unbridled enthusiasm for the TNN technique is not seen as a sales technique. It has simply been a career changing event for me. Much like the day I received my Lumadent headlamp. I used it for a morning and then went into my private office, closed the door and cried. I realized at that moment that the decades of frustration and guilt over never being able to do dentistry that was "good enough" (in my eyes) was simply due to never being able to truly see what I was doing. I still get emotional about it today. I could never practice without my loupes, headlamp and now....TNN.

Oh the irony: I was going to start working on tooth #18 for a crown prep on a guy that I've had a lot of trouble with blocks in the past. So I did the TNN in the distal and mesial papillas... I really didn't think it was going to work (just because of past experiences with him). I started drilling, he didn't feel a thing and the Leonard Cohen song Hallelujah immediately started playing on my internet radio station... not kidding!!!!

Hi Greg,  just a short note of thanks for getting me onboard with TNN.  Here is an example of what this technique can do. I saw a new pt. last week. Well actually he was a returning patient (I had seen him years ago at my previous location).  He had recently seen another local dentist and had a crown done on one of his lower molars.  He said it was a miserable, unbearable experience and continued to give a history of never being able to get numb for dental work. He knew he needed another crown but was petrified.  He asked if there was anything available to "knock him out" so he didn't feel pain.  I boldly told him we could provide an absolute pain free experience. I was ready to put TNN on the block!  He came in yesterday for the crown on #31.  He took an anxiolysis dose of .5mg triazolam one hour before the appointment.  We were going to do the same day milled E max crown.  I gave him a block and buccal anesthesia. I then gave him the TNN injection, picked up the hand piece and started the prep!  He felt nothing and rested comfortably for the rest of the appointment. The block eventually kicked in after more than an hour  When he left he couldn't sing our praises enough and was going to tell everyone he knew about this experience.  That my friend is priceless advertising. Thanks again. You've done a great thing.

That was enough for me....No brainer purchase, can't wait to try the technique out...Can't find a lower tooth in my schedule today! Anyway, thanks to Dr. Tuttle for being like Scott Perkins in that they both want us guys in the trenches to be better practitioners, quick, efficient, predictable, and profitable! Thanks again!

anyhow, i just tried this on my assistant cause she was like give it a try. holy crap after the 4th bump or so it just went in. it's an odd feeling to have the needle go thru the bone. she said it got numb fast and just felt pressure and not pain. i'm gonna try this next week. it's weird just to do 1/4 carpule also.

First day and I'm already hooked. I practice in a rural community and took over for a doctor that I've heard gave such painful injections that everyone that comes in doesn't want to get numb. First patient with huge, deep fractured amalgam on 30 told me the shots usually hurt, get his lip and tongue numb all day but he can still feel the tooth. I asked him if I could try something for new... He was dead numb before he even knew what I was doing (he thought I was still putting topical on). 45 minute build up and crown appointment with tissue cutting bur and didn't flinch once. Did it 3 other times with similar results. Truly remarkable.. Thank you!!!

I used your technique for the first time today, and I am a believer! 5 operatives and a crown on lower molars on 5 different patients. I was able to start working immediately. One teenage girl is notoriously difficult to numb, and I was able to complete 2 deep composites with less than one carpule. I despise giving blocks and waiting for them to work (or not) is the worst part about dentistry for me. This is a game changer! I was very skeptical before trying the technique, but I have not been this excited about dentistry in a long time. Thanks for sharing this technique.