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Kaufman et al. (2) in a survey of 93 general practitioners found that 90% of prac-titioners have had some anaesthetic difficulties during restorative work. Anaesthetic failure occurs in 13% of injections overall, with the greatest number of failures (88%) occurring with the inferior alveolar nerve block (IANB).Interestingly, as pointed out by Kaufman et al. (2), the rate of failure for individual dentists ranges from 0% to 48.6%.aufman et al. (2) in a survey of 93 general practitioners found that 90% of prac-titioners have had some anaesthetic difficulties during restorative work. Anaesthetic failure occurs in 13% of injections overall, with the greatest number of failures (88%) occurring with the inferior alveolar nerve block (IANB).