In spite of gingival recession and mobility I or II, there is minimal gingival inflammation of the tooth #8 post osseous surgery and bone graft.  Xylocaine 34 mg with 1:100,000 Epinephrine is injected intraligamentally after infiltration in the labial vestibule.  There is minimal hemorrhage post extraction with a piece of gauze saturated with the anesthetic (Fig.1); note the blanched gingiva (B).

Intraligamental Injection

Xin Wei, DDS, PhD, MS 1st edition 05/26/2017, last revision 02/21/2018