As far as palatal injections, the PAD, Palatal Anesthesia Device (PAT) is your answer for painless palatal injections. It was selected as a Pearl for Your Practice by Dr. Joe Blaes in Dental Economics, and it is endorsed by Dr. Joe Blaes in his book, Pearls for Your Practice. The instrument is double- ended for right and left anterior palatine foramina and is constructed of surgical grade stainless steel. The ends are “C” shaped and are firmly pressed onto the palatal tissue at the anterior palatal foramen until the tissue blanches. The syringe needle is then gently inserted into the palatal tissue through the center of the “C”. The instrument is withdrawn and a small amount of warmed anesthetic is administered. It is recommended a warmed anesthetic without vasoconstrictor be used for the initial injection since it will not burn like one containing a vasoconstrictor. Finger pressure is applied to massage the anesthetic into the tissue, wait 30 seconds and then inject an anesthetic with the vasoconstrictor to complete the nerve block. You, Doctor, have now just given your most comfortable palatal injection with your PAD, Palatal Anesthesia Device (PAT). Your patient will never be afraid of palatal injections again!