I perform inferior alveolar blocks on half of my restorative patients. I also teach the procedure to dental students. It is rare for the needle to break. The needle usually breaks at the hub. If the needle breaks and the fragment is protruding from the tissue, it should quickly be grasped and removed with a curved hemostat. If the needle was inserted up to the hub and no portion of the broken needle is visible above the surface of the tissues, no attempt should be made by the operator to retrieve it. Any attempts may drive the needle deeper. Surgical removal under general anesthesia is recommended. To locate the fragment, imaging modalities such as multi-plane X-rays or fluoroscopy with two reference needles in place or three-dimensional CT scanning are typically necessary.