The aim of the present study was to evaluate intraligamentary anesthesia as it is used in general dental practice. Material and methods: The study included 220 dental practitioners throughout Bulgaria who were interviewed anonymously using a direct group questionnaire survey. We analysed problems primarily related to the application, analgesic effect and complications of the anesthesia. The results of the study have shown that 75.91% of Bulgarian dental practitioners use intraligamentary anesthesia in almost all types of dental treatment. Complications were found to occur in 27.54%. The anesthesia was sufficiently effective only in 32.94%. Conclusion: Intraligamentary anesthesia is used frequently by Bulgarian dentists. The effect of this type of anesthesia is not always sufficient to induce effective analgesia and very often additional anesthetic procedures are necessary.