Current Concepts in Dentistry Day 2

Part of: Current Concepts in Dentistry

Course description

The Renaissance of Local Anesthesia

Sunday, Nov. 8, 2020
Presented by Stanley F. Malamed, DDS

Local anesthesia forms the backbone of pain control techniques in contemporary dental practice. The subject of pain control in dentistry has recently undergone a renewal of interest, a renaissance of sorts. In this course, Dr. Malamed will present an in-depth look at many aspects of this important area of daily dental practice. In the first part of this course, we will look at research in the development of new drugs, both local anesthetics, such as articaine, as well as drugs to reverse soft tissue anesthesia –phentolamine mesylate, and buffered local anesthetics – producing a more rapid onset, more comfortable injection and more profound anesthesia. The recently FDA approved local anesthetic nasal mist, providing pulpal anesthesia to maxillary non-molar teeth, will be introduced followed by a discussion of these and other areas of current research into improving pain control.

The second part of this course will discuss the problem of providing clinically adequate anesthesia in the mandible: following review of the traditional inferior alveolar nerve block (NB), alternative approaches to effective mandibular anesthesia will be reviewed, including the Gow-Gates mandibular NB, PDL, Intraosseous anesthesia, the use of articaine by mandibular infiltration, and buffered lidocaine. The question to be answered is: “Is the Mandibular Block Passé?”

Learning objectives

  • Compare clinical characteristics of current local anesthetic formulations
  • Describe the mechanism of action of phentolamine mesylate – the local anesthesia reversal agent
  • Describe the mechanism of action of buffering local anesthetics
  • Discuss the mechanism of action and efficacy of the intranasal local anesthetic
  • Name four alternative techniques to the traditional inferior alveolar NB for mandibular anesthesia

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