Presenter: Stanley Malamed, DDS
Format: Audio - MP3 File Download $25
The subject of pain control in dentistry has undergone a recent renewal of interest, a renaissance. In this course, the instructor will present an in-depth discussion of the problem in achieving mandibular anesthesia. The traditional "mandibular nerve block" has one of the lowest success rates of major nerve blocks administered. Is it necessary for the doctor or hygienist to still administer this technique? Newer techniques, such as the Gow-Gates mandibular nerve block, Akinosi-Vazirani closed-mouth mandibular nerve block, intraosseous anesthesia, periodontal ligament injection (PDL), and intraseptal techniques have been developed in an attempt to improve success in the mandible. The local anesthetic articaine HCl has been demonstrated to have significant success when administered by mandibular infiltration in adults, while more recently the ability to buffer local anesthetic solutions has demonstrated the potential to both increase the rate of onset of anesthesia and increase its depth. These techniques will be reviewed in this course. Is the mandibular block dead? Come and hear for yourself!