SYNOPSIS
This lecture is designed for dentists and hygienists who wish to expand their understanding of the pharmacological mechanisms and delivery techniques of local anaesthesia and to solve some of the difficulties that arise in obtaining profound anaesthesia of the oral cavity. How do local anaesthetic agents work, and why don’t they always work?
Some recent developments and innovations in dental local anaesthesia are also presented, including buffering systems, intranasal sprays, acupuncture, iontophoresis, light-reactive anaesthetics, and anaesthetic reversal agents. Finally, there will be an in-depth discussion of the advantages and disadvantages of conventional and alternative techniques for mandibular anaesthesia, including infiltrations and mandible nerve blocks such as the inferior alveolar nerve block, lingual nerve block, long buccal nerve block, mylohyoid regional nerve block, mental (& incisive) nerve block, and the Gow-Gates mandibular division nerve block.
LEARNING OBJECTIVES
• Understand the pharmacology of local anaesthetic agents, including their advantages, disadvantages, and safety profiles.
• Understand the advantages and disadvantages of conventional and alternative mandibular anaesthesia techniques, including various regional mandible nerve blocks and the Gow-Gates mandibular division nerve block.
• Become better able to assess and manage complications that may occur in the delivery of local anaesthesia, and how to avoid them when possible.
MS, DDS, MBA
University of the Pacific, San Francisco, California
Alan Budenz, MS, DDS, MBA is a Professor in the Department of Biomedical Sciences and is Vice-Chair of the Department of Diagnostic Sciences at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California. ...
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