Local Anesthesia PDF
Preview Local Anesthesia
DISCLOSURE Mel Hawkins Scientific Advisor/Consultant for dentist enquiries for two (2) competing local anesthetic manufacturing companies in the U.S.A.: Septodont Inc., Lancaster, PA and Carestream Dental, Rochester, NY. No shares, stocks or ownership. No marketing or sales involvement. Not employed by either. Reimbursed quarterly. THE NORTH DAKOTA DENTAL ASSOCIATION Fargo, ND September 16th, 2017 LOCAL ANESTHESIA: 30+ Years of “Hits, Misses and Near Misses” THE NORTH DAKOTA DENTAL ASSOCIATION Fargo, ND September 16th, 2017 Mel Hawkins, DDS, BScD AN Dentist / Dentist Anesthesiologist Toronto, ON Canada www.sedationdentistry.us [email protected] First day... First patient... First missed block... NOT the last... AGENDA 1 2 3 Articaine, Mandibular Blocks What can go wrong? Mandibular Paresthesia, Infiltrations Pregnancy What To Do Maxillary About It “Rapid Fire” Inhalation PART ANATOMY, BLOCKS, ROAD BLOCKS AND MORE BLOCKS, MANDIBULAR INFILTRATIONS THE ELUSIVE McDibular BLOCK …millions and millions served . . . Trivia: The dental local anesthesia industry combined now serves up 330 million cartridges every year in North America A=86% B=7% C=7% Hawkins JM, Local Anesthetic Stat Compilation Relationship of: Conventional, inferior alveolar Akinosi, closed mouth Gow-Gates, “condylar neck” Hybrid, “mix and match” blocks Reasons for Failure Anatomical Variations: • Hard tissue anatomy • Connective tissue and Neurovascular anatomy
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