Local anesthesia forms the backbone of pain control techniques in contemporary dental practice. The subject of pain control in dentistry has undergone a recent renewal of interest, a renaissance. In this course, Dr. Malamed 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 in the human body. 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 effort to improve success in this area. 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 potential to both increase the rate of onset of anesthesia as well as increasing its depth. These techniques will be reviewed in this program.
Dr. Malamed is a dentist anesthesiologist and emeritus professor of dentistry at the Herman Ostrow School of Dentistry, located in Los Angeles, California, USA. In 1973, Professor Malamed joined the faculty of the University of Southern California School of Dentistry (now the Herman Ostrow School of Dentistry of USC). Dr. Malamed retired from the university in 2013.
Dr. Malamed has authored more than 180 scientific papers and 17 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation, and general anesthesia.
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