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Local Anesthesia: 95 Years of Hits, Misses and Near Misses
Educational Objectives
After completing this webinar, participants will be able to:
- Understand the anatomy and histology of the pterygomandibular triangle
- Make an intelligent choice of LA product to use, and when
- Apply technique selection with predictability
- Choose between block, infiltration or both
- Assess the value of some "tips and tricks" and newer technique variations
Abstract
Technique, pharmacology, operator and patient all interact to determine the predictability of success or failure of local anesthesia (LA) intra and extra orally, especially in the mandible. This includes understanding of the pertinent anatomy and histology of the pterygomandibular triangle.
There have been noticeable trends in popularity of “how-to” technique approaches and where and which LA’s may be more effectively administered in any particular circumstance. Mandibular anesthesia is trending towards increased reliance on infiltration using articaine for mandibular molars, single tooth anesthesia (STA) and application of the anterior, middle superior alveolar (AMSA) regional block in the maxilla which uses an almost sensation free palatal injection approach while adding the benefit of leaving the muscles of facial expression and external skin areas un-anesthetized (think cosmetic dimensions and smile distortion affecting esthetics of prosthetic dentistry). What about the 27 ga. 1” short needle utilization for inferior alveolar nerve (IAN) blocks? Where are we with administration of articaine for IAN and lingual n. blocks? Are there any tips and tricks that 95 years of clinical experience can share? If a block is needed, we’ll look at the Gow-Gates block made easy.
Increasing confidence in anesthetic technique is the goal. Do you dread the anxious, stressed out relative or alleged friend who insists on booking at 4:30 PM on a Thursday or Friday afternoon?
Take this course which attempts to separate facts from fiction related to technique, influential in success or failure of LA performance.
Additional Information
Author Bio
Mel Hawkins, DDS, BSCD AN, FADSA, DADBA
Mel Hawkins graduated from the University of Toronto, Faculty of Dentistry, with his DDS degree in 1973 and returned for his formal training in dental anesthesiology at the same university from 1975-1976. He is the founding director of the intravenous sedation, continuing education program at the University of Alberta, Faculty of Medicine and Dentistry, and was the founding director of the intravenous sedation program at the University of Toronto, Faculty of Dentistry. He has over 30 years of private practice experience in Toronto, Canada, with special emphasis on pain control and patient management and various local anesthesia requirements for the dental patient. In addition to lecturing throughout the U.S. and Europe for over 20 years, Dr. Hawkins is board certified as a diplomate of the American Dental Board of Anesthesiologists and is a fellow of the American Dental Society of Anesthesiology. Dr. Hawkins holds fellowships with the International College of Dentists and with the Pierre Fouchard International Academy. He has served on the continuing education committee for the American Dental Society of Anesthesiology. Additionally, Dr. Hawkins is internationally recognized as an author, lecturer, and clinician on topics concerning sedation and pain-free management of the dental patient.
Kathy B. Bassett, BSDH, RDH, MEd
Kathy B. Bassett has dedicated over 40 years to a variety of general and specialty dental environments, including over 30 years as professor of dental hygiene at Pierce College, Lakewood, WA, and 10 years as affiliate professor of oral health sciences, School of Dentistry, University of Washington, Seattle, WA. Kathy shares unique insights for successful local anesthesia to benefit both patients and clinicians, gleaned from a diverse background in dentistry, dental hygiene, and dental education. She is a co-author of Local Anesthesia for Dental Professionals and has co-authored numerous textbook chapters including in Clinical Practice of Dental Hygiene by Esther Wilkins, and Mosby’s Dental Hygiene: Concepts, Cases, and Competencies. She has also co-authored articles in Dimensions of Dental Hygiene, Decisions in Dentistry, and Dental Advisor. Kathy has presented hundreds of CE courses locally, nationally, and internationally on local anesthesia, restorative expanded functions, and patient assessment for myofunctional and sleep-related breathing disorders. As a lifelong learner, Kathy holds advanced training certificates in orofacial myofunctional therapy, dental sleep medicine for dental hygienists, and the Buteyko breathing method. Kathy’s work has been recognized by the Washington Association of Vocational Administrators –Outstanding Educator Award, the WDHA Educator of the Year Award, and the WDHA Martha Fales Award for contributions to the dental hygiene profession.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of Septodont. Mel Hawkins, DDS, BSCD AN, FADSA, DADBA and Kathy B. Bassett, BSDH, RDH, MEd are consultant and/or speaker for the following companies and/or organizations: Dental Learning, Septodont. Mel Hawkins, DDS, BSCD AN, FADSA, DADBA and Kathy B. Bassett, BSDH, RDH, MEd may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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