Course Description
Over the past century, local anesthetics and their delivery systems have evolved and improved significantly. Despite these advances however, our ability to anesthetize our patients is not 100%. In fact, in the mandible, the failure rate for the standard inferior alveolar nerve block is said to be around 20%. Periodontal and periapical infections can also minimize the success of profound anesthesia. These situations can create painful dental visits for our patients creating anxiety for not only them but for the operator as well. Missed appointments due to this patient anxiety or re-booked sessions due to incomplete anesthesia can be costly for the dentist not to mention highly traumatic for our patients.
This seminar will explore the reasons and remedies for incomplete local anesthesia. A discussion of the anatomical and pharmacological reasons for failed anesthesia will be discussed. Techniques beyond the standard inferior alveolar nerve block and standard needle and syringe will also be evaluated and taught. Many new devices bring with them some interesting advantages over the standard delivery methods that were taught in dental school.
As well, a detailed discussion regarding the safety of local anesthetics will be explored. Drug interactions and medical emergencies related to both local anesthetics and vasoconstrictors will be presented. Local anesthetic toxicity and maximum dosages for both vasoconstrictors and local anesthetics will be explored for both healthy and medically compromised individuals.
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- The anatomy and pharmacology of incomplete anesthesia.
- Specific information about the properties of articaine
- How to give less painful injections – even in the palate.
- A review of the inferior alveolar nerve, Gow-Gates and Akinosi nerve blocks
- Intraosseous, periodontal ligament injections and computer-controlled injections
- Understanding local anesthetic and vasoconstrictor drug interactions and allergies.
- How to use a local anesthetic reversal agent.
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Please arrive within 30 minutes before the course start time to sign in.
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Cancellations made more than 10 calendar days before the course start date will receive a full refund. No refunds will be issued for cancellations made within 10 calendar days of the course start date.
Refunds will not be issued for registrants who do not attend, regardless of reason for absence.
Registrations cannot be transferred to another individual.
To cancel your registration, please follow the link and instructions provided in the registration confirmation email. If you are eligible for a refund, the refund will be processed automatically upon cancellation. Please allow 3-5 business days for the transaction to be completed.
Continuing Dental Education (University of Toronto) reserves the right to cancel courses due to insufficient registrations, instructor cancellation, or unforeseen circumstances beyond our control. In the event of course cancellation, a full refund will be issued, and registrants will be notified promptly. We are not liable for any associated losses, damages, or expenses, including travel and accommodations.
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After completing this course, a certificate of completion that indicates the number of Continuing Education (CE) points earned will be sent to you within 7-10 days by email.
Speaker
David graduated from the University of Western Ontario Dentistry in 1991. Since that time, he has practiced at the same clinic which focuses on treating people who have challenges visiting the dentist. Sleep For Dentistry is the current name of the office. Some examples of his patients include those with dental anxiety, strong gag reflexes and those who are hard to get numb.
David has given over 400 presentations around the world on topics related to the management of medical emergencies in healthcare settings and local anesthesia for dentistry. He has lectured for many university continuing education programs, dental societies and conventions.
He is the author of numerous articles, has peer-reviewed papers for dental journals and as well has acted as a consultant and Key Opinion Leader for dental and pharmaceutical companies.