Re: Numb after wisdom teeth removal



And I've shared my anecdote also.  I've had two cases of temporary
parasthesia with less than 100 IANB's using 4% Citanest Forte.

None with any other anesthetic in 26 years of practice, but I've also never used Articaine (4% solution).

Most experts agree that there is an increased risk of parasthesia
with 4% anesthetic solutions for IANB's.  Whether that added risk
is significant in clinical practice remains as a topic for debate.

Many dentists have not taken any hands on training with local anesthetics since graduation from dental school. They choose
anesthetics and techniques that a friend, some speaker, or article
touts as 'better' in order to solve their problems getting patients
numb.

They might be amazed at what would happen if they spent a day listening
to a real expert in local anesthesia and then practiced those techniques
on each other under this person's supervision.

Poke & hope/grab & jab anesthesia attempts would lessen dramatically.
Their patients could experience less pain during injections and have more effective results.

Like the Pink Floyd song lyrics....comfortably numb (great for your
reputation as a dentist).

:-)
Fawks

PS:  None of this is directed at Dr. M. or any other smd poster.



Dr Steve wrote:

The only times a parasthesia occurred in my office after IANB, I was using Mepivicaine.


.