Re: Articaine


Have used 6 - 8 for full mouth anesthesia <4quads SC&RP>
but if more anesthesia is required switch to Mepivi 3% plain <lingual block>
Sometimes may use lido 2% 1/50k for supplementary IANB.

No cases of paresthesia yet <knock on wood>.

On Tue, 27 Nov 2007 21:07:01 -0600, Steven Fawks <tuthjockey@xxxxxxxxxxxxxx> wrote:


BTW, I do have some Septocaine and Zorcaine in the office. I have not
personally found any great shakes from the stuff, but I'm going to
continue to use it here and there.

I mainly got it when I had trouble getting Citanest Forte. I use it
mainly for infiltrations. I have seen nothing better than with the
Citanest (just a higher bill <G>).

Steve


4% anesthetics do have a higher rate of paresthesia when used for
lower blocks.

It is not an extreme difference, but it is pretty well documented.
You just have to evaluate if you percieve enough of a benefit from
using Articaine to outweigh the increased risks.

There are two local anesthesia experts on another dental list. One
says he would not recommend 4% anesthetic solution for blocks. The
other one says it's OK. One study had Articaine about 4X more likely
to result in paresthesia, but since the incidence is so low with
regular anesthetics, that 4X still does not translate into large
numbers.

I had two cases of paresthesia with 4% Citanest Forte (prilocaine)
in less than 100 IANBs. None with any other anesthetic, but I very
rarely use Articaine for blocks (and don't use Citanest Forte in
that use either!).

IME, Stabident or X-tips are great for anesthesia problems, but I
wouldn't be against using Articaine since this risk is not that great
and the paresthesias are almost always temporary.

D



Thanks, Steve!

Steve




.

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