Anesthetic Efficacy of Combination of 4% Prilocaine/2% Lidocaine with Epinephrine for the interior alveolar nerve BlockL
CE Hours: 1.0 CE hour
Description: Prilocaine plain has a high pH and concentration (4%), which could decrease the pain of injection and increase success. The purpose of this study was to compare pain associated with anesthetic solution deposition and the degree of pulpal anesthesia obtained with the combination of prilocaine and lidocaine versus a lidocaine and lidocaine combination when used for inferior alveolar nerve blocks (IANBs).
At the conclusion, participants should be able to:
- Evaluate if the combination 4%prilocaine/2% lidocaine with epinephrine resulted in an increase in anesthetic success of the inferior alveolar nerve block when compared to two cartridges of 2% lidocaine with epinephrine
- Describe if 4% prilocaine resulted in less anesthetic solution deposition pain.
- Discuss the side-effects when prilocaine is used clinically.
Key:
Complete
Next
Failed
Available
Locked
Oliva Cook, DMD, MS
Dr. Olivia Cook is a born native of Jackson, MS. After graduating high school, she continued her undergraduate studies at Ole Miss. Dr. Cook then completed her dental school training at The University of Mississippi in Jackson and her endodontic specialty training at The Ohio State University in Columbus, Ohio. During her post-doctoral training, Dr. Cook was extensively trained in local anesthesia and pain management with an emphasis on emergency patients. Dr. Cook then moved back to Madison, MS upon completion of her residency program.
Dr. Cook is a member of the American Dental Association, the Mississippi Dental Association, and the American Association of Endodontist. In her free time, she enjoys being an active participant in her church and spending time with her husband and daughter.
John Nusstein, DDS, MS
Dr. John Nusstein is a tenured Professor and the Chair of the Division of Endodontics at The Ohio State University College of Dentistry in Columbus, Ohio.
Melissa Drum, DDS, MS
Dr. Drum received her DDS from the University of Minnesota and her endodontic certificate/master's degree from The Ohio State University. She teaches at the dental student and resident levels and is the Advanced Endodontic Program Director and past Predoctoral Endodontic/Emergency Clinic Director. Dr. Drum is active in service at the college, state and national levels and is a full tenured professor. She has published more than 80 articles, multiple book chapters, and coauthored a book. Dr. Drum became a Diplomate of the ABE in 2008 and is currently a Director and President of the ABE. She was named holder of the Al Reader Endowed Professorship in 2013. Dr. Drum received the AAE Edward M. Ostetek Award in 2014 as well as numerous local teaching and research awards over the years. Dr. Drum hates writing and reading bios and is much more fun than this paragraph describes.
Sara Fowler, DMD, MS
Dr. Sara Fowler received her DMD from the University of Nevada Las Vegas School of Dental Medicine, a graduate of the school’s inaugural class. A native of Columbus, Ohio, Dr. Fowler returned to complete post-graduate training at The Ohio State University College of Dentistry, first with a General Practice Residency, followed by Endodontic Fellowship, and Advanced Endodontic Residency. After working in private practice, Dr. Fowler returned to teach at Ohio State and is now an Associate Professor with tenure in the Division of Endodontics. She is the director of Predoctoral Endodontics and the Emergency Dental Care Clinic, maintains private practice in the Ohio State Dental Faculty Practice, and actively participates in teaching and research with the Advanced Endodontic Residency Program.
Disclosure:
In accordance with this policy, I declare that I have NO past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith.
Al Reader, DDS, MS
Dr. Al Reader is a Professor in the Division of Endodontics and is a previous program director of Advanced Endodontics at the The Ohio State University.
John Draper, MS, PhD
Dr. John Draper has a PhD and MS in statistics from Ohio State and is a senior lecturer in the Department of Management Sciences. He provided the statistical support for this research project.
