Local Anesthesia Tips

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Local Anesthesia Tips

Here are tips on when to use each type of local anesthesia!

🔴2% Lidocaine with 1:100,000 epi

Most commonly used anesthesia for intraoral injections, good efficacy. Good for maxillary infiltration, nerve blocks, PDL, etc. Safe for use in pregnancy.

🟡4% Articaine with 1:100,000 epi

Great ability to diffuse which makes it more optimal for mandibular infiltrations. Can be used for IANB although some research suggests the potential for increased risk of paresthesia.

⚪️3% Mepivacaine Plain

Good for injection around an abscess due to its higher pH. Best anesthesia for patients with heart conditions where limited epi is recommended.

🔵0.5% Bupivacaine w/ 1:200,000 epi

Great for use before or after extractions & other surgery to help with post op pain management due to its long duration.

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