Florida Dental Convention

FDC2021 Session Directory

Wait, I Still Feel That! Problem-solving the Delivery of Local Anesthesia

Course Code: C57
Speaker: Dr. Alan Budenz, DDS, MBA, MS
CE Hours: 3.00
Start: Saturday, June 26, 2021, 2:00 PM
End: Saturday, June 26, 2021, 5:00 PM
Audience: Dentists, Hygienists, Dental Student


This lecture is designed for dentists and dental hygienists who wish to expand their understanding of the delivery techniques of local anesthesia and solve some of the difficulties that arise in obtaining profound anesthesia in the oral cavity. Updates on local anesthetic pharmacology and review of the anatomical landmarks essential to effective and safe delivery of local anesthesia forms the foundation for this lecture. A wide range of both maxillary and mandibular techniques will be emphasized, including discussion of mandibular infiltration injections, the Gow-Gates and Akinosi mandibular division nerve block techniques, and techniques for recognizing and anesthetizing accessory nerve pathways will be presented. Use of anesthesia delivery assistance devices also will be reviewed. The controversy surrounding the use of 4% anesthetic agents (articaine and prilocaine) for mandibular block anesthesia injections will be addressed, and management of possible complications and injuries related to the delivery of oral local anesthesia, such as hematoma, paresthesia, and trismus, also will be discussed.

Learning objectives:

Participants will be able to:

  • describe the anatomy and landmarks commonly used for a variety of local anesthesia block and infiltration injections of the mandible and maxilla.
  • compare the advantages and disadvantages of each of the possible techniques that could be used in any given situation.
  • contrast the appropriate uses of mandibular and maxillary quadrant anesthesia techniques.
  • understand a rational protocol for troubleshooting and solving difficulties in achieving profound local anesthesia.
  • discuss the best secondary injection techniques and agents to anesthetize infected teeth.
  • describe methods to decrease the risk of injection-related complications, such as hematoma or paresthesia.

Speaker: Dr. Alan Budenz, DDS, MBA, MS

About the speaker: Dental degree, University of California San Francisco School of Dentistry; professor and vice chair, department of diagnostic sciences, University of the Pacific Arthur A. Dugoni School of Dentistry.

Disclosure: Neither I nor members of my immediate family have any financial relationships with commercial entities that may be relevant to this presentation.

(c) 2022, Florida Dental Association