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Local Anesthetic Complications in the Dental Office - 213

Presenter: Robert C. Bosack, DDS
  • DDS, Loyola University,1979
  • OMFS Residency, Cook County Hospital, 1982
  • Board Certification: ABOMS, National Dental Board of Anesthesiology
  • Private Practice, Clinical Assistant Professor, University of Illinois
  • Chair, General Anesthesia Review Courses, ADSA 2004 – 2009
  • Disclosure: Dr. Bosack reports no conflicts of interest.

Course Description

Local anesthesia is a mainstay in the pain management arsenal in dental offices. Like all other medications, local anesthesia can also result in serious complications, whether they be due to drug toxicity, nerve and vascular injury, unintended nerve involvement or any attendant medical emergency, which may include syncope, psychogenic reactions or myocardial challenge, among others. This clinically relevant presentation will examine all possible complications associated with the use of local anesthetics, including inability to anesthetize.

Course Objectives

  • Describe the pharmacology, maximal doses, advantages and disadvantages of the various local anesthetics used in office practice
  • Manage the patient who claims local anesthetic allergy
  • Discuss inability to anesthetize, especially as it relates to the mandibular block and infection
  • Explain the pharmacology of vasoconstrictors

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