vasoconstrictors in US

Sure,

Carbocaine WITHOUT epinephrine will do the trick nicely. Apicoectomy
means the tooth is already devital so profound anesthesia is not a
problem.

Besides a nerve block I would consider local infiltration and it will
do the trick nicely!

Joel

--
Joel M. Eichen, .
Philadelphia PA
STANDARD DISCLAIMER applies:
<You fill it in>

Hemorrhage control during apico is an important consideration.

WB

Good point!

Why???

I like blood actually ... it promotes healing (in healthy
individuals).

Beware of non-bleeding extractions ----> dry sockets!

--
Joel M. Eichen, .
Philadelphia PA
STANDARD DISCLAIMER applies:
<You fill it in>

Good point, that's why I always have a surgical currette handy.

Plus Citanest and Carbocaine can be used without vasoconstrictors at all.

Fawks

:
: Carbocaine WITHOUT epinephrine will do the trick nicely. Apicoectomy
: means the tooth is already devital so profound anesthesia is not a
: problem.

It was "the vision thing," he said he wouldn't be able to see what
he was doing without a vasoconstrictor

????

Something tells me there is a misunderstanding here.
There are good anesthetics with no vasoconstrictor
(Mepivicaine 4% Plain comes to mind)
and for long term anesthesia with a small amount of
epi, Marcaine 1/200,000 epi works quite well.

The epi can be kept to a bare minimum and is not
actually required at all IMO.

It's a good idea to have profound anesthesia when doing an apico.
The tooth may not have feeling but the bone sure does.

There are other thing that can be used.
Bone wax, a non epi hemostatic agent, etc...

WB

True, however a nerve block usually works for that. Patients have
always mentioned that getting a tooth yanked is far less traumatic
than getting one filled!

Joel

--
Joel M. Eichen, .
Philadelphia PA
STANDARD DISCLAIMER applies:
<You fill it in>

Mepivicaine (brand name Carbocaine) plain is in 3% Citanest
(prilocaine) plain is 4%

Fawks

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1 28th July 04:35 joel m. eichen d.d.s. External User Posts: 1	vasoconstrictors in US Sure, Carbocaine WITHOUT epinephrine will do the trick nicely. Apicoectomy means the tooth is already devital so profound anesthesia is not a problem. Besides a nerve block I would consider local infiltration and it will do the trick nicely! Joel -- Joel M. Eichen, . Philadelphia PA STANDARD DISCLAIMER applies: <You fill it in>

2 28th July 04:35 wb External User Posts: 1	vasoconstrictors in US Hemorrhage control during apico is an important consideration. WB

3 30th July 15:06 joel m. eichen d.d.s. External User Posts: 1	vasoconstrictors in US Good point! Why??? I like blood actually ... it promotes healing (in healthy individuals). Beware of non-bleeding extractions ----> dry sockets! -- Joel M. Eichen, . Philadelphia PA STANDARD DISCLAIMER applies: <You fill it in>

4 30th July 15:06 wb External User Posts: 1	vasoconstrictors in US Good point, that's why I always have a surgical currette handy.

5 30th July 15:07 steven fawks External User Posts: 1	vasoconstrictors in US Plus Citanest and Carbocaine can be used without vasoconstrictors at all. Fawks

6 30th July 15:08 hgoldste External User Posts: 1	vasoconstrictors in US : : Carbocaine WITHOUT epinephrine will do the trick nicely. Apicoectomy : means the tooth is already devital so profound anesthesia is not a : problem. It was "the vision thing," he said he wouldn't be able to see what he was doing without a vasoconstrictor

7 2nd August 02:29 wb External User Posts: 1	vasoconstrictors in US ???? Something tells me there is a misunderstanding here. There are good anesthetics with no vasoconstrictor (Mepivicaine 4% Plain comes to mind) and for long term anesthesia with a small amount of epi, Marcaine 1/200,000 epi works quite well. The epi can be kept to a bare minimum and is not actually required at all IMO.

8 2nd August 02:30 wb External User Posts: 1	vasoconstrictors in US It's a good idea to have profound anesthesia when doing an apico. The tooth may not have feeling but the bone sure does. There are other thing that can be used. Bone wax, a non epi hemostatic agent, etc... WB

9 2nd August 02:49 joel m. eichen d.d.s. External User Posts: 1	vasoconstrictors in US True, however a nerve block usually works for that. Patients have always mentioned that getting a tooth yanked is far less traumatic than getting one filled! Joel -- Joel M. Eichen, . Philadelphia PA STANDARD DISCLAIMER applies: <You fill it in>

10 4th August 12:49 steven fawks External User Posts: 1	vasoconstrictors in US Mepivicaine (brand name Carbocaine) plain is in 3% Citanest (prilocaine) plain is 4% Fawks