Advanced Local Anesthesia

About this Seminar

Over the past century, local anesthetics and their delivery systems have evolved and improved significantly. Despite these advances however, our ability to obtain profound anesthesia 100% of the time is elusive, especially in the mandible. These situations can create painful dental treatment creating anxiety for both patient and operator.

This seminar will explore the reasons and solutions for incomplete local anesthesia. A discussion about the relevant anatomy and pharmacology that leads to incomplete local anesthesia will be presented. Techniques beyond the standard inferior alveolar nerve block and armamentarium besides the standard needle and syringe will also be evaluated. Some of the topics to be explored include the Gow-Gates Block; articaine; intraosseous and PDL injections; methods of pain reduction during injections and local anesthetic and vasoconstrictor drug interactions. Understanding maximum doses and toxicity for both local anesthetics and vasoconstrictors will be highlighted.

Finally, a discussion about new and improved local anesthesia-related products will be presented such as intranasal local anesthesia, reversal agents and other new products and devices.

Presenters

About Dr. David Isen

David’s dental clinic in Toronto, Sleep for Dentistry, is anesthesia-based, treating patients who require intravenous sedation or advanced techniques in local anaesthesia. Many of these people have special medical needs or are dental phobic.

David has given over 400 presentations around the world on topics related to the management of medical emergencies in healthcare settings, local anesthesia for dentistry and the use of sedation in dentistry. He has lectured for many universities continuing education programs, dental societies, and conventions.

He is the author of numerous articles, has peer-reviewed papers for a variety of dental journals and as well has acted as a consultant and product evaluator for dental and pharmaceutical companies.