Emergency Medicine
in Dentistry
Dr. Stanley F. Malamed
Life-threatening emergencies can occur anytime, any-
where and to anyone. Such situations are somewhat
more likely to occur within the confines of the dental
office due to the increased level of stress which is so
often present.
In this course Dr. Malamed will discuss the areas
which are considered vital to a proper understanding
of emergency medicine: prevention, preparation, and
recognition and management.
This will include a discussion of preparation involving the
office and staff and includes a thorough review of the
office emergency kit (drugs and equipment). Additionally,
it will include the recognition and management of specific
emergency situations and includes the management of
unconciousness, respiratory distress, seizures, drug-related
emergencies, and chest pain.
This course is designed for all members of the dental
office staff, not just the doctor and chairside personnel.
Situations discussed here can happen outside of the
dental environment as well as in the office.
EVERYONE SHOULD BE PREPARED!
It is strongly recommended that ALL members
of the dental office staff attend this program.
OUTLINE:
- Introduction
- Prevention of medical emergencies
- Preparation for medical emergencies:
• Office staff
• Emergency drugs and equipment
- General principles
- Drug related emergencies:
• Allergy
• Chest pain
• Respiratory distress
• Seizures
• Altered conciousness
• Unconciousness
- Summary / Questions & Answers
Learning Objectives:
Upon completion of this course the enrollee should be able to:
• Describe the basic management protocol for medical emergencies
• List and describe the indications for the 7 basic emergency drugs
• Describe the clinical signs and symptoms of altered consciousness
• Describe the management of altered consciousness
• Describe the clinical signs and symptoms of respiratory distress
• Describe the management of respiratory distress
• Describe the clinical signs and symptoms of allergic reactions
• Describe the management of allergic reactions
• Describe the clinical signs and symptoms of 'chest pain'
• Describe the management of chest 'pain'
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The Renaissance in Local
Anesthesia
Dr. Stanley F. Malamed
Local anesthesia forms the backbone of pain control
techniques in contemporary dental practice. The
subject of pain control in dentistry has undergone a
recent renewal of interest, a renaissance of sorts. In
this program Dr. Malamed will present an in-depth
discussion of the many aspects of this important area
of daily dental practice.
Subjects to be discussed in this overview include:
DRUGS: several new local anesthetics have been
introduced into dental practice. We will review the
spectrum of local anesthetics available today with
an eye towards the appropriate selection of a drug
for ultimate success and patient safety.
COMPLICATIONS: of local anesthetics and their
administration will also be discussed.
A major area of discussion will be the TECHNIQUES
of pain control available. Maxillary nerve blocks will
be reviewed, especially the intfaorbital nerve block
and the technique of atraumatic palatal anesthesia.
The mandibular arch will, however, receive most of
attention, for it is here that most clinicians have
occasional problems in achieving successful pain
control. Dr. Malamed will troubleshoot mandibular
anesthesia, reviewing the basic techniques and
discussing a number of successful alternatives such
as the Gow-Gates mandibular block, Akinosi closed-
mouth mandibular block, incisive nerve block and the
PDL injection.
New items, such as The Wand and the DentiPatch and
intraosseous technique (Stabident) will be discussed.
OUTLINE:
- Introduction
- Drugs:
Clinical differences
• Problems: allergy & overdose
• Contraindications to local anesthetic administration
Technique
• Maxillary
• Mandibular
New Devices:
• Compudent® featuring the Wand handpiece
• DentiPatch
• Intraosseous anesthesia (Stabident)
- Summary / Questions & Answers
Learning Objectives:
Upon completion of this course the enrollee should be able to:
1. List the currently available local anesthetic drugs and
their formulations;
2. Compare the clinical characteristics of each of the available
local anesthetic formulations;
3. List and describe 5 maxillary nerve block injections;
4. List and describe 4 mandibular nerve block injections;
5. List the components of the local anesthetic armamentarium;
6. List the localized complications of regional anesthesia and
describe how they may be prevented;
7. Recognize and manage those local and systemic complications
that might occur;
8. Describe the following techniques of regional anesthesia:
a. anterior superior alveolar nerve block (infraorbital)
b. posterior superior alveolar nb
c. nasopalatine nb
d. anterior middle superior alveolar nb (AMSA)
e. inferior alveolar nb
f. Gow-Gates mandibular nb
g. Akinosi-Vazirani mandibular nb
h. Incisive (mental) nb
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