Local Anesthesia: Articaine
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Speaker
Stanley F Malamed, DDS
Emeritus Professor of Anesthesia and Medicine
University of Southern California, School of Dentistry
Los Angeles, California
Dr. Malamed is a graduate of the New York University College of Dentistry. He is a Dentist Anesthesiologist, Emeritus Professor of Dentistry, Ostrow School of Dentistry of USC. He completed a dental internship and anesthesiology residency at Montefiore Hospital and Medical Center in the Bronx, New York.
Dr. Malamed has authored more than 150 scientific papers and 16 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation and general anesthesia. Additionally, Dr. Malamed is the author of three widely used textbooks, published by C.V. Mosby Inc.: Handbook of Medical Emergencies in the Dental Office (8th edition 2022); Handbook of Local Anesthesia (7th edition 2020); and Sedation -A Guide to Patient Management (7th edition 2023).
Course Description
This course reviews the science, safety, and clinical advantages of articaine as a local anesthetic in dentistry. Dr. Stanley Malamed discusses articaine's history, pharmacology, and unique hybrid chemical structure while addressing common concerns regarding paresthesia, toxicity, and pediatric use. Through a review of current research and clinical evidence, participants will learn why articaine has become the most widely used dental local anesthetic in many countries and how its increased lipid solubility, rapid metabolism, and improved anesthetic success can enhance patient care when used appropriately.
Topics
- Review the history and evolution of articaine as a dental local anesthetic and why it has become increasingly popular worldwide
- Examine the evidence surrounding paresthesia and understand why current research does not support a higher risk with articaine
- Explore how articaine's unique chemical properties contribute to improved anesthetic success and patient safety
- Learn clinical techniques for maximizing the effectiveness of articaine in both maxillary infiltrations and mandibular anesthesia
- Discuss the role of articaine in special patient populations, including pediatric, pregnant, nursing, and geriatric patients
- Compare articaine with other commonly used local anesthetics to understand when it may provide clinical advantages
Course Objectives
Upon completion of this course, participants should be able to:
- Describe the pharmacologic characteristics that distinguish articaine from other dental local anesthetics
- Explain the current scientific evidence regarding paresthesia and articaine use
- Identify the clinical advantages of articaine related to anesthetic success, onset, and safety
- Demonstrate appropriate clinical applications for articaine in maxillary and mandibular anesthesia
- Compare articaine with other commonly used dental local anesthetics when selecting an anesthetic agent
- Recognize patient populations that may particularly benefit from the use of articaine
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