Local Anesthesia in Dentistry and Considerations for Mandibular Anesthetic Success

Credit Details
This electronically delivered self-instructional program is designated for 1.5 hours of CE credit by Farran Media.

The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.

Synopsis:
Perhaps no other advancement has altered the provision of dentistry than the development of safe and effective local anesthesia. Dental practitioners and patients have benefited from increasingly safe and effective agents for the control of surgical pain.

In part one of the course, the history of local anesthetics is reviewed with a focus on the reasons why early solutions were inadequate, and what prompted the search for better agents. Four important pharmacological principles are discussed and the clinical relevance described: pKa, lipid solubility, protein binding, and vasodilatory activity. The maximum dosages and indications for currently available local anesthetic formulations are presented. Additional topics discussed are: safety of local anesthetics during pregnancy and lactation, and the signs and symptoms or local anesthetic overdose and strategies for management.

In part two of the course, considerations for conventional inferior alveolar nerve block are discussed. Many factors can influence the success or failure of the IANB, and achieving consistent positive outcomes can be challenging. By reviewing local factors such as pH/pka, influence of fear and anxiety, and anatomic landmarks and variability, practitioners can gain confidence in their clinical knowledge and technique.

Educational Objectives:
Upon completion of this course, you should be able to:

• Understand the pharmacokinetics and pharmacodynamics of currently available local anesthetic formulations
• Be capable of calculating maximum doses of currently available local anesthetic formulations
• Understand the signs and symptoms of local anesthetic overdose
• Understand which local anesthetics are safest to use during pregnancy and breastfeeding
• Better appreciate anatomy of the pterygomandibular space and how it impacts mandibular anesthesia success

Description of Speaker:
Jason H. Goodchild, DMD is a graduate of Dickinson College in Carlisle, Pennsylvania. He received his dental training at the University Of Pennsylvania School Of Dental Medicine where he still holds a faculty position as a Clinical Associate Professor in the Department of Oral Medicine. He is also Assistant Professor in the Division of Oral Diagnosis in the Department of Diagnostic Sciences at the New Jersey Dental School. Dr. Goodchild has published numerous articles on the topics of enteral sedation, oral medicine, and pharmacology. He has been an invited speaker for the Academy of General Dentistry and American Association for Dental Examiners. He is a reviewer for the Journal of the American Dental Association, General Dentistry, and Quintessence International. He has also served as a grant reviewer for the National Institute of Health.

Disclosure:
Dr. Goodchild declares that neither he nor any member of his family have a financial arrangement or affiliation with any corporate organization offering financial support or grant monies for this continuing dental education program nor have a financial interest in any commercial products or services discussed in this course.

Legal Disclaimer:
The CE provider (Farran Media) uses reasonable care in selecting and providing content that is accurate. The CE provider, however, does not independently verify the content or materials. The CE provider does not represent that the instructional materials are error-free or that the content or materials are comprehensive. Any opinions expressed in the materials are those of the author of the materials and not the CE provider. Completing one or more continuing education courses does not provide sufficient information to qualify the participant as an expert in the field related to the course topic or in any specific technique or procedure. The instructional materials are intended to supplement, but are not a substitute for, the knowledge, expertise, skill and judgment of a trained health care professional.

Licensure:
Continuing education credits issued for completion of online CE courses may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each registrant to verify the CE requirements of his/her licensing or regulatory agency.

State CE Requirements:
Click Here for CE requirements by state. Please note that this information is current as of the time of listing. This information is subject to change at any time from the state boards. For the most up-to-date information, please contact your state board directly.

Refund Policy
There are no refunds for Online CE courses. Please contact technical support if you run into technical difficulty.

CE Contact
For any questions, please contact Nareg Apelian, DMD, Director of Continuing Education at nareg@farranmedia.com