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Local Anesthesia Part 8: Articaine - Is it the IDEAL local anesthetic for dentistry? Facts & Fiction
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Updated for 2018

Articaine HCl was introduced in the USA in 2000 and has become a very popular anesthetic agent. Though classified as an amide local anesthetic it is actually a hybrid molecule, possessing both ester and amide characteristics. With epinephrine, articaine provides approximately 60 minutes of pulpal anesthesia and between 3 to 5 hours of soft tissue anesthesia. Its unique molecular characteristics make articaine a preferred anesthetic in the pregnant and the nursing patient as well as the lighter weight (<30kg) pediatric patient. However, articaine is used as a 4% solution and there has been some concern about the possibility of 4% anesthetics possessing a greater risk of producing paresthesia than local anesthetics used in lesser concentrations.

This program provides an in-depth look at articaine, its advantages and disadvantages when compared with other commonly used dental local anesthetics. We also discuss the ‘controversy’ alleging an increased risk of paresthesia following administration of 4% local anesthetics.


Learning Objectives:

  1. Describe the clinical characteristics that make articaine HCl ‘different’
  2. Compare articaine HCl clinically to other dental local anesthetics
  3. Discuss the use of articaine HCl in pediatrics; (2) pregnancy and (3) nursing
  4. Discuss the use of articaine HCl in (1) pregnancy and (2) nursing
  5. Discuss the ‘controversy’ over prolonged anesthesia (paresthesia) as related to injectable local anesthetics in dentistry


Related Courses:


Local Anesthesia

Local Anesthesia Part 1: Introduction & The Drugs

Local Anesthesia Part 2: Armamentarium, Patient Evaluation & Basic Injection Technique

Local Anesthesia Part 3: Anatomy & Maxillary Techniques

Local Anesthesia Part 4 & 5: Mandibular & Supplemental Techniques

Local Anesthesia Parts 6 & 7: Local and Systemic Complications

Local Anesthesia Part 9: What's New in Dental Local Anesthesia?


Sedation and Medical Emergencies in Children

Sedation and Medical Emergencies in Children: Part 1

Sedation and Medical Emergencies in Children: Part 2


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Managing Sedation Complications 2018


Emergency Medicine

Emergency Medicine Part 1: Prevention

Emergency Medicine Part 2: Preparation

Emergency Medicine Part 3: Basic Management

Emergency Medicine Part 4: Altered Consciousness

Emergency Medicine Part 5: Respiratory Distress

Emergency Medicine Part 6: Drug Allergies

Emergency Medicine Part 7: Drug Overdoses

Emergency Medicine Part 8: Chest Pain

Emergency Medicine Part 9: Cardiac Arrest


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2019 ADA Children's Airway Conference Session Three: Anatomy Concerns: What's Important About This?

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2019 ADA Children's Airway Conference Session Five: Nasal Breathing 24/7: What Does That Even Mean?, Habit Correcting for Children and Dental Teams: Growth and Development


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