LA in OS Flashcards
How can we minimise pain during LA?
Topical
Taught mucosa
Sharp needle
Slow injection - decreases the pressure of the liquid under the mucosa
Needle not against the bone
Is lidocaine/articaine a vasodilator or constrictor?
Vasodilator - blocks action pot on sympathetic nerves
How does adrenaline work?
Vasoconstrictor - peripheral a1 receptors
Increase cardiac output - cardiac b1 receptors (tachycardia and palpitations)
How long should haemostasis take?
4-10 mins
How long does lidocaine take to wear off?
2-3 hours
How long does articaine take to wear off?
1-2 hours
How much adrenaline does lidocaine have?
2% lidocaine
1:80000 adrenaline
How much adrenaline does articaine have?
4% articaine
1:20000 adrenaline