Local Anesthesia in Dentistry and Considerations for Mandibular Anesthetic Success

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Jason H. Goodchild, DMD , Local Anesthesia in Dentistry and Considerations for Mandibular Anesthetic Success
Speaker: Jason H. Goodchild, DMD
Category: Anesthesia
CE Credits: 1.5
Format: MP4 Video
This course provides an update of the clinical pharmacology of local anesthetic agents and formulations used presently in dentistry and will review nine factors that may aid the practitioner in achiev...more
  • 5.0 (3 Reviews)
  • Running Time: 1 hour
  • Released: 7/24/2013
  • Expiration Date: 6/30/2022
  • Review Date: 6/30/2019
CE Details
Credit Details
This electronically delivered self-instructional program is designated for 1.5 hours of CE credit by Farran Media.
AGD Code: 132.

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

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.

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.

Educational Objectives:
Upon completion of this course, participants should be able to achieve the following:
  • 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

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.

CE Reviews


5.0  (3 Total Reviews)
 3 people would recommend this course to a friend.
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
A Necessary Review with everyday benefit
Date: 4/24/2018
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
Good summary
User: byam11
Date: 3/27/2014
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
Great review of anatomy and LA properties. He could have went into more detail on techniques used to achieve success, but with the information presented any dentist should be able to improve their LA. Good for anyone who has missed a block! or though they have #darnmylohyoidnerve.
Outstanding course!
User: howard
Date: 7/24/2013
Instructor spoke clearly and was easy to understand
Course material was informative, organized, and up to date
Course objectives were consistent with course as advertised
I found this course to be outstanding!
CE Policies
American Dental Association (ADA), Continuing Education Recognition Program (CERP) provider
Farran Media is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. For any questions, please contact Howard Goldstein, DMD, Director of Continuing Education at hogo@dentaltown.com.
American General Dentistry (AGD), Program Approval for Continuing Education (PACE) approved, FAGD / MAGD Credit Farran Media is a nationally approved PACE Program Provider by the Academy of General Dentistry. Approval does not imply acceptance by any regulatory authority or AGD endorsement. The current term of approval extends from 1/1/2019 to 12/31/2022. Provider ID# 304396
This activity meets the educational criteria required for verifiable Continuing Professional Development under the General Dental Council Lifelong Learning scheme and represents 1.5 hours of verifiable CPD.

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.

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.

For any questions, please contact Howard Goldstein, DMD, Director of Continuing Education at hogo@dentaltown.com
To reap the full benefits of this CE course, the presenters (Howie Horrocks and Mark Dilatush) have agreed to create a marketing plan specifically tailored to your practice and your specific market area. Having your marketing plan printed and open while you view the course material, will greatly individualize your learning experience.

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