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Searching: healthy gum
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Page 1 of 5
Message Board
Views: 201 | Replies: 7
with buffered lido. And then give them some Advils before they leave and tell them to take 2 Advils TID for a couple days bc their gums are going to be sore. But if they are feeling it, then I get them numb even if I'm almost done. Only time I don't try to get them numb again is if it's when I'm
May 03, 2026
Anesthesiology
Message Board
Views: 552 | Replies: 27
/ articaine. I did it at both prep and seat dates and patient moaned the whole time. did you try poking into his gums with your explorer to test? Or put a finger on the tooth but act like you are putting an instrument on and see how they respond? I find usually patients like this are just freaked
May 07, 2026
Anesthesiology
Message Board
Views: 48 | Replies: 0
Interesting observation on two separate pts. Both I was working on the Lower Right side # 31... Block anesthesia given with 1 carpule Articaine, followed by 1/2 carpule Articaine local infilteration. Checked teeth with Cold test, after negative, started to work on them. Finished crown prep and then...
May 07, 2021
Anesthesiology
Message Board
Views: 1006 | Replies: 21
on the Dyclonine, been using it for years for patients with sensitive gums and mild/moderate perio for scaling. where do you get Dyclonine rinse? Has anybody had a patient complain they had prolonged numbness and loss of taste w/ this rinse? I just had a patient claim she is still numb 3 days later and can't
February 22, 2026
Anesthesiology
Message Board
Views: 351 | Replies: 5
of exam Its what you see on the xray Plus clinical findings. Let the patient decide who is wrong and show...refer to previous office to redo the...pt pays for sc&rp. give choice between that or gum surgery. I show patient actual pictures from gum surgery as education. They always choose sc&rp
July 21, 2014
Anesthesiology
Message Board
Views: 809 | Replies: 19
Nguyen, an 18yearold healthy woman, underwent outpatient breast augmentation on August1,2019, at Colorado Aesthetic and Plastic Surgery (CAPS), under plastic surgeon Dr. Geoffrey Kim and CRNA Rex Meeker. The plaintiff alleges that Meeker followed Kims orders and administered anesthesia (fentanyl
July 25, 2025
Anesthesiology
Message Board
Views: 84 | Replies: 2
anesthesia. I have a few patients (2 or 3) that dont experience soft tissue anesthesia from local infiltrations. Ill do two carps and then if they are still feeling the test pokes on their gums, Ill try to do the filling and almost always they have pulpal anesthesia.
August 10, 2021
Anesthesiology
Message Board
Views: 560 | Replies: 15
far. Sorry nope My guess is an ET tube cuff inflation thingy laying on the cheek. I vote for Toofs answer ortho open coil was displaced and lodged in the gums during attempted ext of #3? Shrapnel from a bomb having a Wyle E. Coyote alarm clock timer/detonator? A cross between Invisalign
July 23, 2022
Anesthesiology
Message Board
Views: 347 | Replies: 4
Sad news today: WOW.... The comments after the article...... General population is entirely ignorant about what it is we do and how we do it!Stinks that first dentist couldn't freeze Autumns gums with a needle. What the hell kind of reporting is this? Did a high school student write it? Comments
October 08, 2019
Anesthesiology
Message Board
Views: 285 | Replies: 4
New pt twelve years old, healthy. 165 pounds. Pediatric dentist gave him a liquid form of valium according to mom. No record of rx at pharmacy. Would you prescribe 5 mg, 10 mg, or something else? His issue is anxiety which worsens with dental treatment. I need to restore #30 and 31. Also need
August 07, 2018
Anesthesiology
Message Board
Views: 226 | Replies: 3
injections? will it go away? Thank you. this can and does happen and will likely pass in a few days. Have pt avoid area and use anti inflammatory meds. How much anesthetic are you...My guess is you are using 1:100,000 epi. Switch to 1:200,000 and this issue will go away. It probably looks like the gums
September 03, 2015
Anesthesiology
Message Board
Views: 355 | Replies: 16
for anything currently. I would say ASA 1Check their airway, cardiac,respiratory before sedating. Solid ASA II I am in the ASA 2 camp with no meds or noted systemic disease. There are some underlying factors that put them in the not totally healthy ASA 1 category because of physiology. Their life
August 31, 2014
Anesthesiology
Message Board
Views: 285 | Replies: 4
) x 4.4mg/kg/34 = max carps If working on a smallkid, calculate to be sure max dose. Typically over 2 carps is too much. Anything heart related think 2 carp max if using anything with epi. If a healthy adult and you can get good anesthesia before maxing out (even when doing full mouth work
March 28, 2017
Anesthesiology
Message Board
Views: 5207 | Replies: 165
to the hospital so that attack line was left out. My guess is that if they can't prove that the outcome would have been any different with an anesthetist present then this case won't be successful. I guess Im a little bit surprised by a lot of these comments. the patient was a completely healthy 17
December 13, 2024
Anesthesiology
Message Board
Views: 426 | Replies: 11
patients that they will be numb for 3 hours and to not bite their lip. Tell them ALSO that the reason for prolonged numbness is often times you've used instruments that have put pressure on their gums and that it will be sore and the longer numbness helps their gums rebound and return more to normal
March 04, 2018
Anesthesiology
Message Board
Views: 268 | Replies: 3
all patients, that is enough for alarms to ring in my head. But maybe not for a healthy young girl who is otherwise feeling well. Some people just live at a lower BP than the rest of us. If someone has a BP of 100/70 and it's a chronic hypertensive patient, maybe someone with a vague drug history
February 18, 2019
Anesthesiology
Message Board
Views: 23218 | Replies: 523
on due to diseased gum and no good back pressure for the injection. It's great with kids ..all 4 quads no numb lip.... Just be prudent in areas of developingtooth buds and usecombo of IO andinfiltrationas you deem necessary. Dude .. Start out with tooth 19 or 30 ... With thin bio
May 19, 2016
Anesthesiology
Message Board
Views: 273 | Replies: 7
Lower bicuspid. Attempted to numb. Infiltrated with 2cc of septicaine. Would not even begin to get numb! Did IA block with 4 cc of lidocaine. Waited 20 minutes. Again no luck. Now the labial gingival around bicuspid is no longer numb. Had to give local anesthetic to numb up gums in order to give
May 16, 2016
Anesthesiology
Message Board
Views: 2592 | Replies: 71
, I say I am going to push on their gums- show them my finger- tell them I will push with my finger, do it- say this is how it feels, then do the LA right where I pushed- works on 4 year olds almost every timeR bad advice I agree with Timmy. Lot of other great advice on this thread too. I don't
October 26, 2021
Anesthesiology
Message Board
Views: 629 | Replies: 21
- tive calculation can be applied to all US dental local anesthetic formulations for healthy patients. The Rule of 25 states that 1 cartridge of any formulation mar- keted in the US may be used per 25 lb of weight. Therefore, 1 cartridge for a 25 lb patient, 2 cartridges for a 50 lb patient, 3
November 03, 2023
Anesthesiology
Message Board
Views: 319 | Replies: 2
Has anyone had an experience with being denied disability insurance benefits? What happened? What steps to take? Contact the company to learn their appeal process. I did for a knee replacement... It was a ADA policy with Great Western... I hire an Attorney and file an appeal in the state of origin.. And lost that one too. Stay healthy doug
May 07, 2014
Anesthesiology
Message Board
Views: 172 | Replies: 2
I have a patient considering IV conscious sedation who donated a kidney to his wife a few years ago. He's otherwise healthy. I can't find any good info to suggest his single kidney pushes him into Asa 2 status. If it does, I'm considering ordering a metabolic panel as part of his work up. Is this... Overkill? Yes.No need for all that... ASA I
March 24, 2015
Anesthesiology
Message Board
Views: 478 | Replies: 17
, clinicians start to feel like they are working in a rigged game. Some dentists said they do not even care if the story is 'real.' They assume liability is baked into treating the public. That mindset can be healthy, as long as it does not slide into resignation. There is a middle ground between panic
March 26, 2026
Anesthesiology
Message Board
Views: 81 | Replies: 3
the building inspector involved.From discussions with these inspectors, many dental office systems suffer from leaks. Chronic contamination from nitrous is not healthy and can be an easy fix most of the time.Michael Hoffmann
November 07, 2019
Anesthesiology
Message Board
Views: 216 | Replies: 5
of controlling/self pitying/nervous personality. Referral to oral surgeon sounds like a good plan.I see a lot of these NUTSIt is all psychological in my opinionI agree with them on whatever CRAZY they say and I apply the standard cure.Usually rub some peridex vigorously on the gums with a 2X2I also
June 07, 2019
Anesthesiology
Message Board
Views: 1422 | Replies: 27
to calculate the max doses. You enter the patient's weight, the times, amounts and which LA was used for each injection. It calculates the percent of the maximum dose each time taking into consideration how long it has been since the previous injections. This would be for a healthy individual
February 06, 2023
Anesthesiology
Message Board
Views: 448 | Replies: 10
starting? Lip and gum anesthesia doesn't mean pulpal anesthesia. Has nothing to do with buccal surface restorations me thinksI often watch the lesions, and with the patient population I am seeing, I usually just watch them get bigger and more subgingival. I do agree though a lot of the decalcified
January 23, 2018
Anesthesiology
Message Board
Views: 218 | Replies: 4
The weirdest thing. As explained above, the patient had a facial abfraction, so I infiltrated with about 1/2 a carpule of septo. All went well. A few weeks later the patient (a 45y/o healthy male) states he has twitching of his upper lip that has not subsided. Has anyone heard of this and what
June 04, 2020
Anesthesiology
Message Board
Views: 260 | Replies: 2
for healthy adults, usually 1.5 tabs of triazolam. But I don't do the sublingual route, and I don't stack my doses (which I am under the impression they teach at DOCS?). I had 1 patient that had sublingual before, I still tried to do oral and it did not go well. Then I tried sublingual in a second appointment and she responded well, so I thought maybe I should take this course.
November 13, 2018
Anesthesiology
Message Board
Views: 762 | Replies: 11
for lower ext. It will be about 20 hours interval from today's max dosage. That is why the concern is raised. The pt is a healthy adult. Thanks for any input.Isn't half life ~2 hours? You should be finethe following is from a paper written by Daniel Becker Essentials of Local Anesthetic Pharmacology from
April 09, 2015
Anesthesiology
Message Board
Views: 1110 | Replies: 25
into fascial spaces.... well I just had to throw out a bunch of 3.0 gut sutures because they expired in 20 20 ... sutures mind you that had an expiration date...probably would have held gums together well just don't need the hassle I use it to flush out canals during endo. along with the question about
June 12, 2021
Anesthesiology
Message Board
Views: 543 | Replies: 9
, or injecting into gum tissue that was infected to begin with. And maybe just bad luck and got two in a row. I don't think a regular syringe will be nearly as effective for this technique. This looks like what I am using. https://www.amerdental.com/anesthesia/traditional-intraligamental-syringe.html
October 22, 2015
Anesthesiology
Message Board
Views: 184 | Replies: 3
intravascularly on a healthy 8yo would not cause systemic effects...The kiddo probably weight around 25kg (and I'm low balling) so his max (according to AAPD, which is much lower than typical medical literature states) is 4.4mg/kg...you weren't even closeMy only hunch is that if these things were abscessed maybe
October 22, 2015
Anesthesiology
Message Board
Views: 22774 | Replies: 397
expect some numbness of their cheeks and gums prior to accepting mentally drilling although it doesn't need to be like a block. One way around this is to kill two birds with one stone and deliver some local around the apex also. Yes I tried it and unfortunately I did not have very good success. I watched
November 19, 2021
Anesthesiology
Message Board
Views: 77 | Replies: 0
Middle aged healthy female patient presents for the insert of an only on #30. She has slight TMJ and usually has a few days of recovery from IAN injections. Because she is nervous and difficult it I give her a block with lidocaine for the insert. During the delivery the floor of mouth is knocked
July 18, 2018
Anesthesiology
Message Board
Views: 85 | Replies: 1
for 2 weeks? At 1 week, there is absolutely no mentioning of IV site discomfort. Pt said it was the antibiotics for the oral infection which masked the symptoms, but she would have finished the antibiotics ( 7 day course) by 5/7 or slight earlier. She is young and apparently healthy ( she is always
May 28, 2022
Anesthesiology
Message Board
Views: 365 | Replies: 11
to the ER.www.somatechnology.com sells both new and refurbished equipment. They also do a great job with maintenance. For moderate sedation (limited to relatively healthy patients), I would recommend spending resources on end tidal CO2 monitoring before you are worried about ECG. I am in North Carolina, thinking of taking
September 07, 2016
Anesthesiology
Message Board
Views: 3614 | Replies: 141
out, totally out of control patient I ever had did an examination and a panoramic X-ray. I started to explain the findings of the examination and I said You have gum diseaseShe went from zero to sixty in under a second. Jumped out the chair, went ballistic in my face, cussing me for telling her
March 11, 2021
Anesthesiology
Message Board
Views: 1915 | Replies: 31
thought I was way off what Ive been doing. my lido package insert says the max dose is 500mg total or 3.2mg/lb. for a 150 lb healthy person that is with 1.7ml carps that is just north of 14 carps. I don't usually get to 14 but 10 is normal for these cases. my usual for lido for a full mouth exo
May 24, 2014
Anesthesiology
Message Board
Views: 4585 | Replies: 124
to tell me if their lower lip is numb so I will poke their anterior gum tissue with an explorer to see if they feel it and even check the tooth with endo ice prior to working. Sometimes the anterior gum tissue is numb but the tooth still isnt. Then I go for secondary injections like mylohyoid, pdl, IO
February 21, 2022
Anesthesiology
Message Board
Views: 339 | Replies: 3
I performed #12 RCT three days ago on a 52 year old healthy male. He presented today because the numbness hasn't worn off completely yet from the procedure. He said the numbness has gone down but he still feels numb throughout the left side of the mouth. I did a pinprick test that showed mild
July 25, 2016
Anesthesiology
Message Board
Views: 368 | Replies: 15
and usually never having to see the patient again... Patient is perfectly healthy, late 40s, not diabetic or hypertensive. Patient was nervous about the injection but the reaction was maybe 40 minutes later. I initially dismissed it as syncope, but not being able to walk for 2-3 weeks after was concerning
December 10, 2020
Anesthesiology
Message Board
Views: 350 | Replies: 15
Anyone have patients complaining of stomach sickness/diarrhea after dental treatment with Lido use? My pt states that 7 hours after occlusal fills using lidocaine she had some stomach problems. Pt hx allergic to PCN, otherwise healthy. Not a typical sensitivity response and curious to hear others
December 23, 2016
Anesthesiology
Message Board
Views: 647 | Replies: 55
in Texas, hygienists learn to say I'm Sorry a lot to our patients, instead of continuing to interrupt our dentists. Thankfully, most of our patients don't need shots. Those who come regularly have healthy mouths and their visits with the dental hygienist are preventive in nature, comfortable, maybe even
March 10, 2019
Anesthesiology
Message Board
Views: 1115 | Replies: 56
a bunch of stuff about this as well.....dentists who have been using lasers since 1989 and have seen the progress made in the field are very excited about this next advance in pbm. if its not for you, thats fine. I'm not putting a gun to you head and insisting you buy it or even try it out...thats your decision. Skepticism is very healthy.....just keep an open mind when the device hits the market - thats all.....
July 21, 2025
Anesthesiology
Message Board
Views: 807 | Replies: 16
. In the days when I used lido for everything, I would always steel myself for patients to be sensitive on the MB gum line of a lower first molar. Happened maybe 10% of the time even with full lip sign despite block and infiltration. Now with septocaine, either they are numb or I missed the block
December 09, 2024
Anesthesiology
Message Board
Views: 316 | Replies: 10
do the usual routine. Most are young and healthy patients. I've never had a 70 year old medically complex patient come in smelling like they just smoked a joint, or maybe they just know how to hide it well. Most patients are very relaxed, but every once in a while you can see its just made them insanely...I've missed a couple of IA's when using myself prior to an...
August 11, 2016
Anesthesiology
Message Board
Views: 551 | Replies: 28
bob your head and not use LA with epi. Love you tommy, but thats the typical i know best god syndrome that plagues some doctors. Ok I have done RCT #9 on 60years old male healthy no medical problems A day after he was coded in the hospital and passed away hospital called me for my notes everything
January 13, 2025
Anesthesiology
Message Board
Views: 2086 | Replies: 60
is the dead mans dose (asystole, v-fib, pulseless v-tach, pea). For a healthy pt., 0.2 mg max. dose, 0.3 mg in an epi pen (anaphylaxis)Michael Hoffmann, DDSDentist Anesthesiologist Yes I was thinking more like CPR. Sorry about that. I have a patient that has a type 3 allergy to lidocaine. What that means
September 06, 2019
Anesthesiology
Message Board
Views: 640 | Replies: 5
A 36yo healthy female patient presented w/ swelling of cheek after comp restoration of #12, 13, 14, 18, 19, 20. The swelling is apical to #13, 14 area where I gave infiltration w/ 4% septocaine, fluctuant to touch, with mild palpation. no percussion on any tooth in the left side of the mouth. I
February 02, 2016
Anesthesiology
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