Comments on The Endo Blog: Research Update: Use of Articaine for Buccal Infil...

There's also possible innvervation from the Mylohy...

2008-02-18T12:57:00.000-08:00

There's also possible innvervation from the Mylohyoid nerve. This is why infiltrations (usually lingual) tend to work for some stubborn lower 6's. Regardless of the anesthetic used.

I used to use Articaine, but switched back to Lido because I didn't find any advantage (especially in pulpitic cases) and yet there are possible disadvantages to using Articaine. I've actually had a number of patients referred to me with lingering paresthesia possibly from an Articaine IAN block.

While I was doing my AEGD, our program became part of a multicenter study on Articaine (for FDA approval). In my limited time in the study, I also found no advantage to using it.

Again, different things work differently in different hands, so others probably have different anecdotal stories about Articaine than I do.

I have an endo test tomorrow and thought that it w...

2008-02-16T16:22:00.000-08:00

I have an endo test tomorrow and thought that it would be nie to inlclude this snippet into the comments: The mandibular molars can recieve some innervation from the 2nd and 3rd cervical spinal nerves (C2 and C3) which is why it can be difficult to anesthetize them with IANB only. Of course, the article this was cited from is entitled, "Histological evidence for a cervical plexus contribution to the cat mandibular dentition", so take it for what it is worth. Author: Boldin SL, Hutchins B, Arch Oral Biol, 38:619, 1993.

Good article. I have heard similar things. My da...

2008-02-15T15:47:00.000-08:00

Good article. I have heard similar things. My dad and my uncle (endodontist) both use articaine.
A similar article was recently written on omfsource.com/blog

I guess my point has been that the buzz about arti...

2008-02-15T07:14:00.000-08:00

I guess my point has been that the buzz about articaine has been that it is more effective in purulent areas and that it infiltrates the bone more effectively.
This study seems to support the second claim.
I typically have found great results with an infiltration of articaine around a mandibular molar, following my normal IANB.

I guess newer studies generally improve on older o...

2008-02-15T05:18:00.000-08:00

I guess newer studies generally improve on older ones. In the past the evidence has been fairly inconclusive with respect to this topic (studies on both sides of the fence).

In my experience, it doesn't matter what anesthetic is used for a hot tooth that has difficulty numbing up with an IA block--a BI will not do the trick. PDL or intraosseous shots are the only ones that offer some degree of predictability there. I use the Wand, so PDL shots are fairly easy for me to do.

That's my 2 cents...