How to Buffer Local Anesthetic | Dental Surgery | Dentistry | OnlineExodontia.com

[@drtoothache]

Just for clarification, that one bottle would be used only for one patient? It cannot be used for multiple patients, I assume? If that’s the case then use the other systems like Onset?

[@celow4446]

I love your channel, doc! Amazing content, concise and informative! You're a blessing! Keep it up, I hope your channel thrives.

[@OnlineExodontia]

Thanks a ton! All the best!

[@eruslevi5714]

Thanks, very interesting and recent technique

[@raulcharrez6424]

Do you have the article reference to check it out, just to have a good profound lecture on this info

[@catreasturner8130]

In the gray vial is that 1% lidocaine with epinephrine or just lidocaine? And for dental block instead of using 1ml of 8.4 bicarbonate sodium can you use bacteriostatic 0.9 sodium chloride instead?

[@eruslevi5714]

After inserting the bicarbonate how can I then measure or make sure the anesthetic is now buffered? Can I use a tool to measure the pH?

[@olgabyakina7076]

litmus paper would probably be the easiest way to measure pH

[@doc.6956]

I have a problem with IANB after I aspirate negative and administration patient feel dizzy any tips .?!

[@OnlineExodontia]

I would imagine it's not due to intravascular injections, but rather a vasovagal response which can happen for some from needle penetration of the tissues or it could be a postural thing if you're sitting people up quickly after the injection. Those are my best guesses - hopefully that helps! All the best!

[@landofmilkchillies5832]

Which needle is more safer and effective for an inferior alveolar nerve block? Short needle or long needle

[@OnlineExodontia]

You can administer a block safely (and effectively) with either, but a long needle is generally preferred. If you choose a short needle it's advisable that you don't insert to the hub in case it happens to break. I think this would be very unlikely, but there are reports of it happening. All the best!

[@TT-ei8es]

Been using a short needle for 20 years for IAN blocks. You will get much more reliable blocks with a short needle

[@christopherelueme9215]

Good afternoon. Thank you very much for this video. Please, does the Carbon-dioxide produced have any effect on the tissues? Thank you.

[@OnlineExodontia]

Great question - nothing of significance is observed clinically, however carbon dioxide does have an impact on nerve cells. I'm not 100% clear on the mechanism, but I'm sure if you look into it you'll find more! All the best!

[@moneyjoyk]

Exodontia guru

[@Vickywatt186]

Thank you...it's informative

[@dendocjaf]

Do you have any article that only 0.1 ml is sufficient for buffering as some are proposing 20 units and some are even proposing 30 units ?

[@OnlineExodontia]

I do not, other than the one that I referenced.

[@jeroenbosch7581]

There are 10 ml ampules available, cost 1.4 euro that s 1.6 usd. U need a filter needle to aspirate it for safety so as not to inject glass particles. Ask your pharmacist they use it.

[@OnlineExodontia]

Had no idea. Curious if I could find them here in Canada. Thanks! All the best!

[@n.m.3760]

Do you draw 0.1mL sodium bicarbonate for both Lidocaine and articaine? Or does amount differ? It does seem to be a shame to discard all that sodium bicarbonate bottle after from only 0.1mL use. I would only reserve this technique for "hot" teeth or swelling. Never tried it before. Seems promising.

[@OnlineExodontia]

Yes you can use the same amount. The carpules only differ by .1mL. The bottles are labeled single use only as mentioned. If you choose to re-use them it would be best to invest in a system like Anutra. All the best!

[@n.m.3760]

@@OnlineExodontia thanks. Have there been any post-op issues (i.e. swelling) when it comes buffering? Is it better to use lido vs articaine?

[@OnlineExodontia]

@@n.m.3760 I haven't ran into any personally that I was made aware of. Frankly, I'm not certain if there would be any advantage to using Lidocaine vs. Articaine. I have used it in both and can't say there's an appreciable difference clinically. All the best!

[@viet4life714]

Why would you want to buffer your ANE?

[@OnlineExodontia]

I listed a couple reasons in the video and the link below the video offers more insight to your question. Mainly to increase injection comfort, help to overcome inflammation / infection in the tissue for more successful anesthesia, as well as to get a deeper, more profound effect of the anesthetic. All the best and thanks for watching!

[@elcaminodental2003]

The only sodium bicarbonate injectables I could find is 50 ml single patient use. I am weary about using a single use vial on multiple patients.

[@OnlineExodontia]

I mention this in the video and that I’d a drawback to this method. Anutra and OnPharma have single use systems that you could check out. All the best!