Local Anesthesia

Various drugs (anesthetics) that are used to block pain in a particular part is called local anesthesia. The most common local anesthetics used is Lidocaine. They are injected before a surgery or procedure to prevent pain.

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How to treat an abscessed tooth?

Query: Hi doctor, I lost the canine tooth of upper jaw due to decay and there is only a root fragment. Within a short period of time, I developed an incredible painful abscess. I saw my dentist last week and he scheduled retained root extract. He also told me that there is no possible way to minimize the ...  Read Full »


Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hi, Welcome to icliniq.com. The pain could have been relieved instant if the dentist had given an anesthesia and opened the root of the canine tooth, followed by antibiotics. Hopefully, he would have prescribed strong painkiller along with Clindamycin. Usually, after root canal treatment the abscess...  Read Full »

Kindly suggest some methods to anesthetize lower molar teeth other than inferior alveolar block.

Query: Hi doctor, I started to have pain in the left top part of the jaw for two days. I took Azithromycin for it and the pain went away. After that, I started to have pain on the right top part with swelling. The doctor worked on the right upper part with topical Articaine and I do not had pain. He worke...  Read Full »


Dr. Naveen Thomas

Dentist, Endodontist, Pedodontist, Periodontist

Answer: Hi, Welcome to icliniq.com. In the lower molar extraction, inferior alveolar nerve block has to be given properly and it has to be given very close to the bone at the correct point. For root stumps, an infiltration of Lidocaine can be given directly to the roots after inserting the needle along th...  Read Full »

How much Propofol is recommended during ORIF surgery?

Query: Hi doctor, What is the recommended dose of Propofol during ORIF surgery on a fractured wrist? The patient is a 57 year old female. Her weight may be about 140 pounds. The surgery may take 30 minutes or so.  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your query and want to add that there are different dosages for different patients. It depends on the patient's other health issue and health conditions. Also, it depends on health, lungs and kidneys health status. Anyway, for patients above 55 ...  Read Full »

Why did I develop back pain two years after a c-section?

Query: Hello doctor, I had a cesarean section two years ago and I underwent regional anesthesia SAB at L3-L4 level. Now, I am experiencing discomfort and middle back pain. The pain location is where the needle was introduced. The pain is aggravated when I hunched back. Should I be worried? What should I do...  Read Full »


Dr. Sukhdev Garg

Anesthesiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. SAB (spinal anesthesia block) is given by injecting drug in the space between the two vertebral rings. Sometimes, the needle may hit the bone as it is a blind procedure, which may cause inflammation of periosteum (covering of bone) causing back pain. You need not worry t...  Read Full »

Is the removal of all wisdom teeth safe?

Query: Hi doctor, I have an infection in my lower left wisdom teeth. The doctor drained my operculum and suggested to get all four wisdom teeth removed. I am freaked out, because the lower ones are not completely erupted. I have attached my x-ray. Can you please tell me whether it is safe to do this proce...  Read Full »


Dr. Nivedita Dalmia

Dentist

Answer: Hi, Welcome to icliniq.com. Both lower wisdom teeth are impacted; they have to be removed, as and when required (attachment removed to protect patient identity). You can get the tooth removed of upper and lower on the same side causing pain. If you only remove lower once, then the upper teeth will n...  Read Full »

Why dentists do not use Bupivacaine for nerve block?

Query: Hi doctor, Is there a reason why dentists typically do not use Bupivacaine for nerve block for dental procedures? So far, only one dentist used it for me. While it had a slow onset, I was pain free for almost 8 hours. I did not need to take as many narcotic analgesics afterwards. I have really sever...  Read Full »


Dr. Nupur Prashant Shah

Dentist

Answer: Hi, Welcome to icliniq.com. I have gone through your query and understand it. As you are working in pharmacy, I would like to inform you that Bupivacaine is a long acting, local amide and local anesthetic agent. It is a chemical analogue of Mepivacaine with high lipid solubility and protein binding ...  Read Full »

How can you get a mole removed?

Query: Hi doctor, I have a small, flat mole on my nose bridge. How can I remove it? Please recommend the best method with your professional advice.  Read Full »


Dr. Suvash Sahu

Cosmetologist, Dermatologist, Venereologist

Answer: Hi, Welcome to icliniq.com. I have seen your query and concern. With your descriptions, since mole is flat means you have a superficial melanocytic nevus. If you want to get it removed, then I would recommend you shave excision under local anesthesia by a dermatologist. This procedure has very goo...  Read Full »

What is the painless black growth on my knee?

Query: Hi doctor,I am a 56 year old male. On the left knee, there is a painless black growth and that has been there for around 2 years now. In a recent visit, my doctor advised to use Lactic acid plus Salicylic acid based topical lotion. This reduced the size of the growth a little bit. However, after sto...  Read Full »


Dr. Jyotisterna Mittal

Dermatologist, Venereologist, HIV AIDS Specialist, Cosmetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. The growth is a viral wart. It is a form of superficial viral growth on the skin. Yes, it usually increases in size if left untreated and can spread to other body parts by direct contact. They are best dealt with radiocautery, which is a simple office based surgery done ...  Read Full »

Is local anesthesia dangerous in patients consuming Methamphetamine?

Query: Hello doctor, Does Methamphetamine interfere with local anesthesia? My friend was told she would not have to stop Adderall before surgery. I know that is not the same, but is there anything particularly dangerous about methamphetamine and local anesthesia? What about Phentermine?  Read Full »


Dr. Yatish Anant Jadhav

Anesthesiologist

Answer: Hi, Welcome to icliniq.com. As such local anesthesia is safe and one can readily go through the procedure. It is recommended to avoid any sort of illicit substances during anesthesia.  Read Full »

Why is my cheek sore after a filling?

Query: Hi doctor, I had a tooth filling approximately 10 hours ago and felt excruciating pain when the local anesthesia was injected. I experienced pain from my cheek all the way up to my temple. The dentist was very rushed and just told me that the pain and numbing sensation could last for up to 2 hours...  Read Full »


Dr. Geeth Sadasivam

Dentist

Answer: Hi, Welcome to icliniq.com. You have mentioned that you regained sensation, which means the nerve was anesthetized properly and has reverted too. The numbness, pain, and swelling in your cheek might be due to accidental injection into the cheek muscles. I want you to check yourself if you can ope...  Read Full »

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