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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Why do I feel pain in my jaws after a root canal treatment?

Query: Hi doctor, I went to a dentist four days ago to check my lower second molar. She gave two cartridges of anesthesia, cleaned the pulp, and put a temporary filling. After one day of the visit, I felt pain in my jaw, and I took Ibuprofen. I wanted to know, is this because I wide opened my mouth, or ...  Read Full »


Dr. Mousam Chattopadhyay

Answer: Hello, Welcome to icliniq.com. I went through your query, and I am very sorry for the issue. Since you had cavities, the dentist went for root canal treatment using local anesthesia. Once the anesthesia wears off, you feel the pain. The pain is normal. It is not due to long chair side t...  Read Full »

Did the cold drink prevent my tooth from getting numb?

Query: Hi doctor, I broke a tooth, so I went to the dentist, and I was very upfront about not having a root canal treatment. I preferred to get it extracted rather. She numbed my tooth and said she was going to fix it. After she had finished, she said I was going to need a root canal treatment. Now my too...  Read Full »


Dr. Honey Arora

Answer: Hi, Welcome to icliniq.com. Failure of local anesthesia can be due to causes like poor quality of the anesthetic solution, a poor technique of administration, localized infection in the tooth, abscess formation, certain mutations, etc. Drinking few cold drinks has no effect on anesthesia. So, my sug...  Read Full »

Do I need anesthesia before a filling procedure?

Query: Hi doctor,I had a temporary filling for a deep cavity in the wisdom tooth. I have experienced extreme pain, and the dentist did not stop when prompted. Should I have been given a painkiller or anesthesia to numb the pain? Before the filling, I was not in pain, could drink cold water and eat withou...  Read Full »


Dr. Geeth Sadasivam

Answer: Hi, Welcome to icliniq.com. I have read through your complaint and the relevant details. All filling procedures do not require numbness before the treatment. Root canal treatment needs the tooth and associated gums to be anaesthetised. The depth of the cavity prepared in the tooth indicates whether ...  Read Full »

Will a few sips of alcohol the night before a minor surgery affect anesthesia?

Query: Hi doctor, I had a few sips of a friend's margarita (not much at all, not even enough for a buzz, just to try the flavor). I am 19-year-old (confidentiality, please). I have small surgery in the morning just to get a cyst removed from my wrist. I hardly had anything to drink and am completely fine....  Read Full »


Dr. Utkarsh Sharma

Answer: Hello, Welcome to icliniq.com. I understand your concern and will help you regarding it. Few sips of margarita should not be a cause of concern as already there will be just a little intake of alcohol. In addition, the half-life of alcohol is around four to five hours. Hence much of whatever lit...  Read Full »

After doing filling, I have numbness in my tongue sometimes. Why?

Query: Hi doctor, For about a week, the right end of my tongue has been feeling just like a little numb and swelling. It would come and go a little bit throughout the day. It does not hurt, but it is just annoying. Sometimes, I will rub the end of my tongue on my teeth, and I did not know if that would cau...  Read Full »


Dr. Geeth Sadasivam

Answer: Hi, Welcome to icliniq.com. I have read through your complaint and the relevant details. You have mentioned that you are experiencing this kind of tongue numbness only for a week and also had a filling done recently. So, my question to you is, did you get any injections in the mouth during your dent...  Read Full »

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

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

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.

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

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

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 »

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