Navi, our podcast wizard, spoke with Dr. Derek Decloux, Dental Anesthesiology Resident at the University of Toronto. Derek shares his experience as a dentist and a resident for the benefit of dental students across Canada.
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Until next time!
Chiraz Guessaier, CDA Oasis Manager & Navi Bharj, Faculty of Dentistry at the University of Alberta
haynesatpalace@rogers.com. I strongly recommend the Gow-Gates technique as the first attempt for 3rd year dental students to access mandidibular anesthesia. IANB should be the second choice. To reduce failure rate (15%) regardless of cause (anatomical, physiological, IV leakage, or speed of administration), there is a need to reduce the 15% which was accepted back in 1947, to about 8%. The Molecular shape of the Lipophilic section of the anesthetic solution is now spherical, hence a higher success rate of crossing the sheath than with one that is elliptical – (Benzene). Being spherical, it is always properly aligned for the base (RN) to cross from the extracellular space. Therefore 15% should be lowered to at maximum 8%. Another query? This is re unexplained parenthesis. Why Marcaine 4% was not singled out when it was first introduced as a potential compound to cause unexplained parenthesis until after 30 years when articaine 4% was introduced to the market? Hmmm!