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OraVerse for Rapid Reversal of Local Anesthesia: Anybody Have Success with This?

March 2, 2009

We now have an agent for the rapid reversal of local anesthesia – phentolamine mesylate [OraVerse]. Is anybody using this? One of the most frequent complaints I hear from my patients is that the anesthesia lasts too long – especially inferior alveolar blocks. Some of my patients hate the prolonged numbness so much that they prefer to take the pain of having dental treatment without anesthesia which drives me crazy as the squeak or shudder whenever I do anything that hurts. I would be happy to bear the increased cost of using this reversal agent to get more of my patients to accept profound local anesthesia. But I would like to know that it really works.

Written by admin · Filed Under Oral Surgery, What's Hot, Anesthesia, What's New | 6 Comments 

Forendo Root Canal Cement: Can This Really Be Used as a Permanent Sealer?

March 2, 2009

Pulpdent has just come out with a new root canal cement, Forendo, that is non-setting. It has calcium hydroxide and iodoform which is important for killing off E. faecalis and other pathogenic bacteria that have been linked with root canal failure. The root canal cement is advertised for interim or permanent placement. What bothers me is that I do not understand how this can be used as a permanent root canal sealer when it does not set? I would be concerned about microleakage over time. Any thoughts?

Written by admin · Filed Under Endodontics, What's New | 2 Comments 

V-Ring Problem: Proximal Contact is Too Tight

March 2, 2009

I just started using the V-ring [Triodent] to establish proximal contact in Class II direct resin-composite restorations. And let me tell you this is great. I do not even worry about making contact anymore. But I have been having a problem where patients return to complain that the proximal contact is too tight. In some cases I have to anesthetize the patient, separate the teeth with a ring, place a wooden wedge, remove the ring and then plane the proximal contact with sandpaper strips. I know this sounds a little crazy, but how do you prevent this from happening? How do I keep the contacts from being too tight? What am I doing wrong?

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RC Prep: Should I Use This in Every Endo Case?

March 2, 2009

\Dr. L. asks:
In every course that I take on endodontics, the lecturer always mentions using RC Prep [EDTA] (Premier) to dissolve soft tissue in the canal and to prevent soft tissue from bunching up and plugging the apical third. There are many different forms of RC Prep. When I was in dental school we used the paste form that came in a jar. You put the RC Prep on the file and inserted it into the canal space. I have also seen this in a liquid form that you syringe into the canal. What is the best way to use RC Prep? Is it really necessary to use RC Prep in every case?

Written by admin · Filed Under Endodontics, What's New | 3 Comments