• compounding pharmacy
• CAN
BE
SQUEEZED
ONTO
A
GAUZE
PAD
THEN
APPLIED
TO
SITE
FOR
APPROXIMATELY
2
MINUTES-‐
PROVIDES
ANESTHESIA
FOR
APPROXIMATE
DURATION
OF
30
MINUTES.
• CONTRAINDICATIONS:
any
paWent
with
a
known
sensiWvity
to
local
anestheWcs
of
the
amide
type.
(Allergic
reacWons
of
the
amide
type
are
very
rare)
or
pera-‐
aminobenzoic
acid.
Use
with
cauWon
in
paWents
with
hepaWc
disease
since
metabolism
takes
place
in
the
liver.
LOCAL
ANAESTHESIA
• Maxillary
anaesthesia
—supraperiosteal
infiltraWon
in
the
mucobuccal
fold
—
intrapapillary
injecWon
for
palatal
anesthesia
• Mandibular
anesthesia
—supraperiosteal
infiltraWon
(effecWve
for
incisors
and
canines
and
occasionally
effecWve
for
minor
operaWve
procedures
on
primary
molars)
—inferior
alveolar
nerve
block
(effecWve
for
extensive
operaWve
procedures
or
oral
surgical
procedures
on
primary
(or
permanent)
molars.
MAXIMUM
RECOMMENDED
DOSAGES
COMMON
L.A.