Dentaltown October 2016 - 64


general practice
message board

Of course, I believe he is also a consultant for Onpharma ... I just looked at my old notes
from the course; the only literature he cited was his own research regarding the speed of onset
and patient preference for buffered. ■
8/16/2013

ecnar
Member Since: 01/22/01
Post: 38 of 119

I'm not being a hammer to ask these questions. My younger brother works for a company
that deals in the various stages of bringing a new drug through the FDA and then to market.
His take is that any practitioner would be legally exposed if there were any adverse effects ...
even if they weren't related to buffering. Now, that doesn't mean that the process of buffering
is inherently evil, just that if you happened to have an event occur ... you'd be in really weak
position if sued. ■
8/16/2013

Timmy G
Member Since: 04/14/02
Post: 39 of 119

Rance, Onset has FDA approval for dental use with lidocaine, 1:100K epi. That's the only
one I'm aware that it's approved for.
I'm not sure I understand your risk question. Using this product as FDA approved, how is
that any more risky to use then using any other FDA-approved product? ■
8/16/2013

ecnar
Member Since: 01/22/01
Post: 40 of 119

My last few comments are in the context of discussing buffering your own solution on the fly
and not in using Onset. Onset has probably taken more than a few years to take their product
to market through the FDA process.
There are endless threads, arguments and alarmists on DT about Septocaine issues when giving
blocks, even if the increased risks are statistically negligible but of no concern with experimental
buffering chairside with our patients?
To the issue of consent, at some point most of us will have anesthetic post-op issues. Is that
the best time to inform the patient that you were experimenting with buffering?
I hate to bring the Perry Mason spin to this but it would seem like you'd be setting up any
lawyer to own your butt. ■
8/16/2013

380Dental
Member Since: 07/22/11
Post: 41 of 119

Can someone give me a good reason that buffering would ever be a problem?
We are talking about taking a fairly acidic liquid that is being injected, and making it
neutral before insertion. From a purely scientific point of view, this would make any injection
be safer if nothing else. ■
8/17/2013

test123
Member Since: 11/05/01
Post: 42 of 119

I agree with Rance. You can scrape together some bread mold and have patients ingest
it instead of ABs, or buy a bag of Portland Cement and use it for endo, but if there are any
problems I doubt you can rely on research done by Quickrete to back you up.
The practice is probably sound and safe, but it seems to me that so long as Onset is the only
formulation out there, I don't think one can safely rely on it. ■
8/17/2013

CoryGlenn
Member Since: 01/27/09
Posts: 44 & 46 of 119

64

I don't think that's the same thing, Steve. This is in no way an uncontrolled process with
bootleg materials. It's sterile NaHCO3 for medical use. I wouldn't hold my breath for more
formulations. There can't be more formulations of bicarb ... it's just bicarb.
The genius of the Onpharma folks was they developed a dispensing method for this very

OCTOBER 2016 // dentaltown.com


http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown October 2016

On Dentaltown.com
Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Professional Courtesy: Waiting For Something Better
Continuing Education Update
Industry News
New Products
Poll
Show Your Work: Putty in My Hands
Message Board: I Could Give a Flip About TMD, and Here is Why!
Message Board: Fixed Lingual Retainer Wire
Message Board: Paying at Time of Service
Message Board: Buffering Anesthetic Carpules
You Be The Judge: A Dose of Reality
Building a Mandible
Patient Financing Programs
Sealing The Gaps
Beyond Clinical Care
Message Board: Your Best Advice in 5 Words or Less
Corporate Profile: An Inside Look at an Implant Giant
Product Profile: Wand Dental
Ad Index
Product Profile: Scheduling Institute
Product Profile: 3M
CE: Magnification in Endodontics
Dentally Incorrect
Dentaltown October 2016 - Intro
Dentaltown October 2016 - Cover1
Dentaltown October 2016 - Cover2
Dentaltown October 2016 - 1
Dentaltown October 2016 - 2
Dentaltown October 2016 - 3
Dentaltown October 2016 - 4
Dentaltown October 2016 - 5
Dentaltown October 2016 - 6
Dentaltown October 2016 - 7
Dentaltown October 2016 - 8
Dentaltown October 2016 - 9
Dentaltown October 2016 - 10
Dentaltown October 2016 - 11
Dentaltown October 2016 - On Dentaltown.com
Dentaltown October 2016 - 13
Dentaltown October 2016 - Howard Speaks: Repeatedly Reap the Rewards of Selling Your Practice
Dentaltown October 2016 - 15
Dentaltown October 2016 - 16
Dentaltown October 2016 - 17
Dentaltown October 2016 - Professional Courtesy: Waiting For Something Better
Dentaltown October 2016 - 19
Dentaltown October 2016 - Continuing Education Update
Dentaltown October 2016 - 21
Dentaltown October 2016 - 22
Dentaltown October 2016 - 23
Dentaltown October 2016 - Industry News
Dentaltown October 2016 - 25
Dentaltown October 2016 - New Products
Dentaltown October 2016 - 27
Dentaltown October 2016 - Poll
Dentaltown October 2016 - 29
Dentaltown October 2016 - 30
Dentaltown October 2016 - 31
Dentaltown October 2016 - Show Your Work: Putty in My Hands
Dentaltown October 2016 - 33
Dentaltown October 2016 - 34
Dentaltown October 2016 - 35
Dentaltown October 2016 - Message Board: I Could Give a Flip About TMD, and Here is Why!
Dentaltown October 2016 - 37
Dentaltown October 2016 - 38
Dentaltown October 2016 - 39
Dentaltown October 2016 - 40
Dentaltown October 2016 - 41
Dentaltown October 2016 - 42
Dentaltown October 2016 - 43
Dentaltown October 2016 - 44
Dentaltown October 2016 - 45
Dentaltown October 2016 - Message Board: Fixed Lingual Retainer Wire
Dentaltown October 2016 - 47
Dentaltown October 2016 - 48
Dentaltown October 2016 - 49
Dentaltown October 2016 - 50
Dentaltown October 2016 - 51
Dentaltown October 2016 - 52
Dentaltown October 2016 - 53
Dentaltown October 2016 - Message Board: Paying at Time of Service
Dentaltown October 2016 - 55
Dentaltown October 2016 - 56
Dentaltown October 2016 - 57
Dentaltown October 2016 - Message Board: Buffering Anesthetic Carpules
Dentaltown October 2016 - 59
Dentaltown October 2016 - 60
Dentaltown October 2016 - 61
Dentaltown October 2016 - 62
Dentaltown October 2016 - 63
Dentaltown October 2016 - 64
Dentaltown October 2016 - 65
Dentaltown October 2016 - You Be The Judge: A Dose of Reality
Dentaltown October 2016 - 67
Dentaltown October 2016 - 68
Dentaltown October 2016 - 69
Dentaltown October 2016 - Building a Mandible
Dentaltown October 2016 - 71
Dentaltown October 2016 - 72
Dentaltown October 2016 - 73
Dentaltown October 2016 - 74
Dentaltown October 2016 - 75
Dentaltown October 2016 - Patient Financing Programs
Dentaltown October 2016 - 77
Dentaltown October 2016 - 78
Dentaltown October 2016 - 79
Dentaltown October 2016 - Sealing The Gaps
Dentaltown October 2016 - 81
Dentaltown October 2016 - 82
Dentaltown October 2016 - 83
Dentaltown October 2016 - 84
Dentaltown October 2016 - 85
Dentaltown October 2016 - Beyond Clinical Care
Dentaltown October 2016 - 87
Dentaltown October 2016 - 88
Dentaltown October 2016 - 89
Dentaltown October 2016 - Message Board: Your Best Advice in 5 Words or Less
Dentaltown October 2016 - 91
Dentaltown October 2016 - Corporate Profile: An Inside Look at an Implant Giant
Dentaltown October 2016 - 93
Dentaltown October 2016 - 94
Dentaltown October 2016 - 95
Dentaltown October 2016 - Product Profile: Wand Dental
Dentaltown October 2016 - Ad Index
Dentaltown October 2016 - Product Profile: Scheduling Institute
Dentaltown October 2016 - 99
Dentaltown October 2016 - Product Profile: 3M
Dentaltown October 2016 - 101
Dentaltown October 2016 - CE: Magnification in Endodontics
Dentaltown October 2016 - 103
Dentaltown October 2016 - 104
Dentaltown October 2016 - 105
Dentaltown October 2016 - 106
Dentaltown October 2016 - 107
Dentaltown October 2016 - 108
Dentaltown October 2016 - 109
Dentaltown October 2016 - 110
Dentaltown October 2016 - 111
Dentaltown October 2016 - Dentally Incorrect
Dentaltown October 2016 - Cover3
Dentaltown October 2016 - Cover4
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