Orthotown Jan/Feb 2014 - (Page 18)

orthotown.com // message board Topical Anesthetic for TAD Placement What kind of anesthetic do you use for placement? Orthotown.com > Message Boards > Clinical Topics > Clinical Orthodontics > Topical Anesthetic for TAD Placement s0m0w Member Since: 12/04/09 Post: 1 of 14 For those of you who use TADs, what kind of anesthetic do you use for placement? Topical or injection? If you use only topical, what brand do you use and where do you order it? Anyone use a compounding pharmacy to have it made locally? n DEC 4 2011 ptpdmd Member Since: 10/13/03 Post: 2 of 14 I use both, but only a small bit of local. The topical I use is made at a local pharmacy. He uses a more hydrophilic base to give it more absorption, and his version of EMLA is pretty good. I haven't tried it without local, yet. But, once I get a better feel for this EMLA I may forgo using topical in most situations. n DEC 5 2011 ahayes Member Since: 01/20/06 Post: 3 of 14 I wonder if there is any advantage to using a local compounding pharmacy over a more commercial compounding pharmacy that makes the stuff everyday? I would imagine that with a local compounder you'd have some variation in your end products. That could be a good thing I guess as was mentioned earlier about extra hydrophilicity, etc. I've gotten always TAC 20 from Professional Arts Pharmacy. They package it in a pump now, which I really like because it's conservative and there's never a question about contamination. Takes a second to order/refill and I think costs ~$40. Since we're on the TAD topic - at the TAD forum in Las Vegas last month [Editors Note: In 2011] I was amazed by a few things present in almost all lectures: 1. Almost everyone was electing to work from the palate and not the buccal 2. Almost everyone was using some form of handpiece driver system 3. Almost everyone was using 1/4 carpule of lidocaine. 4. I don't think I even heard a mention of the various spring loaded anesthetic "jets." Quite a difference from a typical miniscrew lecture say from a year or two ago. n Andy DEC 5 2011 zxzxzx Member Since: 02/28/03 Post: 4 of 14 I took my first TADs program in Dallas 10 years ago given by HS Park. He required an engine drive contra angle set up. I was thinking this was overkill but I've used if for 10 years and it is great. The only system that really works well from the buccal is C-Implant. Great comments. Thanks. n DEC 5 2011 ptpdmd Member Since: 10/13/03 Post: 5 of 14 Andy, do you use any local injection with the TAC? As far as consistency, there is some variation in the viscosity of the Eutectic Mixture of Local Anesthetics (EMLA), but it appears to work the same every time. I think pharmacists who compound day in and day out can keep the actual ratios the same. It probably comes down to the actual variation of the base from the manufacturers with each batch. n DEC 6 2011 continued on page 20 18 JANUARY / FEBRUARY 2014 // orthotown.com http://www.orthotown.com http://www.Orthotown.com http://www.orthotown.com

Table of Contents for the Digital Edition of Orthotown Jan/Feb 2014

Orthotown.com Highlights
Wired for Success: The Customer Service Game
Lower Incisor Extraction – Anyone Have Photos?
Topical Anesthetic for TAD Placement
Staff Treatment and Clocking In
Office Visit: Work of Art
Orthotown Townie Choice Awards
The 10 Most Important Practice Management Statistics Orthodontists Should Track
How to Start More Adult Cases
Stand Up and Stand Out
Ad Index

Orthotown Jan/Feb 2014