Dentaltown December 2019 - 67

CASE PHOTOGRAPHY BY TABATHA HALLBERG

Fig. 1: Use a quality topical
anesthetic gel; avoid cheap, less
potent, low-viscosity generic
products. If the product has a runny
consistency, patients will be more
likely to swallow it and feel as if they
are choking. One of the excellent
products available is Premier's
Topicale. It has a pleasant taste to
most patients and it's both viscous
and potent, so only a minimal
amount is necessary.

Fig. 2: I use septocaine 4% epi 1:100,000
with a 30-gauge short needle for all
maxillary injections, unless use of
epinephrine is contraindicated for
that patient. Here is a key: Pause
for a moment just before the needle
penetrates the mucosa. For the maxillary
arch, gently grasp the lip, stabilized with
a mirror, as pictured, then quickly but
carefully advance the needle into the
mucosa while simultaneously pulling
the lip and soft tissue into the needle.
This is a two-handed technique. The
sensory movement of the tissue blocks
much of the pain transmission down the
neural pathway. Take your time, allowing
45-60 seconds to administer while
gently moving the tissue back and forth.
Comment to your patient while doing
so about doing it gently, taking time to
make it more comfortable, and ask them
if they're doing OK. Afterward, I'll ask
patients, "Now, that wasn't too rough,
was it?" It's nice to hear them make a
positive comment afterward, and it may
be helpful to the patient to verbalize that
it was better than they anticipated.

dentaltown.com \\ DECEMBER 2019

67



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Dentaltown December 2019

Table of Contents for the Digital Edition of Dentaltown December 2019

Dentaltown December 2019 - Intro
Dentaltown December 2019 - Cover1
Dentaltown December 2019 - Cover2
Dentaltown December 2019 - 1
Dentaltown December 2019 - 2
Dentaltown December 2019 - 3
Dentaltown December 2019 - 4
Dentaltown December 2019 - 5
Dentaltown December 2019 - 6
Dentaltown December 2019 - 7
Dentaltown December 2019 - 8
Dentaltown December 2019 - 9
Dentaltown December 2019 - 10
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Dentaltown December 2019 - 16
Dentaltown December 2019 - 17
Dentaltown December 2019 - 18
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Dentaltown December 2019 - Cover3
Dentaltown December 2019 - Cover4
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