DentaltownUK April 2017 - 30

Golden Nugget's

with
Christine MacLeavy

I

remember asking my clinical director (on
behalf of the Oxford Deanery) if she would
be happy to undertake extended duties
training in ID Blocks back in 2003! Thankfully
she agreed (her IDB's nearly always worked first
time and the patients....all children and adults
with special needs hardly ever complained).
As I facilitated these extended duties courses
on behalf of the deanery, I sat through the
lecture eight times, at eight different venues
and was demonstrated on... eight times!
My first IDB refresher was a couple of years
after completing my extended duties. It was
at Stoke Mandeville Post Grad Centre with
Wayne Williams.
When we went around the room introducing
ourselves, it appeared that there was only one
other therapist there, the rest were dentists!
Wayne then asked each of the group why
we were there and what percentage of our
IDB's failed or did not get the patient numb
enough! The consensus was about 30-40%!
Wayne then asked me - 'Well in the couple of
years I've been doing them' I said, 'I've have
one not work!'
He asked me how many I did per week - I
said it varied but I gave local a lot and IDBs
pretty much daily! Plus supervising students
every Thursday at the Eastman School of Dental
Hygiene and Dental Therapy!
Since those early days of IDBs to date I
have been picking up tips and learning from
other dentists including Mike Gow on the PG
Diploma in Hypnosis Applied to Dentistry
and Chris Bell from Bristol. So I felt highly
honoured to be asked to write this piece!

30

APRIL 2017 // dentaltownuk.com

So, these are my top tips based on what I
have learned, coupled with my experience as
a clinician and teaching others:

Prepare your patient
Preparation is vital. This may all seem really
obvious, but it's so important I am going to
state it all anyway!
Has the patient experienced LA before? Either
way some explanation is necessary, either simply
to inform patient or to allay fears and dispel
myths! 'No, the needle isn't that long!' - (as
patient demonstrates something that equates
to a good six to twelve inches!!)
Explain what you are going to do, what it
will feel like (eg 'fat and funny) and how long it
will last and what areas will be affected. Make
sure you are using language appropriate to the
age and understanding of the patient!
Check medical history/medication/
recreational drugs? Yes, every time! Boring I
know but extremely important. Unfortunately
we are more reticent to ask about recreational
drugs, yet it is import to ascertain as someone
using cocaine for example, will be more prone
to arrhythmia.
Choose your local anaesthesic agent - lidocaine
is still the gold standard for IDBs; suitable for
anyone over the age of two (weight dependent).
There has been a longstanding debate about
the use of Articaine for IDBs. According to
some, Articaine may be more toxic to the nerve
tissue and the risk of parasthesia higher (about
the same as Citanest).
While there is debate about the risks of
Articaine for IDBs, with some saying the
risk is realistically no greater, many choose
to avoid it anyway - just in case/ When you
consider the fact that it has been suggested that
Articaine is no more effective for IDBs than


http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK April 2017

Cover
Meet the Team
Mike Gow
Industry News
Howard Speaks
International Dental Show
Through the Keyhole: Surgery—Home and Away
What's on Dentaltown
Golden Nuggets
Continuing Education
BACD: Rise of Cosmetic Dentistry
3-D Printing
Google: Leading Cause of Truth Decay
General Practice: Message Board
Time Out
Probing Report
Eating Disorders
Physiotherapy in the Treatment of Craniomandibular, Craniofacial and Craniocervical Disorders
Prosthodontics: Message Board
Plan Z
Online Marketing
Product Profile
Finance: Message Board
Lifestyle Section
Student Section
Poll
The European Society of Hypnosis
Wish List
DentaltownUK April 2017 - Cover
DentaltownUK April 2017 - Cover2
DentaltownUK April 2017 - 3
DentaltownUK April 2017 - 4
DentaltownUK April 2017 - Meet the Team
DentaltownUK April 2017 - 6
DentaltownUK April 2017 - 7
DentaltownUK April 2017 - 8
DentaltownUK April 2017 - 9
DentaltownUK April 2017 - Mike Gow
DentaltownUK April 2017 - 11
DentaltownUK April 2017 - Industry News
DentaltownUK April 2017 - 13
DentaltownUK April 2017 - 14
DentaltownUK April 2017 - 15
DentaltownUK April 2017 - Howard Speaks
DentaltownUK April 2017 - 17
DentaltownUK April 2017 - International Dental Show
DentaltownUK April 2017 - 19
DentaltownUK April 2017 - 20
DentaltownUK April 2017 - 21
DentaltownUK April 2017 - 22
DentaltownUK April 2017 - 23
DentaltownUK April 2017 - Through the Keyhole: Surgery—Home and Away
DentaltownUK April 2017 - 25
DentaltownUK April 2017 - 26
DentaltownUK April 2017 - 27
DentaltownUK April 2017 - What's on Dentaltown
DentaltownUK April 2017 - Golden Nuggets
DentaltownUK April 2017 - 30
DentaltownUK April 2017 - 31
DentaltownUK April 2017 - Continuing Education
DentaltownUK April 2017 - 33
DentaltownUK April 2017 - BACD: Rise of Cosmetic Dentistry
DentaltownUK April 2017 - 35
DentaltownUK April 2017 - 3-D Printing
DentaltownUK April 2017 - 37
DentaltownUK April 2017 - 38
DentaltownUK April 2017 - Google: Leading Cause of Truth Decay
DentaltownUK April 2017 - 40
DentaltownUK April 2017 - 41
DentaltownUK April 2017 - General Practice: Message Board
DentaltownUK April 2017 - 43
DentaltownUK April 2017 - 44
DentaltownUK April 2017 - 45
DentaltownUK April 2017 - 46
DentaltownUK April 2017 - 47
DentaltownUK April 2017 - Time Out
DentaltownUK April 2017 - 49
DentaltownUK April 2017 - Probing Report
DentaltownUK April 2017 - 51
DentaltownUK April 2017 - Eating Disorders
DentaltownUK April 2017 - 53
DentaltownUK April 2017 - 54
DentaltownUK April 2017 - 55
DentaltownUK April 2017 - Physiotherapy in the Treatment of Craniomandibular, Craniofacial and Craniocervical Disorders
DentaltownUK April 2017 - 57
DentaltownUK April 2017 - 58
DentaltownUK April 2017 - 59
DentaltownUK April 2017 - 60
DentaltownUK April 2017 - 61
DentaltownUK April 2017 - Prosthodontics: Message Board
DentaltownUK April 2017 - 63
DentaltownUK April 2017 - 64
DentaltownUK April 2017 - 65
DentaltownUK April 2017 - 66
DentaltownUK April 2017 - 67
DentaltownUK April 2017 - 68
DentaltownUK April 2017 - Plan Z
DentaltownUK April 2017 - 70
DentaltownUK April 2017 - 71
DentaltownUK April 2017 - Online Marketing
DentaltownUK April 2017 - 73
DentaltownUK April 2017 - 74
DentaltownUK April 2017 - 75
DentaltownUK April 2017 - Product Profile
DentaltownUK April 2017 - 77
DentaltownUK April 2017 - Finance: Message Board
DentaltownUK April 2017 - 79
DentaltownUK April 2017 - 80
DentaltownUK April 2017 - 81
DentaltownUK April 2017 - 82
DentaltownUK April 2017 - 83
DentaltownUK April 2017 - 84
DentaltownUK April 2017 - 85
DentaltownUK April 2017 - Lifestyle Section
DentaltownUK April 2017 - 87
DentaltownUK April 2017 - 88
DentaltownUK April 2017 - 89
DentaltownUK April 2017 - 90
DentaltownUK April 2017 - 91
DentaltownUK April 2017 - 92
DentaltownUK April 2017 - 93
DentaltownUK April 2017 - 94
DentaltownUK April 2017 - 95
DentaltownUK April 2017 - Student Section
DentaltownUK April 2017 - 97
DentaltownUK April 2017 - 98
DentaltownUK April 2017 - 99
DentaltownUK April 2017 - 100
DentaltownUK April 2017 - 101
DentaltownUK April 2017 - 102
DentaltownUK April 2017 - 103
DentaltownUK April 2017 - Poll
DentaltownUK April 2017 - The European Society of Hypnosis
DentaltownUK April 2017 - Wish List
DentaltownUK April 2017 - Cover3
DentaltownUK April 2017 - Cover4
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