Local anesthesia not working 
Author Message
 Local anesthesia not working

I recently had a large filling that had broken replaced on a lower
molar, plus some drilling on the underlying decay.  The xylocaine
injections (2) barely had any effect - my lip was hardly numb at all
and the drilling hurt like hell. This has happened to me before, I
think especially on molars but I'm not sure.  I'm not normally *that*
sensitive to pain, and anyway, it seems as though there really wasn't
much anesthesia, what with the non-numb lip.
Are some people insensitive to xylocaine or able to metabolize it more
quickly than other people?  Is there anything I can do to maximize the
effects of a future injection?
My dentist probably thinks I'm a wuss, but I often have no anesthesia
if it's a tiny cavity and in fact I'm incredibly strong and brave but
jeez, that one hurt.
Thanks.
Tony.


Sun, 14 Mar 2004 18:42:53 GMT
 Local anesthesia not working

Local anesthesia for routine operative procedures is like real estate.

Location, location, location.

Some dentists have poor technique in locating the injection site.

Some dentists use 30 guage needles which deflect in the tissue and miss
the site even though they started the injection correctly. (25 guage are
best and are no more uncomfortable than 30's)

Some patients have anatomy that is slightly different from average and
the location for the injection needs to be altered.

Usually if I miss a block, a slightly higher injection location takes
care of the problem.

If there are still problems, it's time for Stabident, X-tip, or
intra-ligamental injections.  

There is virtually no reason for you to be enduring pain.

JMHO,
SWF DDS

Quote:

> I recently had a large filling that had broken replaced on a lower
> molar, plus some drilling on the underlying decay.  The xylocaine
> injections (2) barely had any effect - my lip was hardly numb at all
> and the drilling hurt like hell. This has happened to me before, I
> think especially on molars but I'm not sure.  I'm not normally *that*
> sensitive to pain, and anyway, it seems as though there really wasn't
> much anesthesia, what with the non-numb lip.
> Are some people insensitive to xylocaine or able to metabolize it more
> quickly than other people?  Is there anything I can do to maximize the
> effects of a future injection?
> My dentist probably thinks I'm a wuss, but I often have no anesthesia
> if it's a tiny cavity and in fact I'm incredibly strong and brave but
> jeez, that one hurt.
> Thanks.
> Tony.



Sun, 14 Mar 2004 20:35:51 GMT
 Local anesthesia not working
Thank you, Steven.
I will check whether my dentist uses Stabident or x-tip and if not....
He seemed satisfied that because the gum was numb the tooth would be,
but it wasn't.
Tony.

On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

Quote:

>Local anesthesia for routine operative procedures is like real estate.

>Location, location, location.

>Some dentists have poor technique in locating the injection site.

>Some dentists use 30 guage needles which deflect in the tissue and miss
>the site even though they started the injection correctly. (25 guage are
>best and are no more uncomfortable than 30's)

>Some patients have anatomy that is slightly different from average and
>the location for the injection needs to be altered.

>Usually if I miss a block, a slightly higher injection location takes
>care of the problem.

>If there are still problems, it's time for Stabident, X-tip, or
>intra-ligamental injections.  

>There is virtually no reason for you to be enduring pain.

>JMHO,
>SWF DDS


>> I recently had a large filling that had broken replaced on a lower
>> molar, plus some drilling on the underlying decay.  The xylocaine
>> injections (2) barely had any effect - my lip was hardly numb at all
>> and the drilling hurt like hell. This has happened to me before, I
>> think especially on molars but I'm not sure.  I'm not normally *that*
>> sensitive to pain, and anyway, it seems as though there really wasn't
>> much anesthesia, what with the non-numb lip.
>> Are some people insensitive to xylocaine or able to metabolize it more
>> quickly than other people?  Is there anything I can do to maximize the
>> effects of a future injection?
>> My dentist probably thinks I'm a wuss, but I often have no anesthesia
>> if it's a tiny cavity and in fact I'm incredibly strong and brave but
>> jeez, that one hurt.
>> Thanks.
>> Tony.



Sun, 14 Mar 2004 20:58:57 GMT
 Local anesthesia not working
Can also be effected by having a few beers before the appt (sometimes even
the night before).  Can be effected by patient mood and temperament
(patients who are having a "bad day" never get numb).  Some recreational
{*filter*} will effect ability to get numb.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

Troy, Michigan  USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................


Quote:
> Thank you, Steven.
> I will check whether my dentist uses Stabident or x-tip and if not....
> He seemed satisfied that because the gum was numb the tooth would be,
> but it wasn't.
> Tony.

> On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> >Local anesthesia for routine operative procedures is like real estate.

> >Location, location, location.

> >Some dentists have poor technique in locating the injection site.

> >Some dentists use 30 guage needles which deflect in the tissue and miss
> >the site even though they started the injection correctly. (25 guage are
> >best and are no more uncomfortable than 30's)

> >Some patients have anatomy that is slightly different from average and
> >the location for the injection needs to be altered.

> >Usually if I miss a block, a slightly higher injection location takes
> >care of the problem.

> >If there are still problems, it's time for Stabident, X-tip, or
> >intra-ligamental injections.

> >There is virtually no reason for you to be enduring pain.

> >JMHO,
> >SWF DDS


> >> I recently had a large filling that had broken replaced on a lower
> >> molar, plus some drilling on the underlying decay.  The xylocaine
> >> injections (2) barely had any effect - my lip was hardly numb at all
> >> and the drilling hurt like hell. This has happened to me before, I
> >> think especially on molars but I'm not sure.  I'm not normally *that*
> >> sensitive to pain, and anyway, it seems as though there really wasn't
> >> much anesthesia, what with the non-numb lip.
> >> Are some people insensitive to xylocaine or able to metabolize it more
> >> quickly than other people?  Is there anything I can do to maximize the
> >> effects of a future injection?
> >> My dentist probably thinks I'm a wuss, but I often have no anesthesia
> >> if it's a tiny cavity and in fact I'm incredibly strong and brave but
> >> jeez, that one hurt.
> >> Thanks.
> >> Tony.



Sun, 14 Mar 2004 23:16:08 GMT
 Local anesthesia not working

Quote:

> Can also be effected by having a few beers before the appt (sometimes even
> the night before).

Didn't know that!

Quote:
>  Can be effected by patient mood and temperament
> (patients who are having a "bad day" never get numb).

I did know that.  For that matter, patients don't get numb when I'm having a
bad day!

Steve

Quote:
>  Some recreational
> {*filter*} will effect ability to get numb.

> --
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Stephen Mancuso, D.D.S.

> Troy, Michigan  USA
> +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> This posting is intended for informational or conversational purposes only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here.  Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will effect
> your health.
> ......................



> > Thank you, Steven.
> > I will check whether my dentist uses Stabident or x-tip and if not....
> > He seemed satisfied that because the gum was numb the tooth would be,
> > but it wasn't.
> > Tony.

> > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > >Local anesthesia for routine operative procedures is like real estate.

> > >Location, location, location.

> > >Some dentists have poor technique in locating the injection site.

> > >Some dentists use 30 guage needles which deflect in the tissue and miss
> > >the site even though they started the injection correctly. (25 guage are
> > >best and are no more uncomfortable than 30's)

> > >Some patients have anatomy that is slightly different from average and
> > >the location for the injection needs to be altered.

> > >Usually if I miss a block, a slightly higher injection location takes
> > >care of the problem.

> > >If there are still problems, it's time for Stabident, X-tip, or
> > >intra-ligamental injections.

> > >There is virtually no reason for you to be enduring pain.

> > >JMHO,
> > >SWF DDS


> > >> I recently had a large filling that had broken replaced on a lower
> > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > >> injections (2) barely had any effect - my lip was hardly numb at all
> > >> and the drilling hurt like hell. This has happened to me before, I
> > >> think especially on molars but I'm not sure.  I'm not normally *that*
> > >> sensitive to pain, and anyway, it seems as though there really wasn't
> > >> much anesthesia, what with the non-numb lip.
> > >> Are some people insensitive to xylocaine or able to metabolize it more
> > >> quickly than other people?  Is there anything I can do to maximize the
> > >> effects of a future injection?
> > >> My dentist probably thinks I'm a wuss, but I often have no anesthesia
> > >> if it's a tiny cavity and in fact I'm incredibly strong and brave but
> > >> jeez, that one hurt.
> > >> Thanks.
> > >> Tony.



Mon, 15 Mar 2004 01:12:19 GMT
 Local anesthesia not working
Liver enzymes.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

Troy, Michigan  USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................


Quote:


> > Can also be effected by having a few beers before the appt (sometimes
even
> > the night before).

> Didn't know that!

> >  Can be effected by patient mood and temperament
> > (patients who are having a "bad day" never get numb).

> I did know that.  For that matter, patients don't get numb when I'm having
a
> bad day!

> Steve

> >  Some recreational
> > {*filter*} will effect ability to get numb.

> > --
> > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > Stephen Mancuso, D.D.S.

> > Troy, Michigan  USA
> > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > This posting is intended for informational or conversational purposes
only.
> > Always seek the opinion of a licensed dental professional before acting
on
> > the advice or opinion expressed here.  Only a dentist who has examined
you
> > in person can diagnose your problems and make decisions which will
effect
> > your health.
> > ......................



> > > Thank you, Steven.
> > > I will check whether my dentist uses Stabident or x-tip and if not....
> > > He seemed satisfied that because the gum was numb the tooth would be,
> > > but it wasn't.
> > > Tony.

> > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > >Local anesthesia for routine operative procedures is like real
estate.

> > > >Location, location, location.

> > > >Some dentists have poor technique in locating the injection site.

> > > >Some dentists use 30 guage needles which deflect in the tissue and
miss
> > > >the site even though they started the injection correctly. (25 guage
are
> > > >best and are no more uncomfortable than 30's)

> > > >Some patients have anatomy that is slightly different from average
and
> > > >the location for the injection needs to be altered.

> > > >Usually if I miss a block, a slightly higher injection location takes
> > > >care of the problem.

> > > >If there are still problems, it's time for Stabident, X-tip, or
> > > >intra-ligamental injections.

> > > >There is virtually no reason for you to be enduring pain.

> > > >JMHO,
> > > >SWF DDS


> > > >> I recently had a large filling that had broken replaced on a lower
> > > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > > >> injections (2) barely had any effect - my lip was hardly numb at
all
> > > >> and the drilling hurt like hell. This has happened to me before, I
> > > >> think especially on molars but I'm not sure.  I'm not normally
*that*
> > > >> sensitive to pain, and anyway, it seems as though there really
wasn't
> > > >> much anesthesia, what with the non-numb lip.
> > > >> Are some people insensitive to xylocaine or able to metabolize it
more
> > > >> quickly than other people?  Is there anything I can do to maximize
the
> > > >> effects of a future injection?
> > > >> My dentist probably thinks I'm a wuss, but I often have no
anesthesia
> > > >> if it's a tiny cavity and in fact I'm incredibly strong and brave
but
> > > >> jeez, that one hurt.
> > > >> Thanks.
> > > >> Tony.



Mon, 15 Mar 2004 02:22:49 GMT
 Local anesthesia not working
It's all coming back now...like a bad dream.

Steve

Quote:

> Liver enzymes.

> --
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Stephen Mancuso, D.D.S.

> Troy, Michigan  USA
> +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> This posting is intended for informational or conversational purposes only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here.  Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will effect
> your health.
> ......................




> > > Can also be effected by having a few beers before the appt (sometimes
> even
> > > the night before).

> > Didn't know that!

> > >  Can be effected by patient mood and temperament
> > > (patients who are having a "bad day" never get numb).

> > I did know that.  For that matter, patients don't get numb when I'm having
> a
> > bad day!

> > Steve

> > >  Some recreational
> > > {*filter*} will effect ability to get numb.

> > > --
> > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > Stephen Mancuso, D.D.S.

> > > Troy, Michigan  USA
> > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > This posting is intended for informational or conversational purposes
> only.
> > > Always seek the opinion of a licensed dental professional before acting
> on
> > > the advice or opinion expressed here.  Only a dentist who has examined
> you
> > > in person can diagnose your problems and make decisions which will
> effect
> > > your health.
> > > ......................



> > > > Thank you, Steven.
> > > > I will check whether my dentist uses Stabident or x-tip and if not....
> > > > He seemed satisfied that because the gum was numb the tooth would be,
> > > > but it wasn't.
> > > > Tony.

> > > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > > >Local anesthesia for routine operative procedures is like real
> estate.

> > > > >Location, location, location.

> > > > >Some dentists have poor technique in locating the injection site.

> > > > >Some dentists use 30 guage needles which deflect in the tissue and
> miss
> > > > >the site even though they started the injection correctly. (25 guage
> are
> > > > >best and are no more uncomfortable than 30's)

> > > > >Some patients have anatomy that is slightly different from average
> and
> > > > >the location for the injection needs to be altered.

> > > > >Usually if I miss a block, a slightly higher injection location takes
> > > > >care of the problem.

> > > > >If there are still problems, it's time for Stabident, X-tip, or
> > > > >intra-ligamental injections.

> > > > >There is virtually no reason for you to be enduring pain.

> > > > >JMHO,
> > > > >SWF DDS


> > > > >> I recently had a large filling that had broken replaced on a lower
> > > > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > > > >> injections (2) barely had any effect - my lip was hardly numb at
> all
> > > > >> and the drilling hurt like hell. This has happened to me before, I
> > > > >> think especially on molars but I'm not sure.  I'm not normally
> *that*
> > > > >> sensitive to pain, and anyway, it seems as though there really
> wasn't
> > > > >> much anesthesia, what with the non-numb lip.
> > > > >> Are some people insensitive to xylocaine or able to metabolize it
> more
> > > > >> quickly than other people?  Is there anything I can do to maximize
> the
> > > > >> effects of a future injection?
> > > > >> My dentist probably thinks I'm a wuss, but I often have no
> anesthesia
> > > > >> if it's a tiny cavity and in fact I'm incredibly strong and brave
> but
> > > > >> jeez, that one hurt.
> > > > >> Thanks.
> > > > >> Tony.

--
Mark & Steven Bornfeld DDS
Brooklyn, NY
718-258-5001
http://www.***.com/


Mon, 15 Mar 2004 03:02:38 GMT
 Local anesthesia not working
I never knew that.......I know a guy who has to get himself half loaded to
get to the dentist, but he's never mentioned not being able to get numb
(from the injection, that is!)

Thanks for the info.
Tispe

Quote:
> Can also be effected by having a few beers before the appt (sometimes even
> the night before).  Can be effected by patient mood and temperament
> (patients who are having a "bad day" never get numb).  Some recreational
> {*filter*} will effect ability to get numb.

> --
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Stephen Mancuso, D.D.S.

> Troy, Michigan  USA
> +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> This posting is intended for informational or conversational purposes
only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here.  Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will effect
> your health.
> ......................



> > Thank you, Steven.
> > I will check whether my dentist uses Stabident or x-tip and if not....
> > He seemed satisfied that because the gum was numb the tooth would be,
> > but it wasn't.
> > Tony.

> > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > >Local anesthesia for routine operative procedures is like real estate.

> > >Location, location, location.

> > >Some dentists have poor technique in locating the injection site.

> > >Some dentists use 30 guage needles which deflect in the tissue and miss
> > >the site even though they started the injection correctly. (25 guage
are
> > >best and are no more uncomfortable than 30's)

> > >Some patients have anatomy that is slightly different from average and
> > >the location for the injection needs to be altered.

> > >Usually if I miss a block, a slightly higher injection location takes
> > >care of the problem.

> > >If there are still problems, it's time for Stabident, X-tip, or
> > >intra-ligamental injections.

> > >There is virtually no reason for you to be enduring pain.

> > >JMHO,
> > >SWF DDS


> > >> I recently had a large filling that had broken replaced on a lower
> > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > >> injections (2) barely had any effect - my lip was hardly numb at all
> > >> and the drilling hurt like hell. This has happened to me before, I
> > >> think especially on molars but I'm not sure.  I'm not normally *that*
> > >> sensitive to pain, and anyway, it seems as though there really wasn't
> > >> much anesthesia, what with the non-numb lip.
> > >> Are some people insensitive to xylocaine or able to metabolize it
more
> > >> quickly than other people?  Is there anything I can do to maximize
the
> > >> effects of a future injection?
> > >> My dentist probably thinks I'm a wuss, but I often have no anesthesia
> > >> if it's a tiny cavity and in fact I'm incredibly strong and brave but
> > >> jeez, that one hurt.
> > >> Thanks.
> > >> Tony.



Mon, 15 Mar 2004 03:07:20 GMT
 Local anesthesia not working
what is the scary part?  The Liver enzymes, or me?

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

Troy, Michigan  USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................



Quote:
> It's all coming back now...like a bad dream.

> Steve


> > Liver enzymes.

> > --
> > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > Stephen Mancuso, D.D.S.

> > Troy, Michigan  USA
> > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > This posting is intended for informational or conversational purposes
only.
> > Always seek the opinion of a licensed dental professional before acting
on
> > the advice or opinion expressed here.  Only a dentist who has examined
you
> > in person can diagnose your problems and make decisions which will
effect
> > your health.
> > ......................




> > > > Can also be effected by having a few beers before the appt
(sometimes
> > even
> > > > the night before).

> > > Didn't know that!

> > > >  Can be effected by patient mood and temperament
> > > > (patients who are having a "bad day" never get numb).

> > > I did know that.  For that matter, patients don't get numb when I'm
having
> > a
> > > bad day!

> > > Steve

> > > >  Some recreational
> > > > {*filter*} will effect ability to get numb.

> > > > --
> > > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > > Stephen Mancuso, D.D.S.

> > > > Troy, Michigan  USA
> > > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > > This posting is intended for informational or conversational
purposes
> > only.
> > > > Always seek the opinion of a licensed dental professional before
acting
> > on
> > > > the advice or opinion expressed here.  Only a dentist who has
examined
> > you
> > > > in person can diagnose your problems and make decisions which will
> > effect
> > > > your health.
> > > > ......................



> > > > > Thank you, Steven.
> > > > > I will check whether my dentist uses Stabident or x-tip and if
not....
> > > > > He seemed satisfied that because the gum was numb the tooth would
be,
> > > > > but it wasn't.
> > > > > Tony.

> > > > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > > > >Local anesthesia for routine operative procedures is like real
> > estate.

> > > > > >Location, location, location.

> > > > > >Some dentists have poor technique in locating the injection site.

> > > > > >Some dentists use 30 guage needles which deflect in the tissue
and
> > miss
> > > > > >the site even though they started the injection correctly. (25
guage
> > are
> > > > > >best and are no more uncomfortable than 30's)

> > > > > >Some patients have anatomy that is slightly different from
average
> > and
> > > > > >the location for the injection needs to be altered.

> > > > > >Usually if I miss a block, a slightly higher injection location
takes
> > > > > >care of the problem.

> > > > > >If there are still problems, it's time for Stabident, X-tip, or
> > > > > >intra-ligamental injections.

> > > > > >There is virtually no reason for you to be enduring pain.

> > > > > >JMHO,
> > > > > >SWF DDS


> > > > > >> I recently had a large filling that had broken replaced on a
lower
> > > > > >> molar, plus some drilling on the underlying decay.  The
xylocaine
> > > > > >> injections (2) barely had any effect - my lip was hardly numb
at
> > all
> > > > > >> and the drilling hurt like hell. This has happened to me
before, I
> > > > > >> think especially on molars but I'm not sure.  I'm not normally
> > *that*
> > > > > >> sensitive to pain, and anyway, it seems as though there really
> > wasn't
> > > > > >> much anesthesia, what with the non-numb lip.
> > > > > >> Are some people insensitive to xylocaine or able to metabolize
it
> > more
> > > > > >> quickly than other people?  Is there anything I can do to
maximize
> > the
> > > > > >> effects of a future injection?
> > > > > >> My dentist probably thinks I'm a wuss, but I often have no
> > anesthesia
> > > > > >> if it's a tiny cavity and in fact I'm incredibly strong and
brave
> > but
> > > > > >> jeez, that one hurt.
> > > > > >> Thanks.
> > > > > >> Tony.

> --
> Mark & Steven Bornfeld DDS
> Brooklyn, NY
> 718-258-5001
> http://www.***.com/



Mon, 15 Mar 2004 03:17:11 GMT
 Local anesthesia not working
About 20% of the general population are comfortable (at least comfortable
enough) to prefer routine dentistry with no local anesthetic (fillings,
crowns, etc.).  Your friend may have been one of these 20% but been too
nervous without the "help".  The local anesthetic may not have been
important to him/her.

I have done root c{*filter*}treatments on people from this 20% with no
anesthetic.  But, that same person has returned on a different day and
reported having a really tough day at the office.  He needed anesthetic for
a small filling that day.

So, understand that it varies from person to person and from day to day.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

Troy, Michigan  USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................


Quote:
> I never knew that.......I know a guy who has to get himself half loaded to
> get to the dentist, but he's never mentioned not being able to get numb
> (from the injection, that is!)

> Thanks for the info.
> Tispe


> > Can also be effected by having a few beers before the appt (sometimes
even
> > the night before).  Can be effected by patient mood and temperament
> > (patients who are having a "bad day" never get numb).  Some recreational
> > {*filter*} will effect ability to get numb.

> > --
> > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > Stephen Mancuso, D.D.S.

> > Troy, Michigan  USA
> > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > This posting is intended for informational or conversational purposes
> only.
> > Always seek the opinion of a licensed dental professional before acting
on
> > the advice or opinion expressed here.  Only a dentist who has examined
you
> > in person can diagnose your problems and make decisions which will
effect
> > your health.
> > ......................



> > > Thank you, Steven.
> > > I will check whether my dentist uses Stabident or x-tip and if not....
> > > He seemed satisfied that because the gum was numb the tooth would be,
> > > but it wasn't.
> > > Tony.

> > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > >Local anesthesia for routine operative procedures is like real
estate.

> > > >Location, location, location.

> > > >Some dentists have poor technique in locating the injection site.

> > > >Some dentists use 30 guage needles which deflect in the tissue and
miss
> > > >the site even though they started the injection correctly. (25 guage
> are
> > > >best and are no more uncomfortable than 30's)

> > > >Some patients have anatomy that is slightly different from average
and
> > > >the location for the injection needs to be altered.

> > > >Usually if I miss a block, a slightly higher injection location takes
> > > >care of the problem.

> > > >If there are still problems, it's time for Stabident, X-tip, or
> > > >intra-ligamental injections.

> > > >There is virtually no reason for you to be enduring pain.

> > > >JMHO,
> > > >SWF DDS


> > > >> I recently had a large filling that had broken replaced on a lower
> > > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > > >> injections (2) barely had any effect - my lip was hardly numb at
all
> > > >> and the drilling hurt like hell. This has happened to me before, I
> > > >> think especially on molars but I'm not sure.  I'm not normally
*that*
> > > >> sensitive to pain, and anyway, it seems as though there really
wasn't
> > > >> much anesthesia, what with the non-numb lip.
> > > >> Are some people insensitive to xylocaine or able to metabolize it
> more
> > > >> quickly than other people?  Is there anything I can do to maximize
> the
> > > >> effects of a future injection?
> > > >> My dentist probably thinks I'm a wuss, but I often have no
anesthesia
> > > >> if it's a tiny cavity and in fact I'm incredibly strong and brave
but
> > > >> jeez, that one hurt.
> > > >> Thanks.
> > > >> Tony.



Mon, 15 Mar 2004 03:20:29 GMT
 Local anesthesia not working
Actually, it was pharmacology that was scary.

Steve

Quote:

> what is the scary part?  The Liver enzymes, or me?

> --
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Stephen Mancuso, D.D.S.

> Troy, Michigan  USA
> +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> This posting is intended for informational or conversational purposes only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here.  Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will effect
> your health.
> ......................



> > It's all coming back now...like a bad dream.

> > Steve


> > > Liver enzymes.

> > > --
> > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > Stephen Mancuso, D.D.S.

> > > Troy, Michigan  USA
> > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > This posting is intended for informational or conversational purposes
> only.
> > > Always seek the opinion of a licensed dental professional before acting
> on
> > > the advice or opinion expressed here.  Only a dentist who has examined
> you
> > > in person can diagnose your problems and make decisions which will
> effect
> > > your health.
> > > ......................




> > > > > Can also be effected by having a few beers before the appt
> (sometimes
> > > even
> > > > > the night before).

> > > > Didn't know that!

> > > > >  Can be effected by patient mood and temperament
> > > > > (patients who are having a "bad day" never get numb).

> > > > I did know that.  For that matter, patients don't get numb when I'm
> having
> > > a
> > > > bad day!

> > > > Steve

> > > > >  Some recreational
> > > > > {*filter*} will effect ability to get numb.

> > > > > --
> > > > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > > > Stephen Mancuso, D.D.S.

> > > > > Troy, Michigan  USA
> > > > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > > > This posting is intended for informational or conversational
> purposes
> > > only.
> > > > > Always seek the opinion of a licensed dental professional before
> acting
> > > on
> > > > > the advice or opinion expressed here.  Only a dentist who has
> examined
> > > you
> > > > > in person can diagnose your problems and make decisions which will
> > > effect
> > > > > your health.
> > > > > ......................



> > > > > > Thank you, Steven.
> > > > > > I will check whether my dentist uses Stabident or x-tip and if
> not....
> > > > > > He seemed satisfied that because the gum was numb the tooth would
> be,
> > > > > > but it wasn't.
> > > > > > Tony.

> > > > > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > > > > >Local anesthesia for routine operative procedures is like real
> > > estate.

> > > > > > >Location, location, location.

> > > > > > >Some dentists have poor technique in locating the injection site.

> > > > > > >Some dentists use 30 guage needles which deflect in the tissue
> and
> > > miss
> > > > > > >the site even though they started the injection correctly. (25
> guage
> > > are
> > > > > > >best and are no more uncomfortable than 30's)

> > > > > > >Some patients have anatomy that is slightly different from
> average
> > > and
> > > > > > >the location for the injection needs to be altered.

> > > > > > >Usually if I miss a block, a slightly higher injection location
> takes
> > > > > > >care of the problem.

> > > > > > >If there are still problems, it's time for Stabident, X-tip, or
> > > > > > >intra-ligamental injections.

> > > > > > >There is virtually no reason for you to be enduring pain.

> > > > > > >JMHO,
> > > > > > >SWF DDS


> > > > > > >> I recently had a large filling that had broken replaced on a
> lower
> > > > > > >> molar, plus some drilling on the underlying decay.  The
> xylocaine
> > > > > > >> injections (2) barely had any effect - my lip was hardly numb
> at
> > > all
> > > > > > >> and the drilling hurt like hell. This has happened to me
> before, I
> > > > > > >> think especially on molars but I'm not sure.  I'm not normally
> > > *that*
> > > > > > >> sensitive to pain, and anyway, it seems as though there really
> > > wasn't
> > > > > > >> much anesthesia, what with the non-numb lip.
> > > > > > >> Are some people insensitive to xylocaine or able to metabolize
> it
> > > more
> > > > > > >> quickly than other people?  Is there anything I can do to
> maximize
> > > the
> > > > > > >> effects of a future injection?
> > > > > > >> My dentist probably thinks I'm a wuss, but I often have no
> > > anesthesia
> > > > > > >> if it's a tiny cavity and in fact I'm incredibly strong and
> brave
> > > but
> > > > > > >> jeez, that one hurt.
> > > > > > >> Thanks.
> > > > > > >> Tony.

> > --
> > Mark & Steven Bornfeld DDS
> > Brooklyn, NY
> > 718-258-5001
> > http://www.***.com/

--
Mark & Steven Bornfeld DDS
Brooklyn, NY
718-258-5001
http://www.***.com/


Mon, 15 Mar 2004 04:08:38 GMT
 Local anesthesia not working
At Univ. of Detroit, Physiology was taught by the same guys as taught
pharmacology.  45% on any test was worth an A- .  That was very scary.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.

Troy, Michigan  USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will effect
your health.
......................



Quote:
> Actually, it was pharmacology that was scary.

> Steve


> > what is the scary part?  The Liver enzymes, or me?

> > --
> > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > Stephen Mancuso, D.D.S.

> > Troy, Michigan  USA
> > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > This posting is intended for informational or conversational purposes
only.
> > Always seek the opinion of a licensed dental professional before acting
on
> > the advice or opinion expressed here.  Only a dentist who has examined
you
> > in person can diagnose your problems and make decisions which will
effect
> > your health.
> > ......................



> > > It's all coming back now...like a bad dream.

> > > Steve


> > > > Liver enzymes.

> > > > --
> > > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > > Stephen Mancuso, D.D.S.

> > > > Troy, Michigan  USA
> > > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > > This posting is intended for informational or conversational
purposes
> > only.
> > > > Always seek the opinion of a licensed dental professional before
acting
> > on
> > > > the advice or opinion expressed here.  Only a dentist who has
examined
> > you
> > > > in person can diagnose your problems and make decisions which will
> > effect
> > > > your health.
> > > > ......................




> > > > > > Can also be effected by having a few beers before the appt
> > (sometimes
> > > > even
> > > > > > the night before).

> > > > > Didn't know that!

> > > > > >  Can be effected by patient mood and temperament
> > > > > > (patients who are having a "bad day" never get numb).

> > > > > I did know that.  For that matter, patients don't get numb when
I'm
> > having
> > > > a
> > > > > bad day!

> > > > > Steve

> > > > > >  Some recreational
> > > > > > {*filter*} will effect ability to get numb.

> > > > > > --
> > > > > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > > > > Stephen Mancuso, D.D.S.

> > > > > > Troy, Michigan  USA
> > > > > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > > > > This posting is intended for informational or conversational
> > purposes
> > > > only.
> > > > > > Always seek the opinion of a licensed dental professional before
> > acting
> > > > on
> > > > > > the advice or opinion expressed here.  Only a dentist who has
> > examined
> > > > you
> > > > > > in person can diagnose your problems and make decisions which
will
> > > > effect
> > > > > > your health.
> > > > > > ......................


message

> > > > > > > Thank you, Steven.
> > > > > > > I will check whether my dentist uses Stabident or x-tip and if
> > not....
> > > > > > > He seemed satisfied that because the gum was numb the tooth
would
> > be,
> > > > > > > but it wasn't.
> > > > > > > Tony.

> > > > > > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > > > > > >Local anesthesia for routine operative procedures is like
real
> > > > estate.

> > > > > > > >Location, location, location.

> > > > > > > >Some dentists have poor technique in locating the injection
site.

> > > > > > > >Some dentists use 30 guage needles which deflect in the
tissue
> > and
> > > > miss
> > > > > > > >the site even though they started the injection correctly.
(25
> > guage
> > > > are
> > > > > > > >best and are no more uncomfortable than 30's)

> > > > > > > >Some patients have anatomy that is slightly different from
> > average
> > > > and
> > > > > > > >the location for the injection needs to be altered.

> > > > > > > >Usually if I miss a block, a slightly higher injection
location
> > takes
> > > > > > > >care of the problem.

> > > > > > > >If there are still problems, it's time for Stabident, X-tip,
or
> > > > > > > >intra-ligamental injections.

> > > > > > > >There is virtually no reason for you to be enduring pain.

> > > > > > > >JMHO,
> > > > > > > >SWF DDS


> > > > > > > >> I recently had a large filling that had broken replaced on
a
> > lower
> > > > > > > >> molar, plus some drilling on the underlying decay.  The
> > xylocaine
> > > > > > > >> injections (2) barely had any effect - my lip was hardly
numb
> > at
> > > > all
> > > > > > > >> and the drilling hurt like hell. This has happened to me
> > before, I
> > > > > > > >> think especially on molars but I'm not sure.  I'm not
normally
> > > > *that*
> > > > > > > >> sensitive to pain, and anyway, it seems as though there
really
> > > > wasn't
> > > > > > > >> much anesthesia, what with the non-numb lip.
> > > > > > > >> Are some people insensitive to xylocaine or able to
metabolize
> > it
> > > > more
> > > > > > > >> quickly than other people?  Is there anything I can do to
> > maximize
> > > > the
> > > > > > > >> effects of a future injection?
> > > > > > > >> My dentist probably thinks I'm a wuss, but I often have no
> > > > anesthesia
> > > > > > > >> if it's a tiny cavity and in fact I'm incredibly strong and
> > brave
> > > > but
> > > > > > > >> jeez, that one hurt.
> > > > > > > >> Thanks.
> > > > > > > >> Tony.

> > > --
> > > Mark & Steven Bornfeld DDS
> > > Brooklyn, NY
> > > 718-258-5001
> > > http://www.***.com/

> --
> Mark & Steven Bornfeld DDS
> Brooklyn, NY
> 718-258-5001
> http://www.***.com/



Mon, 15 Mar 2004 07:47:05 GMT
 Local anesthesia not working
I've used X-tip, intraligamentary, lidocaine, mepivacaine, marcaine,
Citanest, nitrous...moved the needle position around....got tongue, lip
gingival anesthesia....but some patients still feel it (2 or 3 patients).  I
finally found the answer:  SEPTOCAINE.  I have not had a patient it hasn't
worked on yet.


Quote:

> Local anesthesia for routine operative procedures is like real estate.

> Location, location, location.

> Some dentists have poor technique in locating the injection site.

> Some dentists use 30 guage needles which deflect in the tissue and miss
> the site even though they started the injection correctly. (25 guage are
> best and are no more uncomfortable than 30's)

> Some patients have anatomy that is slightly different from average and
> the location for the injection needs to be altered.

> Usually if I miss a block, a slightly higher injection location takes
> care of the problem.

> If there are still problems, it's time for Stabident, X-tip, or
> intra-ligamental injections.

> There is virtually no reason for you to be enduring pain.

> JMHO,
> SWF DDS


> > I recently had a large filling that had broken replaced on a lower
> > molar, plus some drilling on the underlying decay.  The xylocaine
> > injections (2) barely had any effect - my lip was hardly numb at all
> > and the drilling hurt like hell. This has happened to me before, I
> > think especially on molars but I'm not sure.  I'm not normally *that*
> > sensitive to pain, and anyway, it seems as though there really wasn't
> > much anesthesia, what with the non-numb lip.
> > Are some people insensitive to xylocaine or able to metabolize it more
> > quickly than other people?  Is there anything I can do to maximize the
> > effects of a future injection?
> > My dentist probably thinks I'm a wuss, but I often have no anesthesia
> > if it's a tiny cavity and in fact I'm incredibly strong and brave but
> > jeez, that one hurt.
> > Thanks.
> > Tony.



Mon, 15 Mar 2004 08:22:34 GMT
 Local anesthesia not working
Use Septocaine on your hard-to-numb patients.  It's unbelievable how mush
more effective it is when nothing else will work.


Quote:
> About 20% of the general population are comfortable (at least comfortable
> enough) to prefer routine dentistry with no local anesthetic (fillings,
> crowns, etc.).  Your friend may have been one of these 20% but been too
> nervous without the "help".  The local anesthetic may not have been
> important to him/her.

> I have done root c{*filter*}treatments on people from this 20% with no
> anesthetic.  But, that same person has returned on a different day and
> reported having a really tough day at the office.  He needed anesthetic
for
> a small filling that day.

> So, understand that it varies from person to person and from day to day.

> --
> =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> Stephen Mancuso, D.D.S.

> Troy, Michigan  USA
> +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> This posting is intended for informational or conversational purposes
only.
> Always seek the opinion of a licensed dental professional before acting on
> the advice or opinion expressed here.  Only a dentist who has examined you
> in person can diagnose your problems and make decisions which will effect
> your health.
> ......................



> > I never knew that.......I know a guy who has to get himself half loaded
to
> > get to the dentist, but he's never mentioned not being able to get numb
> > (from the injection, that is!)

> > Thanks for the info.
> > Tispe


> > > Can also be effected by having a few beers before the appt (sometimes
> even
> > > the night before).  Can be effected by patient mood and temperament
> > > (patients who are having a "bad day" never get numb).  Some
recreational
> > > {*filter*} will effect ability to get numb.

> > > --
> > > =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
> > > Stephen Mancuso, D.D.S.

> > > Troy, Michigan  USA
> > > +_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
> > > This posting is intended for informational or conversational purposes
> > only.
> > > Always seek the opinion of a licensed dental professional before
acting
> on
> > > the advice or opinion expressed here.  Only a dentist who has examined
> you
> > > in person can diagnose your problems and make decisions which will
> effect
> > > your health.
> > > ......................



> > > > Thank you, Steven.
> > > > I will check whether my dentist uses Stabident or x-tip and if
not....
> > > > He seemed satisfied that because the gum was numb the tooth would
be,
> > > > but it wasn't.
> > > > Tony.

> > > > On Wed, 26 Sep 2001 12:35:51 GMT, Steven Fawks

> > > > >Local anesthesia for routine operative procedures is like real
> estate.

> > > > >Location, location, location.

> > > > >Some dentists have poor technique in locating the injection site.

> > > > >Some dentists use 30 guage needles which deflect in the tissue and
> miss
> > > > >the site even though they started the injection correctly. (25
guage
> > are
> > > > >best and are no more uncomfortable than 30's)

> > > > >Some patients have anatomy that is slightly different from average
> and
> > > > >the location for the injection needs to be altered.

> > > > >Usually if I miss a block, a slightly higher injection location
takes
> > > > >care of the problem.

> > > > >If there are still problems, it's time for Stabident, X-tip, or
> > > > >intra-ligamental injections.

> > > > >There is virtually no reason for you to be enduring pain.

> > > > >JMHO,
> > > > >SWF DDS


> > > > >> I recently had a large filling that had broken replaced on a
lower
> > > > >> molar, plus some drilling on the underlying decay.  The xylocaine
> > > > >> injections (2) barely had any effect - my lip was hardly numb at
> all
> > > > >> and the drilling hurt like hell. This has happened to me before,
I
> > > > >> think especially on molars but I'm not sure.  I'm not normally
> *that*
> > > > >> sensitive to pain, and anyway, it seems as though there really
> wasn't
> > > > >> much anesthesia, what with the non-numb lip.
> > > > >> Are some people insensitive to xylocaine or able to metabolize it
> > more
> > > > >> quickly than other people?  Is there anything I can do to
maximize
> > the
> > > > >> effects of a future injection?
> > > > >> My dentist probably thinks I'm a wuss, but I often have no
> anesthesia
> > > > >> if it's a tiny cavity and in fact I'm incredibly strong and brave
> but
> > > > >> jeez, that one hurt.
> > > > >> Thanks.
> > > > >> Tony.



Mon, 15 Mar 2004 08:24:29 GMT
 Local anesthesia not working

Quote:

>Local anesthesia for routine operative procedures is like real estate.

>Location, location, location.

>Some dentists have poor technique in locating the injection site.

>Some dentists use 30 guage needles which deflect in the tissue and miss
>the site even though they started the injection correctly. (25 guage are
>best and are no more uncomfortable than 30's)

I'm another who seems "resistant" to the anaesthetic.  My previous dentist
knew to give me a little extra, and let it set in a while longer than is
usual.    The guy was excellent at injections (as at everything else -- in
my opinion the best techie dentist on the planet); perhaps the problem is
that I'm more wussy than the average patient.

Sulpicia

"It is just possible that humanity will continue,
but I will take no responsibility for contributing
to such confusion"
            Christopher Morley, "The Man Who Made
                        Friends With Himself"



Mon, 15 Mar 2004 09:09:54 GMT
 
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