'Are Your Patients Getting Comfortably Numb?' An Update and Review of Local Anesthesia Techniques and Pharmacology

Dr. Alan Budenz is a Professor in the Department of Biomedical Sciences and is Interim Chair of the Department of Diagnostic Sciences at The University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, CA. He received his graduate degree in Anatomy from UCLA, and his dental degree from UCSF. Dr. Budenz has taught Anatomy courses at the University of the Pacific since 1984, and has extensive experience in head and neck anatomy, dissection, and nerve tract identification. He also lectures on Surgical Head & Neck Anatomy and orthognathic surgery to Oral & Maxillofacial Surgery, Endodontic, and Orthodontic Residents, and has lectured internationally on local anesthesia, anatomy, oral medicine/oral diagnosis, and cariology topics. Dr. Budenz has over thirty-five years of general practice experience in San Francisco, has served as clinical Group Practice Administrator, as as Chair of the Department of Diagnostic and Emergency Services, and is a general dentistry clinical instructor at Pacific. Due to his background, Dr. Budenz is well qualified to combine basic anatomical instruction with practical clinical application for dentists and hygienists alike, and for twelve consecutive years, from 2005-present, has been recognized as an Annual Leader in Continuing Education by "Dentistry Today".

Course Description:

This lecture is designed for dentists and hygienists who wish to expand their understanding of the pharmacologic mechanisms and deliver techniques of local anesthesia and to solve some of the difficulties that arise in obtaining profound anesthesia in the oral cavity. Dr. Budenz presents practical, useful information that can be directly applied to clinical practice in an informal, interactive style. A wide range of both maxillary and mandibular infiltration and block techniques will be emphasized, including conventional and alternative techniques. Safe and efficient block techniques for complete quadrant anesthesia of the maxilla and mandible, such as the Gow-Gates and Vazirani-Akinosi mandibular division nerve blocks and the Greater Palatine Canal maxillary division nerve block techniques, will be emphasized in the context of recognizing and anesthetizing accessory nerve pathways use of alternative anesthesia modalities, such as topical anesthetic formulations; anesthetic buffering systems; anesthetic-reversal agent; infiltration, intraligamentary, and intraosseous techniques, and computerized delivery systems, to obtain either primary or secondary anesthesia are also presented. The controversy surrounding the use of articaine and prilocaine for mandibular block anesthesia injections will be addressed, and management of possible complications and injuries related to the delivery of oral local anesthesia agents, such as hematoma, paresthesia, and trismus, will also be discussed.

Course Objectives:

At the conclusion of this course the participant should be able to:

  • Have a thorough understanding of the pharmacology of available local anesthetic agents, including their advantages, disadvantages, and safety profiles.
  • Have an appreciation of the anatomical basis of numerous local anesthetic injection techniques, and their advantages and disadvantages in practice.
  • Be knowledgeable about multiple techniques for obtaining profound anesthesia of both maxillary and mandibular teeth.
  • Be better able assess and manage complications that may occur in the delivery of local anesthesia, and be better able to avoid them when possible.


Date: 4/20/2018

Registration Ends: 4/18/2018

Time: 9:30 AM - 4:00 PM

Cost: $199


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