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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Which Local Anesthesia Would Be Useful For Scaling And Root Planing Procedures?

Hello! I'm a second year dental hygiene student. I will be administering local anesthesia for two quadrants of the mouth for scaling and root planing procedures; my patient has had total hip replacement in 2004, an aortic heart valve in 2001, and a kidney transplant in 2006. I'm trying to determine which local anesthesia would be the most appropriate to use, as well as the amount. I'm thinking that 2 cartridges of Mepivicaine 3% w/ levonordefrine 1/20K would be the wisest choice and amount.
Thu, 22 May 2014
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Dentist, Oral and Maxillofacial Surgery,  's  Response
thanks for your query, i have gone through your query. if i am the treating doctor i wouuld have administered local anesthesia without adrenaline. either you can use lidocaine 2%. it also has some cardiac effects like bradycardia and hypotension. but we can use safely. if the patient is taking anti coagulants take care about bleeding. i hope my answer will help you. take care.
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Which Local Anesthesia Would Be Useful For Scaling And Root Planing Procedures?

thanks for your query, i have gone through your query. if i am the treating doctor i wouuld have administered local anesthesia without adrenaline. either you can use lidocaine 2%. it also has some cardiac effects like bradycardia and hypotension. but we can use safely. if the patient is taking anti coagulants take care about bleeding. i hope my answer will help you. take care.