A: When ordering a cheese steak in the City of Brotherly Love, one must say: “With” or “Without.” This tells the cook whether you want Cheez-Wiz or not. When I ask my dental assistant to pass the anesthesia syringe, she will ask me the same question; only this time it implies do ‘I want anesthetic “with” epinephrine or “without” ‘. Local anesthetics with “epi” used to constrict blood vessels to increase the duration of numbness, often make the heart race as adrenaline would; especially in patients taking certain heart medications. To lessen the chance of these episodes, the dentist needs to review your medical history and medication list and aspirate (pull back) on the syringe while injecting to avoid direct injection into the larger blood vessels of the jaws.
The good news is these episodes are short lived and usually not dangerous. And, again, are very common.
EDITOR’S NOTE: Dr. Mitchel Josephs will be giving a FREE LECTURE on Incision-Free Dental Implant Surgery, Digital Crowns & Veneers, Choosing a Dental Office and NEW TOPIC: Laser Dentistry, at the Double Tree Hotel, PGA Blvd. in Palm Beach Gardens onFriday July 13th at 10:00 AM. Attendees will receive a FREE copy of his book: “Tooth Talk”. Only 16 seats remain! Call today to register at 561-832-2917
Dr. Mitchell Josephs practices Cosmetic, Implant and General Dentistry in Palm Beach and hosts “Tooth Talk” on WBZT AM1230 (www.radiotoothtalk.com) Dr. Mitchell Josephs is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry and completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.
44 Cocoanut Row, Palm Beach, FL 33480