A Seventh-day Adventist Organization

Advanced Local Anesthesia Technique

Advanced Local Anesthesia Technique - A lecture/workshop experience

DATE: Sunday, November 5, 2017

TIME: Registration: 8:00 a.m.  |  Lecture: 8:30 a.m. - 4:30 p.m.

LOCATION: Loma Linda University, School of Dentistry - Prince Hall, 11092 Anderson Street, Loma Linda, CA 92350

TUITION: $550 DDS / $550 AUX

LUNCH: Will NOT be provided

CREDIT: This course meets the Dental Board of California’s requirements for 8 units of continuing education.

AGD Code: 250

Speaker & Workshop Experience Leader
Mel Hawkins, DDS, BScD(AN), FADSA, DADBA

Anesthesia Services for Dentistry
Toronto, Ontario, Canada

Workshop Experience Coordinator
Alan W. Budenz, MS, DDS, MBA

Professor, Department of Biomedical Sciences
Vice Chair, Diagnostic Sciences and Services
Department of Dental Practice and Community Service
Arthur A Dugoni School of Dentistry
University of the Pacific


Why do I only get a bad batch in the mandible?

Mandibular block anesthetic technique poses a very different set of challenges when compared to infiltration in the maxilla. The reasons for failure can be multiple and the inter-active performance of the dentist, hygienist, patient, armamentarium and the choice of the local anesthetic product all can lead to an unpredictable success rate. How can a dentist and hygienist maximize success? The neuro-anatomy and histology of the pterygomandibular triangle will be reviewed to help enhance the understanding of the complexities of the conventional inferior alveolar block and its associated lingual and buccal nerve blocks. After a thorough assessment of the pros and cons of the “standard” block, the Akinosi and Gow-Gates mandibular blocks will be visited and then amalgamated in a mixed or hybrid approach, which include not only a combination of placement areas but also suggestions of enhancing onset and effectiveness by mixing and matching various local anesthetic products themselves. Multi-tasking supplementation with infiltrative and advanced techniques combined with other “tips and tricks” can result in a predictably higher success rate. In particular, infiltrative approaches to mandibular molars will be discussed as well as addressing these three questions:

1. What may be outside of our control? (translation: Don’t beat yourself up!)
2. What can we do about it?
3. What's new on the market?

A very unique team of dentist/dentist anesthesiologist Dr. Mel Hawkins and anatomist/dentist Dr. Alan Budenz will “dissect” these topics in a rarely heard multi-disciplinary approach.
Mel and Alan “lighten up” this topic with 80+ years of combined experience in dental practice, teaching and authorship, “injecting” anecdotes and case reports along the way.

Workshop Experience

Highlighting this full-day experience will be the hands-on workshop breakout for the final two hours of the program. It will begin with a live demonstration walk-through – talk-through by Alan and Mel on land-marking, trouble-shooting and anatomical “red lights” at the front of the lecture room. Then, an opportunity to practice assessing and locating anatomical structures and their variations will be done in clinic in small groups, aligning the anatomical landmarks associated with success and failure of mandibular local anesthesia technique. No actual injections will be done.

Various other techniques, by request, such as infiltrative approaches to mandibular molars, maxillary quadrant anesthesia via the V2 block can be discussed, demonstrated and observed with an operatory team approach by the faculty and the participants working together. Dr’s Hawkins and Budenz will be joined by instructors Dr. Gary Chan and Dr. Russell Seheult, who have volunteered to contribute their expertise and different perspectives on these techniques.
Ample time for questions and answers will be fielded throughout both formats.


After this presentation the attendees will be able to:

  • Appreciate the anatomy of local anesthesia.
  • Multitask with combinations of techniques, volume and make intelligent choices as to which local anesthetics might be used and when.
  • Apply 12 tips and tricks learned over 30+ years.
  • Assess and critique case reports and respond to, "What would you do now, Doctor?"
  • Take their hands-on workshop experience back to their offices for immediate modification or implementation

Print Registration Form

Email continuinged@llu.edu for more information.