Are your patients getting comfortably numb?
An Update and Review of Local Anesthesia Techniques and Pharmacology

DATE: Sunday, March 18, 2018

TIME: Registration: 8:30 a.m.  |  Lecture: 9:00 a.m. - 4:30 p.m.

LOCATION: Loma Linda University, Centennial Complex, 4760 Stewart St, Loma Linda, CA 92354

TUITION: $195 DDS / $145 AUX

LUNCH: Will NOT be provided

CREDIT: This course meets the Dental Board of California’s requirements for 7 units of continuing education.

AGD Code: 340

Dr. Alan Budenz
Alan W. Budenz, M.S., D.D.S., M.B.A.

Professor, Dept. of Biomedical Sciences & Dept. of Dental Practice
Vice Chair of Diagnostic Sciences and Services
University of the Pacific, Arthur A. Dugoni School of Dentistry

Course Outline:

  • Pharmacology of local anesthetic agents
    • Appropriate usage of the various local anesthetic solutions available
    • Contraindications and toxic reaction concerns with local anesthetics
    • The potential interactions of patient medical conditions with local anesthetics
    • Anesthetic reversal and buffering agents
    • Injection injuries: risk assessment for paresthesia, trismus, hematoma
  • Review of oral anatomy and injection technique landmarks
    • Accessory innnervation pathways and their management
    • Reasons for failure to obtain anesthesia and problem solving these failures
    • Unexpected side effects and their management
  • Review of conventional and alternative local anesthesia injection techniques
    • Infiltration versus block injections: what to use when
    • Mandibular anesthesia injection techniques, including the Gow-Gates and Vazirani-Akinosi quadrant block techniques
    • Maxillary anesthesia injection techniques, including ASA, MSA, PSA, palatal, and complete quadrant block techniques
    • Alternative anesthesia modalities: electronic, intraosseous, and beyond

Upon completion of this lecture, the participants will:

  • 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 to assess and manage complications that may occur in the delivery of local anesthesia, and be better able to avoid them when possible

Who should attend:

Dentists and dental hygienists will return to their practices with greater confidence in their ability to deliver comfortable and efficient local anesthetic injections. They will gain an increased appreciation for the causes of local anesthesia failures and the knowledge to overcome these failures, and a greater sense of ease in recognizing and managing unexpected side effects and complications of local anesthetic injections. This will reduce the anxiety level of the practitioner and bring the practice another step closer to pain-free dentistry for the patient.


Dr. Budenz is Professor in the Department of Biomedical Sciences and is Vice-Chair of Diagnostic Sciences and Services in the Department of Dental Practice at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California. 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 years of general practice experience in San Francisco, has served as clinical Group Practice Administrator, and 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 ten consecutive years, from 2005 – present, has been recognized as an Annual Leader in Continuing Education by "Dentistry Today".

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