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Local Anesthesia

Local Anesthetics table.png

Below is a list of the most common local anesthesia medications used in dentistry along with frequent indications and contraindications.


Lidocaine (Xylocaine)

Indications: nerve blocks (e.g. inferior alveolar block). **Safest local anesthetic for pregnant patients!

Contraindications: maximum # of carpules in cardiac patient = 1 carpule of 1:50k epi; 2 carpules of 1:100k epi; 4 carpules of 1:200k epi. 


Articaine (Septocaine)

Indications: buccal infiltration (penetrates bone the best), PDL injections.

Contraindications: do not use for nerve blocks or in patients with sulfa allergy.


Mepivacaine (Carbocaine)

Indications: use "plain" (without epi) to reduce duration of anesthesia and/or to reduce total epinephrine dose.


Bupivicaine (Marcaine)

Indications: longest lasting local anesthetic, but has longest time of onset.

Contraindications: do not use for pediatric patients.