The novocaine myth is one of the most common. If I were to answer the question, I would say:. Dentists stopped injecting novocaine over 30 years ago. We use local anesthetics that are more effective and have less potential for allergic reactions now.
Local anesthetics have been used in dentistry for over years. Prior to that, many other techniques were used, with the most common being the consumption of large allergy free anesthesia given by dentists of alcohol before a dental procedure.
Cocaine was certainly more effective than no local anesthetic or drunkennessbut there were many drawbacks, most notably its high potential for addiction, its short duration of action, and its effects on the heart and entire cardiovascular system. Due to the marketing efforts of this manufacturer, Novocaine became immediately popular with dentists and it subsequently entered the vocabulary of most Americans.
Lidocaine the most frequently used dental local anesthetic in the U. Novocaine was allergy free anesthesia given by dentists used in dentistry in the early decades of the s with great success.
However, it was noticed that some patients suffered allergic reactions to Novocaine. While some of the allergic reactions were mild, others were allergy free anesthesia given by dentists serious note that people are not allergic to novocaine; people can be allergic to PABA, a direct metabolite of novocaine.
They became commercially available in the s, and then the use of Novocaine began to decline in the s. By the s, allergy free anesthesia given by dentists, nearly all dentists had stopped using Novocaine in the United States, and lidocaine pictured above became the most frequently used local anesthetic. But here are some ideas:. Regardless of why this dental myth is still around, it needs to be busted, so I will summarize it by writing:.
I assumed that novocaine was what all dentists used all the time. It is puzzling why everybody keeps calling it novacaine. You are not the first person who has brought this up nor will you be the last. First, I do not use the word novocaine. If a patient asks me about it, I will explain that we no longer use it. This occurs to me sporadically. What happens more regularly is that a patient mentions novocaine. However, the mention of novocaine is usually in the middle of a dental story that a patient is telling me.
Psychologically, this is what many patients do to relieve the stress of being with me or any allergy free anesthesia given by dentists for that matter. They tell a story, I listen and show compassion, we joke about it, and then the patient becomes more relaxed. A more relaxed patient allergy free anesthesia given by dentists to a smoother and quicker procedure with less likelihood of complications.
The absolute LAST thing I should do is to interrupt the patient and tell them that novocaine is no longer used. Because what would it accomplish? It would actually antagonize most patients. Believe me I know because I did it for a while and actually had patients complain to my staff about it. All patients could understand it. But my objective as a dentist is to keep my patients as relaxed as possible and do high quality dentistry. In Oct my dentist injected me with an anesthetic before filling a tooth.
Immediately I developed a left sided headache starting at the occipital lobe radiating to the left ear and left eye. I forgot to mention it when she returned to the room. When I got home, allergy free anesthesia given by dentists, I noted the procedure in my journal. Last month I returned for fillings, mentioned the previous reaction, and requested that a different anesthetic be used. She told me she used novocaine which contains epinephrine and can cause headaches.
The dentist used carbocaine instead. If I had to guess, your dentist was using the term novocaine loosely. Novocaine has not been commercially available in the U. Based on your description, I would venture to guess that epinephrine entered the bloodstream leading to those symptoms.
I wrote about this phenomenon in this MythBuster. While never having had a reaction to Carbocaine in over 30 years practicing dentistry, allergy free anesthesia given by dentists, I have now switched over to Septocaine, which has even more improvements.
I too prefer septocaine except for blocks but that is a whole different discussion! Novocaine has not been available in the U. I suspect your dentist is just using the term that most patients are familiar with. Should it be the patients preference on how they should be numbed up? Everytime Smoked gouda and cholesterol go into the dentist they would try to numb me and wait for about 15min.
Can it be my age, and hypothyroidism that can be the blame? Keep in mind that some teeth require injections that take longer to exert their effect. In addition, some anesthetics will kick in more quickly. And lastly, there are new developments like this: Having said that, there are dozens of other factors that affect the efficacy of local anesthetics.
Age and thyroid status could play indirect factors. The dental assistant, yesterday, gave me 3 shots on one quadrant, 3 shots on the other adjacent quadrant and 2 in the roof of my mouth. For the first time in my 60 years of dental appointments, my heart started beating rapidly and I felt mild pressure in my chest. It lasted at least 10 minutes. If she had done just one quadrant at a time, might I have been spared the mini heart attack?
In most states, hygienists are able to and licensed to administer local anesthetic. Although you may have had an elevated heart rate and slight pressure, I am going to venture to say that this story is embellished upon even more, when you tell it to people you know. The story really sounds as if you want to label your own dentist and his hygienist as incompetent. The epi has nothing to do with hitting a nerve and 8 shots for two teeth???
To be filled I assume??? The doc cant say it, but I can. I think you are exaggerating at the very least, but my gut says you are a liar and a fat mouth. Ha ha ha ha sorry doc. I believe it is just a habit to say Novocaine. This is the reason I chose to write about novocaine, allergy free anesthesia given by dentists. Garry, That is an excellent question. I am assuming you live in the United States and this incident occurred within the last 20 years.
I can assure you your dentist did not use novocaine. Lidocaine is the most popular dental anesthetic. There allergy free anesthesia given by dentists more powerful ones out there. Sometimes for extractions I use marcaine generic name is bupivicaine. Marcaine can last a long time like 8 hours but it helps to ensure my patients feel nothing during the extraction. Other times I will use septocaine generic name is articaine.
Those are both more powerful than lidocaine. In general, if I am doing a filling, I use lidocaine. But for extractions, I use either the marcaine or septocaine because you need to be more numb for a tooth extraction than for a filling. In the future, you could always ask for one of those two, or just ask for extra lidocaine. I hope that answers your question. Dr i had a question, i was given up to 5 shots during a root canal.
If I had to guess this is probably a lower back tooth? Some teeth in that region are difficult to anesthetize because of the variations in the number of nerves supplying them. For lower back teeth, there can be as many as 5 different nerves supplying them, each one requiring a separate injection in a different location. Besides that, there are other factors, such as hair color see this page: One or more of these factors are likely behind your tough tooth.
Just three-four nights ago I had excruciating pain in my upper and lower left side of my mouth. The main tooth, which had a large cavity that was filled quite some time ago, was the source.
The decay got behind the filling and I had a pinpoint exposure. Proceded to put a liner and medicated filling in. What should I do. You may need a root canal. I would call your dentist and explain your symptoms. Your dentist may recommend a root canal. Garry, I am sorry that you had to feel pain during the procedure. That is not the level of care that any dentist likes to deliver.