Parethesia or anesthesia can occur after a block with any anesthetic preparation. Reasons include:
- Direct needle injury;
- Direct injury to the blood supply or the nerve;
- Swelling or bleeding around the nerve which causes compression.
I personally use Articaine for infiltration only. I have no problem with "hitting" my blocks using Lidocaine or Carbocaine, and Articaine's improved penetration is most needed when I infiltrate. Articaine can be invaluable in certain situations such as:
- Obtaining palatal anesthesia wirhout a palatal injection (especially in kids);
- Penetrating an area of inflammation or infection
- Need for less needle insertions when infiltrating large areas of the mouth.
http://www.dentalartspub.com/
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