Dental Procedures

To numb or not!  It was not all that long ago that anesthetic was not used.  It may be something you reconsider, depending on the size of the filling, location and how you feel about getting the anesthetic.  Especially, after consideration of the information below sample of possible events.


Patients using NSAIDs, analgesics, aspirin or antibiotics have insufficient depth of anesthesia, requiring higher doses.  It is known that the more local anesthesia fails is in cases of root canals and incision and drainage of abscesses. When present infection and inflammation, anesthetic intravascular resorption is accelerated and low pH adversely affects their diffusion. Repeated application of anesthesia can induce the phenomenon of tachyphylaxis or acute tolerance manifested by decreased response to a standard dose of local anesthetic, requiring increasing the dosage to maintain the same analgesic effect, this is a phenomenon that interferes use when long local anesthetics in clinical practice. While this effect has been attributed to the pH has not been shown in all instances.

Possible complications but not limited to:

  1. Pain (also infection at the injection site)
    The injection pain persists as a frequent source of anxiety for some patients.

  2. Rupture or breakage of the injection needle
    The breakage of the puncture needle

  3. Hematoma
    Sometimes during the puncture of the anesthetic, vascular injuries occur and torn vessels, but this accident is rare. The simple puncture of a blood vessel causes blood output variable intensity according to the injected region, and patient characteristics. You may have bruising accompanied with swelling.

  4. Facial paralysis
    When anesthesia has been injected into the parotid gland. This facial paralysis appears to last as long as the duration of anesthesia, but it is certainly frightening

  5. Paralysis of the soft palate

  6. Ischemia of the skin of the face
    Sometimes following anesthesia pallor may be noticeable in areas of the skin.  Bleaching is solved, usually before the disappearance of the anesthetic effect.

  7. Injection of anesthetic solutions in neighboring organs
    We have referred above to the injection into the parotid.

  8. Eye accidents
    Accidents related ocular techniques for dental anesthesia are extremely rare and literature exhibits some publications.

  9. Intravascular injection
    The intravascular injection of an accident undesirable application of local anesthesia, the adverse reactions that occur in this method can be serious.

  10. Trismus and muscle involvement
    The appearance of trismus is rare, reduced opening of the jaws caused by spasm of the muscles.

  11. Systemic reactions including toxicity

  12. Other late complications

Tooth Loss (extraction)

  1. Do nothing.  (This can be a fine choice depending on the situation or you may have unwanted shifting of teeth leading to premature future tooth loss, loss of chewing power, trapping of food and bone loss.)

  2. Bridge (If you have healthy teeth on either side of the missing tooth space then a cemented bridge may be an option.)

  3. Removable denture partial (If you prefer to be able to remove the appliance and possible do not have many healthy teeth.)

  4. Implant (Most like replacing the tooth or teeth lost without stressing surrounding teeth.)


Root Canal

  1. Extract the tooth then having tooth loss to make a decision about.

  2. Treat the tooth with a root canal.  The success of the root canal varies with the average being about 92%.  Factors affecting this are the patient’s own immune system, time delays in completing the follow-up treatment for the tooth (post/buildup and crown), grinding action and tooth anomalies.



  1. Leave the tooth as it is

  2. Have a filling placed (if possible).  Usually a crown is recommended due to an already large filling, tooth fracture, gaps between the teeth, following root canal therapy or replacement of an old crown where the point where the crown and tooth meet have broken down creating a gap for bacteria to percolate and cause further tooth destruction.



For your convenience we have several doctors at our location to meet a variety of your needs and for your convenience.  You are never obligated to see a specific provider.  Should you have an established relationship, a recommendation or any other reason to see a different provider we will be more than happy to give you a referral and assist you with arranging an appointment.