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BRIAN SIMPSON, D.M.D. DIPLOMATE OF THE AMERICAN BOARD OF ORAL & MAXILLOFACIAL SURGERY 113 NORTH MIDDLETOWN ROAD NANUET, NY 10954 (845) 623-3497 FAX (845) 623-4039 www.drbriansimpson.com Risks of Prilocaine and Articaine Studies have sug- constrictive scarring, hy- to paresthesia. Cases that cause these procedures gested that the incidence poxia, or both, and (3) were voluntarily reported have the capability to of paresthesia may de- neurotoxicity of the local to the U.S. Food and cause nerve damage un- pend on the type of local anesthetic administered. Drug Administration related to the type of an- anesthetic used. Several Researchers conclude (FDA) through the esthesia used. In these studies have been con- that it is the neurotoxicity FDA’s Adverse Event reports, 51% of the eligi- ducted on the risks in- of prilocaine and arti- Reporting System were ble NSD cases involved volved when using 4% caine, not the mechanical analyzed in this study. 4% articaine and 42% prilocaine and articaine injury from the needle Cases that involved sur- involved 4% prilocaine for nerve blocks, espe- penetration that is re- gical procedures such as compared to the 5% of cially inferior alveolar sponsible for a large implant placement or ex- the cases that involved anesthesia. Neurosensory number of neurosensory tractions were not in- lidocaine. Clinical trials disturbances (NSDs) disturbances. One statis- cluded in the study be- continued on reverse commonly occur as a re- tic shows that articaine sult of three events. was responsible for five These events include (1) times the occurrence of News You Can Use mechanical injury caused NSDs when compared to specifically by the nee- other local anesthetics. dle, (2) mechanical injury Another study looked We would like to in- pleted a residency in oral & that resulted in intraneu- specifically at the type of troduce you to our newest maxillofacial surgery at St. ral bleeding, hematoma, local anesthetic adminis- staff member Dr. Brian Luke’s/Roosevelt Hospital granulation tissue with tered and its relationship Bovino. Brian F. Bovino, Center in 1990. Dr. Bovino DMD, received his dental currently holds the position Dental Fun Fact degree from Fairleigh of Director of the Oral & Dickinson University Maxillofacial Surgery Resi- School of Dentistry in dency Training Program at Royal smile– There is someone whose job 1985. He completed a gen- St. Luke’s/Roosevelt Hos- includes squeezing Prince Charles’ toothpaste eral practice residency in pital center. dentistry at Mt. Sinai onto the royal toothbrush. That someone is Medical Center in Michael Fawcett, the prince’s personal valet. New York City in Since Fawcett is, according to various news 1986. He served as reports, the only person Charles trusts with junior fellow in oral this awesome responsibility, one must presume & maxillofacial sur- that the heir to the throne’s dental hygiene gery at Woodhull declines precipitously whenever the valet goes Hospital in Brooklyn on vacation. New York, finishing -MSNBC.com in 1987. He com- have not shown that prilo- mended that practitioners Occurrence of Paresthe- Study ID’s Root Cause of caine or articaine is supe- take these risks into ac- sia After Dental Local Local Anesthetic-Related rior to 2% lidocaine in count when choosing a Anesthetic Administration to NSDs JADA May 2011 achieving inferior alveolar local anesthetic for block in the United States Monitor June 2011 Vol. anesthesia. Given this anesthesia. JADA.ada.org 22, No.3. information, it is recom-

Dr. Brian Simpson announces the eighth meeting of the

NANUET IMPLANT STUDY GROUP

speaker: Brian Bovino, DMD

Tapered Implants and Bone Grafting

Thursday, September 15,2011

Restaurant X 117 North Rte. 303 Congers, NY Dinner: 6:30 Presentation: 7:00 — 9:00 pm

2 CE credits awarded by the Ninth District Dental Association Cost: $30.00 Please bring your cases and documentation (photos, x-rays, models) for discussion. To register, contact Theresa: 845-623-3497 or email her at [email protected]

The quality of a person’s life is in direct proportion to their commitment to excellence regardless of their chosen endeavor.– Vince lombardi