Use of Anesthetic in Wisdom Tooth Surgery

Local anesthesia is very important in the fields of surgery and medicine and it includes dentistry and oral maxillofacial surgery. They are reversible agents that block nerve conduction in localized regions when injected or applied. 

Cocaine is the first documented local anesthetic and was first described by Albert Niemann who was a German chemist. He extracted and isolated cocaine from the coca bush in 1859 without knowing the great impact that would occur on the medical and surgical world in the future. You can search for liquid ketamine provider from various online sources.

Carl Koller experimented with cocaine 20 years later before William Halsted then introduced nerve blocks with cocaine. But there are a number of acute and chronic adverse side effects of cocaine such as excess cardiac stimulation and vasoconstriction. And of course, there are problems with physical and psychological dependence.

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Local anesthetics can be for short duration, and best anesthesia will provide pain control during surgery and a little more after that. In alveolar dental surgery and wisdom tooth surgery, the chosen local anesthetic is lidocaine with adrenaline. In patients where lidocaine is contraindicated, prilocaine is used and there may be a vasoconstrictor equivalent in the form of octapressin.

In wisdom teeth surgery, local anesthetics given in the form of nerve blocks called inferior alveolar nerve blocks can be given. Lidocaine itself has few side effects with most of the side effects usually contributed by vasoconstrictors.

Vasoconstrictors act to keep local anesthesia in the operating area as long as possible to extend the effect. Most side effects or vasoconstrictors are in the heart or heart system and that is the reason why lidocaine with adrenaline is usually contraindicated for heart patients.

Occasionally, oral surgeons may choose to provide local anesthetics that work longer like bupivacaine to provide longer pain control and to give patients more comfortable postoperatively. Topical anesthesia can also be used to numb the superficially injected area.

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