Dilemma of the Hot Mandibular Molar

Dilemma of the Hot Mandibular Molar

Sunday November 27th 2022 10 AM - 3:30PM

STANLEY F. MALAMED, D.D.S.

Stanley F. Malamed is a dentist anesthesiologist and emeritus professor of dentistry at the Herman Ostrow School of Dentistry, located in Los Angeles, California, USA. Dr. Malamed graduated from the New York University College of Dentistry in 1969 and then completed a residency in anesthesiology at Montefiore Hospital and Medical Center in the Bronx, New York before serving for 2 years as a captain in the U.S. Army Dental Corps at Ft. Knox, Kentucky. In 1973, he joined the faculty of the University of Southern California School of Dentistry (now the Herman Ostrow School of Dentistry of U.S.C). Dr. Malamed retired from full-time teaching at the university in 2013.

Dr. Malamed is a Diplomate of the American Dental Board of Anesthesiology; a recipient of the Heidebrink Award [1996] from the American Dental Society of Anesthesiology; the Horace Wells Award from the International Federation of Dental Anesthesia Societies, 1997 (IFDAS), and the Leonard M. Monheim Distinguished Service Award from the American Society of Dentist Anesthesiologists (2015). 

Dr. Malamed has authored more than 170 scientific papers and 17 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation and general anesthesia. In addition, Dr. Malamed is the author of three widely used textbooks, published by CV Mosby: Handbook of Medical Emergencies in the Dental Office (8th edition 2022); Handbook of Local Anesthesia (7th edition 2020); and Sedation - a guide to patient management (6th edition 2017) and two interactive DVD’s: Emergency Medicine (3rd edition, 2018) and Malamed’s Local Anesthetic Technique DVD (2004) (edition 2 - 2012). The textbooks have been translated into 22 foreign-language editions. 

In his spare time, Dr. Malamed is an avid runner, exercise enthusiast, and admits an addiction to the New York Times crossword puzzle, which he has done daily since his freshman year in dental school.

COURSE DESCRIPTION:

Local anesthesia forms the backbone of pain control techniques in contemporary dental practice. For almost all dental procedures local anesthetic administration provides a pain-free dental experience, except for the infected ‘hot’ mandibular molar.

In non-pulpally-involved teeth the traditional ‘mandibular nerve block’ has one of the lowest success rates of major nerve blocks administered in the human body. With the addition of acute and/or chronic pain, the presence of infection, and a patients fear of dentistry, achieving anesthesia adequate to permit access to the pulp chamber of a mandibular molar becomes one of the greatest challenges facing dentistry today.

In this program Doctor Malamed will review the ‘ways and means’ to achieving greater success in managing the ‘hot mandibular molar, including buffering of local anesthetic solutions; the local anesthetic articaine; and alternative injection techniques, including the Gow-Gates mandibular nerve block, Akinosi-Vazirani closed-mouth mandibular nerve block; intraosseous anesthesia, and the very important use of sedation in the management of this very apprehensive patients.

LEARN TO:

• Describe two alternative nerve blocks for mandibular anesthesia in the presence of infected mandibular molars.

• Describe the technique and efficacy of buffering local anesthetic solutions.

• Describe the efficacy of the local anesthetic articaine in management of the ‘hot’ mandibular molar.

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