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The use dental local anesthetics during pregnancy is safe; however, the type of vasoconstrictor and amount should be well regulated by the dentist. The safety of local anesthesia with a vasoconstrictor is questioned in patients having systemic conditions such as heart disease, untreated diabetes, hypertension, or hyperthyroidism. [6]
Provided a dentist performs proper aspiration to avoid intravenous injections, local anesthetics containing epinephrine (adrenaline) are safe to use during pregnancy. lignocaine and prilocaine are assigned a category B ranking by the FDA and are therefore safe for use during pregnancy. Lignocaine and prilocaine are sold as 2% and 4% ...
Articaine is a dental amide-type local anesthetic. It is the most widely used local anesthetic in a number of European countries [2] and is available in many countries. It is the only local anaesthetic to contain a thiophene ring, meaning it can be described as 'thiophenic'; this conveys lipid solubility. [3]
Cetacaine is a topical anesthetic that contains the active ingredients benzocaine (14%), butamben (2%), and tetracaine hydrochloride (2%). Cetacaine also contains small amounts of benzalkonium chloride at 0.5% and 0.005% of cetyl dimethyl ethyl ammonium bromide all in a bland water-soluble base. [1]
Like all volatile anesthetics, it should not be used in people with a personal or family history of malignant hyperthermia. [5] It appears to be safe in porphyria. [6] It is unclear whether its usage during pregnancy is harmful to the fetus, and its use during a C-section is generally discouraged. [7]
There is a common misconception that it is not safe to obtain dental services while pregnant. Many prenatal and oral health providers have limited knowledge about the impact and safety of delivering dental services; hence they might delay or withhold treatment during pregnancy. [2]
It appears to be generally safe for use in pregnancy. [7] A lower dose may be required in those with liver problems. [7] It is generally safe to use in those allergic to tetracaine or benzocaine. [8] Lidocaine is an antiarrhythmic medication of the class Ib type. [7]
Procaine is a local anesthetic drug of the amino ester group. It is most commonly used in dental procedures to numb the area around a tooth [1] and is also used to reduce the pain of intramuscular injection of penicillin. Owing to the ubiquity of the trade name Novocain or Novocaine, in some regions, procaine is referred to generically as ...