Check the chart to verify which tooth you are numbing. Today it's 30 and 31
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Gently apply a 2x2 gauze to lightly dry out the mucosa. You don't want to dessicate it; just remove the excess saliva
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Apply the topical gel. We're using Ultradent's benzocaine gel in Walterberry flavor. Which is not actually a berry.
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Cover the swab of topical and the gauze and have the patient close their mouth to hold both in place for at least one full minute, ideally 2.
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Here is the 8.4% bicarbonate solution we use, along with the 0.3cc insulin synringe from BD and the lidocaine carpule.
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Wipe the bicarbonate with an alcohol soaked gauze to clean it.
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Wipe the lidocaine carpule with an alcohol soaked gauze to clean it.
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Use a 0.3cc diabetic insulin syringe.
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Inject 7 iu of air into the bottle.
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Withdraw 7 iu of bicarbonate solution for lidocaine.
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Insert the insulin syringe into the lidocaine carpule
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After you inject the sodium bicarbonate, the stopper will slightly protude from the lidocaine.
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Remove the gauze from the patient's mouth and Inject as usual. Between the extra long topical and the buffered lidocaine, the injection will be less painful, often painless.
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