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How to Apply Topical and How to Buffer Your Injections

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  • Check the chart to verify which tooth you are numbing.  Today it's 30 and 31

    Check the chart to verify which tooth you are numbing. Today it's 30 and 31

    pt38081140470bufferingpt 3808topical

  • Gently apply a 2x2 gauze to lightly dry out the mucosa.  You don't want to dessicate it; just remove the excess saliva

    Gently apply a 2x2 gauze to lightly dry out the mucosa. You don't want to dessicate it; just remove the excess saliva

    pt38081140471bufferingpt 3808topical

  • Apply the topical gel.  We're using Ultradent's benzocaine gel in Walterberry flavor.  Which is not actually a berry.

    Apply the topical gel. We're using Ultradent's benzocaine gel in Walterberry flavor. Which is not actually a berry.

    pt38081140472bufferingpt 3808topical

  • 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.

    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.

    pt38081140473bufferingpt 3808topical

  • Here is the 8.4% bicarbonate solution we use, along with the 0.3cc insulin synringe from BD and the lidocaine carpule.

    Here is the 8.4% bicarbonate solution we use, along with the 0.3cc insulin synringe from BD and the lidocaine carpule.

    pt38081140499bufferingpt 3808topical

  • Wipe the bicarbonate with an alcohol soaked gauze to clean it.

    Wipe the bicarbonate with an alcohol soaked gauze to clean it.

    pt38081140474bufferingpt 3808topical

  • Wipe the lidocaine carpule with an alcohol soaked gauze to clean it.

    Wipe the lidocaine carpule with an alcohol soaked gauze to clean it.

    pt38081140475bufferingpt 3808topical

  • Use a 0.3cc diabetic insulin syringe.

    Use a 0.3cc diabetic insulin syringe.

    pt38081140476bufferingpt 3808topical

  • Inject 7 iu of air into the bottle.

    Inject 7 iu of air into the bottle.

    pt38081140479bufferingpt 3808topical

  • Withdraw 7 iu of bicarbonate solution for lidocaine.

    Withdraw 7 iu of bicarbonate solution for lidocaine.

    pt38081140483bufferingpt 3808topical

  • Insert the insulin syringe into the lidocaine carpule

    Insert the insulin syringe into the lidocaine carpule

    pt38081140487bufferingpt 3808topical

  • After you inject the sodium bicarbonate, the stopper will slightly protude from the lidocaine.

    After you inject the sodium bicarbonate, the stopper will slightly protude from the lidocaine.

    pt38081140488bufferingpt 3808topical

  • 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.

    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.

    pt38081140493bufferingpt 3808topical

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