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“Hot Mandibular Molar”: Endodontic Kryptonite…? – Ep. 44

Guest: Stanley Malamed, D.D.S.

Dr. Stanley Malamed! The man, the myth, the legend. Few names in dentistry reign with bigger impact and recognition in the field of pain management and anesthetics. As personable as he is a prolific researcher, the Emeritus professor at USC School of Dentistry provides a multi-tier approach to effectively distinguish the proverbial “hot mandibular molar” in one breath and displays his Madden-like sports trivia in the next. Tap into this episode to learn which factors decrease the chances of a missed block and whether one of them could be the type of anesthetic used.

Dr. Malamed provides literary bricks erecting a foundational nuanced perspective on articaine allowing the listener to critically discern its safety in mandibular block anesthesia. Ever wonder which anesthetic is best indicated for pregnant patients, nursing mothers, pediatric and geriatric patients? This episode is a validating scientific platform for listeners and delivers an authentic shot at eradicating the nuisance of the “hot mandibular molar” on a consistent basis.

Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.

Episode Resources

  1. Malamed Hand Book of local anesthesia 7th Edition 2015
  2. William Stanley et al JOE 2012 Effect of nitrous oxide on the efficacy of the inferior alveolar nerve block in patients with symptomatic irreversible pulpitis
  3. Malamed et al Maximum Recommended Doses of Dental Local Anesthetics Journal of Dental Education October 2018

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