Medical History Mysteries: Epinephrine in dentistry—debunking myths

Sept. 16, 2021
Are there official guidelines as to how much epinephrine we should give our patients? Let’s look at the latest on epinephrine in dentistry, its challenges, and—all things considered—whether it’s worth it.

Epinephrine. We love it, and we hate it.

Do we have to worry about how much epi to give our patients? Most of our blocks, PDLs, and local infiltrations in the dental office contain epinephrine, so what do we need to be aware of? Are there any official guidelines?

First, let’s start with what epinephrine is, how it works, and why we use it.

In this episode of Medical History Mysteries, Dr. Tom Viola and I will break down the latest on epinephrine in dentistry, its challenges, and—all things considered—whether it’s worth it.

Editor’s note: This article first appeared in Through the Loupes newsletter, a publication of the Endeavor Business Media Dental Group. Read more articles and subscribe to Through the Loupes.

Pamela Maragliano-Muniz, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano-Muniz began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano-Muniz owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected].