Medical History Mysteries: Do block + articaine = paresthesia?
Is an inferior alveolar nerve block with Septocaine a good idea or a bad idea? Does it cause paresthesia?
There’s been so much controversy surrounding this topic. In this video, we’ll discuss the latest research, the risks we should consider, and the rule of thumb in clinical practice.
More Medical History Mysteries videos:
- Technique for delivering local anesthetic on lower first and second molars
- First and second molar Septocaine infiltration demo
- Local anesthetics for pediatric patients
- What’s the safest local anesthetic for pregnant patients?
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.
About the Author

Pamela Maragliano, DMD
Pamela Maragliano, DMD, is the chief editor of Dental Economics. Based in Salem, Massachusetts, Dr. Maragliano 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 owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected].

Tom Viola, RPh, CCP
With more than 30 years’ experience as a board-certified pharmacist, clinical educator, professional speaker, and published author, Tom Viola, RPh, CCP, has earned the reputation as the go-to specialist for making pharmacology practical and useful for dental teams. He is the founder of Pharmacology Declassified and is a member of the faculty of more than 10 dental professional degree programs. Viola has contributed to several professional journals and pharmacology textbooks, and currently serves as a consultant to the American Dental Association’s Council on Scientific Affairs.