Handbook of Local Anesthesia 7th Edition PDF Free Download
The seventh edition of Handbook of Local Anesthesia! As happened with previous editions, it is truly difficult to comprehend how many years have passed since the first edition was published in 1978. It has been 5 years since the sixth edition, and in this time a significant number of changes, many of them advances, in the art and science of pain control in dentistry have occurred. Although the drugs remain the same—articaine hydrochloride, bupivacaine hydrochloride, lidocaine hydrochloride, mepivacaine hydrochloride, and prilocaine hydrochloride— the years since the sixth edition have seen the introduction and refinement of drugs and devices that work to help the dental profession come ever closer to the twin goals of truly pain-free dentistry and truly pain-free local anesthetic injections. As I have stated repeatedly in previous editions, “Local anesthetics are the safest and the most effective drugs available in all of medicine for the prevention and the management of pain.”
To this statement I must add the proviso “when used properly.” “Indeed, there are no other drugs that truly prevent pain; no other drugs that actually prevent a propagated nociceptive nerve impulse from reaching the patient’s brain, where it would be interpreted as pain. Deposit a local anesthetic drug in close proximity to a sensory nerve and clinically adequate pain control will result in essentially all clinical situations.” Find the nerve with a local anesthetic drug and pain control is virtually assured. Yet in certain clinical situations “finding the nerve” remains a recurring problem. This is especially so in the mandible, primarily permanent mandibular molars. Over my 45 years as a teacher of anesthesia in dentistry, I and my dentist anesthesiologist colleagues have worked at “fixing” this problem. Have we succeeded? Not yet. Are we getting close? Yes. This seventh edition of Handbook of Local Anesthesia includes significant updates to many chapters and the addition of two new chapters: Chapter 19 (Problems in Achieving Pain Control) and Chapter 20 (Recent Advances in Local Anesthesia). Chapter 19 was added as a consequence of my many continuing dental education programs on local anesthesia. One of the most frequently asked questions has to do with the inability to consistently achieve effective pulpal anesthesia when one is treating teeth that are acutely pulpally involved. Chapter 19 expands on the discussion begun in Chapter 16 (Anesthetic Considerations in Dental Specialties).