Dr Stanley Malamed
Topic: Local Anesthetics: dentistry’s most important drugs: A review of, and what’s new, in pain control in 2021?
Stanley F. Malamed is a dentist anesthesiologist and emeritus professor of dentistry at the Herman Ostrow School of Dentistry, located in Los Angeles, California, USA. Dr. Malamed graduated from the New York University College of Dentistry in 1969 and then completed a residency in anesthesiology at Montefiore Hospital and Medical Center in the Bronx, New York before serving for 2 years as a captain in the U.S. Army Dental Corps at Ft. Knox, Kentucky. In 1973, he joined the faculty of the University of Southern California School of Dentistry (now the Herman Ostrow School of Dentistry of U.S.C). Dr. Malamed retired from full-time teaching at the university in 2013. Dr. Malamed is a Diplomate of the American Dental Board of Anesthesiology; a recipient of the Heidebrink Award  from the American Dental Society of Anesthesiology; the Horace Wells Award from the International Federation of Dental Anesthesia Societies, 1997 (IFDAS), and the Leonard M. Monheim Distinguished Service Award from the American Society of Dentist Anesthesiologists (2015). Doctor Malamed has authored more than 170 scientific papers and 17 chapters in various medical and dental journals and textbooks in the areas of physical evaluation, emergency medicine, local anesthesia, sedation and general anesthesia. In addition, Dr. Malamed is the author of three widely used textbooks, published by CV Mosby: Handbook of Medical Emergencies in the Dental Office (7th edition 2015); Handbook of Local Anesthesia (7th edition 2020); and Sedation - a guide to patient management (6th edition 2017) and two interactive DVD’s: Emergency Medicine (3rd edition, 2018) and Malamed’s Local Anesthetic Technique DVD (2004) (edition 2 - 2012). The textbooks have been translated into 22 foreign-language editions. In his spare time, Doctor Malamed is an avid runner, exercise enthusiast, and admits an addiction to the New York Times crossword puzzle, which he has done daily since his freshman year in dental school.
Local anesthesia (LA) forms the backbone of pain control techniques in dentistry. Used properly LAs are the safest and most effective drugs for preventing and managing pain. In this program we will begin with a review of the available dental local anesthetics and their clinical characteristics. This will be followed by a discussion of several relatively new additions to the LA armamentarium: (1) buffered local anesthetic solutions – the LA ‘ON’ switch; (2) phentolamine mesylate – the LA ‘OFF’ switch; (3) Computer-controlled local anesthetic delivery (C-CLAD); and (4) the local anesthetic articaine – its clinically significant advantages over other LAs
On completion of this program the viewer should be able to:
1. Name the 5 dental local anesthetics currently available
2. Categorize dental local anesthetics by the expected duration of pulpal anesthesia
3. Discuss the mechanism of action of buffering of local anesthetics
4. Discuss the clinical actions, and efficacy, of phentolamine mesylate
5. Discuss the clinical advantages of the local anesthetic articaine over other dental local anesthetics.