CE programme

Hit me with your best shot




Stanley F. Malamed

Professor Stanley F. Malamed is a dentist anaesthesiologist and Emeritus Professor of Dentistry at the Ostrow School of Dentistry of USC, in Los Angeles, California. He is author of 3 textbooks: Handbook of Local Anesthesia, Emergency, Medicine in Dentistry, and Sedation : A guide to Patient Management, as well as over 170 published papers in dental journals.

Doctor Malamed was born and raised in the Bronx, New York, graduating from the New York University College of Dentistry in 1969. He then completed a dental internship and residency in anesthesiology at Montefiore Hospital and Medical Center in the Bronx, New York before serving for 2 years in the U.S. Army Dental Corps at Ft. Knox, Kentucky. In 1973, Doctor Malamed joined the faculty of the Herman Ostrow School of Dentistry of U.S.C., in Los Angeles, where today he is Professor of Anesthesia & Medicine. Dr. Malamed is a Diplomate of the American Dental Board of Anesthesiology, as well as a recipient of the Heidebrink Award [1996] from the American Dental Society of Anesthesiology and the Horace Wells Award from the International Federation of Dental Anesthesia Societies, 1997 (IFDAS).

Making local anesthesia more effective and more comfortable.

Patients do not want to experience pain during their dental treatment. Fortunately, local anesthesia forms the backbone of pain control techniques in dentistry. Local anesthetics are the safest and most effective drugs for the prevention and management of pain. Yet, on occasion, achieving profound anesthesia painlessly can be challenging. In this program we will discuss the means to making dental local anesthetic injections both more effective and more comfortable. Topics include: articaine; buffering (the local anesthetic ‘on switch’); and phentolamine (the local anesthetic ‘off switch’). An algorithm for more successful mandibular anesthesia will be presented.

Learning objectives:

  • Discuss the advantages of articaine HCl compared with other dental local anesthetics
  • List 3 advantages of buffering local anesthetics
  • Discuss the pharmacology behind phentolamine mesylate and its ability to reverse local anesthesia
  • Discuss the algorithm for more successful mandibular anesthesia