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Local Anesthesia, 6th ed.

You'll wish every dental book you ever had to study was this beautifully illustrated, well organized, and easy to understand...

Stanley Malamed's brand new Handbook of Local Anesthesia, 6th Edition details which anesthetics are best for what patients, trouble-shooting the mandibular block, alternatives for the mandibular block, maximum dosage calculations, computer-controlled local anesthetic delivery systems, and clear anatomic views of where to start and finish needle mention just a few topics.

Buy this course package and get 18 CE hours, 3 test booklets, and this gorgeous textbook, which will serve you for years to come. Colleagues can share the book and purchase test booklets individually.

Attention Hygienists: Dental hygienists can administer local anesthetics in 33 states: AK, AZ, AR, CA, CO, CT, HI, IA, ID, IL, KS, KY, LA, MA, ME, MI, MN, MO, MT, NE, NH, NM, NV, NY, OK, OR, SC, SD, UT, VT, WA, WI, WY.

Note: This course offers credit to all licensees, including those with a speciifc pain and symptom management requirement (eg, MI for DDS, RDH, and RDA).

"A great review of anesthetic technique.It renewed my confidence (Local Anesthesia: Techniques)."

-Laura Zuehlsdorf, RDH
Simi Valley, CA

Local Anesthesia, 6th ed.

How to know what to order? If you would like to receive an electronic copy of the book and test then choose our PDF or eBook options! Does a friend already have the book or do you? Then just order a test that can be delivered either via email or mailed as a hard copy.  All tests can be taken online or via our mail option.

Local Anesthesia, 6th ed.

Local Anesthesia, 6th ed.
(book and 3 tests) Traditional Hardcopy

18 hours    $172.95

Local Anesthesia, 6th ed.
(ebook and 3 tests) Online Only

18 hours    $172.95

Handbook of Local Anesthesia
(book only)


Handbook of Local Anesthesia
(ebook only)


Local Anesthesia, 6th ed.
(all 3 tests without the book)

18 hours    $75.00

Local Anesthesia, 6th ed.
(test only - Drugs)

6 hours    $25.00

Local Anesthesia, 6th ed.
(test only - Armamentarium & Complications)

6 hours    $25.00

Local Anesthesia, 6th ed.
(test only - Techniques)

6 hours    $25.00

Last reviewed: November 1, 2016
Expires: November 1, 2019

Local Anesthesia, 6th ed.

About the Authors

Stanley F. Malamed, DDS, 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 University of Southern California School of Dentistry, in Los Angeles, where today he is Professor of Anesthesia & Medicine. Dr. Malamed is also 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).

Doctor Malamed has authored more than 120 scientific papers and 16 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 (5th edition 2000); Handbook of Local Anesthesia (5th edition 2004); and Sedation - a guide to patient management (4th edition 2003).

Local Anesthesia, 6th ed.

Course Objectives

When you complete this course, you will take a written or online test that measures your ability to identify:

Course 1: Drugs

  1. Common dental local anesthetics and their neurophysiologic effects
  2. Types of vasoconstrictors and their effects and appropriate administration.
  3. The appropriate choice, administration, and storage of local anesthetics.
  4. Atypical reactions and contraindications to the use of local anesthetics.
  5. Systemic actions of local anesthetics.
  6. Types of topical anesthetics and their application and effects.

Course 2: Armamentarium and Complications

  1. Local anesthetic armamentarium components, and their characteristics, proper handling, and use.
  2. Topical anesthetics and their appropriate use.
  3. Causes, prevention, and management of needle breakage.
  4. Local complications associated with use of local anesthetics, and their clinical signs and management.
  5. Systemic complications associated with use of local anesthetics, and their clinical signs and emergency management.

Course 3: Techniques

  1. Appropriate methods of identifying and treating patients with special needs.
  2. Proper injection techniques.
  3. Locations and functions of cranial nerves.
  4. Maxillary anesthesia techniques and uses.
  5. Mandibular anesthesia techniques and uses.
  6. Supplemental injection techniques and uses.
  7. Anesthesia needs in special circumstances.

Local Anesthesia, 6th ed.

Table of Contents

When you complete this course, you will take a written or online test that measures your ability to identify:

    1. Neurophysiology
    2. Pharmacology of Local Anesthetics
    3. Pharmacology of Vasoconstrictors
    4. Clinical Action of Specific Agents
    5. The Syringe
    6. The Needle
    7. The Cartridge
    8. Additional Armamentarium
    9. Preparation of the Armamentarium
    10. Physical and Psychological Evaluation
    11. Basic Injection Technique
    12. Anatomical Considerations
    13. Techniques of Maxillary Anesthesia
    14. Techniques of Mandibular Anesthesia
    15. Supplemental Injection Techniques
    16. Local Anesthetic Considerations in Dental Specialties
    17. Local Complications
    18. Systemic Complications
    19. Legal Considerations
    20. Future Trends in Pain Control
    21. Questions
  • INDEX 

Local Anesthesia, 6th ed.

From the Preface

It is difficult for me to comprehend that a quarter of a century has passed since I started writing the first edition of Handbook of Local Anesthesia (1978), but it has. Looking back at that first edition allows one a nostalgic visit to the (good?) "old days," when dentists were truly "wet fingered." No gloves, no masks, no face shields. The author sitting and administering local anesthetic injections, wearing a long-sleeved dress shirt and tie. An entirely different world indeed.

At that time (the late 1970s), the ability to provide a patient with clinically adequate pain control was a concern of dentists throughout the world. It remains so today.

Many changes have occurred over these years, most of a positive nature: changes in the local anesthetic drugs that are available for clinical use, changes in the armamentarium for delivering these drugs, and changes in the techniques for achieving pain control during dental therapies.

Local anesthetics are, in the author's opinion, the safest and the most effective drugs available in all of medicine for the prevention and management of pain. Indeed, there are no other drugs that truly prevent pain; no other drugs which actually prevent a prolonged 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.

As effective as our local anesthetics are, and as the likelihood of patients' experiencing truly pain-free dentistry increases, significant numbers of patients continue to fear intraoral injections. Fear of dentistry cannot be lightly dismissed by the doctor. The seemingly basic review of local anesthetic injection technique (Chapter 11) should become periodic required reading to ensure that all that can be done is being done to minimize stress at this critical juncture during the dental appointment.

Stanley F. Malamed
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