Any anesthetic should work. Severe infections and very nervous
patients are difficult to  get numb.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.

From my undersanding of dentistry (having glanced through the book "Where
there is no dentist") lowers are really rough to numb. Have to get the
needle in the right place.

I don't know if there is any difference betweent he caines, except that
Novocaine (procaine) was more likely to cause side effects later. Lidocaine
(lignocaine) is less likely to have side effects.

I've also read that  localized infections can make the anaesthetic not work
properly.

I'm wondering if you could use oral hydrocodone / APAP before the surgery,
to help out. Anyone out there know?

In my life time, I've had lidocaine, procaine, marcaine (bupivicaine) and
some other caines crammed in my face. All of them worked, except at the
hands of my old dentist. He musta not put them in the right place.

Hi.

A wisdom tooth would not get numb enough using prilocaine (citanest),
so was not extracted. Is lignocaine stronger? Is there much chance of
lignocaine succeeding where prilocaine failed? Or is a general now the
only option?

thanks, NT