Case No. Three

A periodontist is seeing a patient for an “All on X” implant procedure on 6 maxillary and 6 mandibular implants, where the upper and lower temporaries are being placed two days after surgery in the upper and lower jaws.  The tissue is very sensitive and the sutures are still in place etc. 

Normally, the patient would have multiple injections of lidocaine or Articaine to accomplish screwing the temporary implant bridges to place.  Orlacaine is applied with a Luer tip to all twelve of the implant sites circumferentially, no injectable anesthesia or nitrous oxide analgesia is administered. 

A 5-minute wait time is observed.  The implant bridges are placed, evaluated, screwed down and occlusal adjustments made.  The patient reported no discomfort.

-Dr Michael D Smilanich