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Anesthesia for dental procedure

Posted by Pixie 
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Pixie
Anesthesia for dental procedure
September 15, 2025 04:01PM
I am going to be having a relatively short dental procedure. I told the oral surgeon that I could not have any anesthesia that would affect the heart. He saw I had a history of AFIB and said he would use 4% citanest plain prilocaine hydrochloride. Any thoughts or experience with this anesthesia is appreciated.
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Daisy
Re: Anesthesia for dental procedure
September 15, 2025 10:24PM
Quote
Pixie
I am going to be having a relatively short dental procedure. I told the oral surgeon that I could not have any anesthesia that would affect the heart. He saw I had a history of AFIB and said he would use 4% citanest plain prilocaine hydrochloride. Any thoughts or experience with this anesthesia is appreciated.

I do fine with unpleasant dental procedures (like a root canal or extraction ) with a local anesthetic that doesn’t have epinephrine—basically something like lidocaine without epinephrine. This has never caused Afib for me. Sounds like your oral surgeon knows what he is doing.
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GeorgeN
Re: Anesthesia for dental procedure
September 16, 2025 02:08AM
I echo Daisy's comment. I just ask that they don't use epinephrine in the mix. This has not been an issue. Epinephrine does make the local last longer and more potent, so they need to make adjustments accordingly.
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Carey
Re: Anesthesia for dental procedure
September 16, 2025 02:52AM
Agree with the above. Although I've never had a problem with dental anesthetics personally, I've heard it from so many people that I don't doubt it's true. Just ask for the anesthetic with no adrenaline. I believe that's exactly what your oral surgeon said he's planning to use.
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Pixie
Re: Anesthesia for dental procedure
September 16, 2025 02:05PM
Daisy, George and Carey, thank you for your comments. The information is appreciated.
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AB Page
Re: Anesthesia for dental procedure
September 17, 2025 12:38PM
The bonus of using anesthetic w/o an epinephrine is the effects wear off much faster.
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sldabrowski
Re: Anesthesia for dental procedure
October 19, 2025 08:11PM
Whenever the dentist suggests using anesthetic for dental work, I ask for no epi. Never had a dentist say no. Learned the hard way to ask first.
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susan.d
Re: Anesthesia for dental procedure
October 24, 2025 08:39AM
Double check. The lidocaine plain usually comes in a blue or green tone and the one with Epi usually red. Even though they know to give me plain, I caught the dental assistant using the epi. Thus there is no harm asking to see the vial.

Same suggestion applies for dermatology biopsies.
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