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Anesthesia buffering: Onpharma’s Onset

July 15, 2010

After all the buzz in the past two years about a new type of carpule that also starts with an “O,” you may think you’ve seen this product before. In one sense it’s similar: it must be used in conjunction with your regular anesthetic instead of as an anesthesia alternative.  What’s more exciting is that this just may change the way we prepare syringes for every single patient from now on.

Onset™ is the name of a new buffering agent created by Onpharma™ Inc. that will be available as soon as the final FDA review is complete. If you can answer yes to these questions, read on:

  • Do you want to eliminate the sting that can be caused by the acidity of local anesthetic?


  • Would you like to be able to give an injection and go to work immediately?


  • Are you interested in a product that will help you get your patients profoundly numb, even when infection is present?


  • What about tissue necrosis? Would you like to prevent it if possible?

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Operative Dentistry, Products, Research
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Anesthesia, anesthetic buffering, dental anesthesia buffering, dental injections, dental pain management, Novalar, Onpharma, Onset, OraVerse
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To juice or papoose is the question

July 1, 2010

papooseormaskNo one likes the idea of seeing a child being restrained. Especially not at the dental office. But on the same hand, if a child is admitted to a hospital, has thousands of dollars spent to knock them out with potentially risky gas, and is in need of a procedure that takes only minutes to perform, which care is the right one?

Notorious press has given the papoose board a bad name. Granted, its utilization can be abused, especially as seen in the story that was profiled on ABC’s 20/20. General anesthesia isn’t without its opponents as well, especially when a child dies.

With that somber note hanging in the air, you may want to revisit David After Dentist and pick yourself up with a little sedation dentistry humor. Even if you don’t agree that his dad should have ever posted the video on YouTube, it’s still so freakin’ funny.

Children who can’t be cooperative still need a means of getting their dentistry done, so pedodontists must make choices that sometimes include the use of papoose boards or general anesthesia. For entertainment’s sake, let’s just call this polarizing dilemma by another name: Hugs vs. Drugs.

Hugs Drugs
Familiar name Papoose board restraint “Knocked out with the mask”
Kinder-sounding euphemism Protective stabilization Inhalation anesthesia
Risks
  • Creation of dental phobias
  • Inadequate relaxation resulting in poor pain  management
  • Difficulty in treating a lengthy, complicated case
  • Aspiration
  • May affect the developing brain (autism/ADHD)
  • Death
Benefits Can be used quickly and inexpensively without much training Instantaneous and complete patient control
Perception Brute force and inhumane treatment seen in Medicare clinics Clean, modern care paid for by inscos and private payer

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