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OnPharma shares how buffering anesthetic can make you more productive, reduce your PPE disposal, and improve patient care.

Dr. Mic Falkel is the CEO of OnPharma anesthetic buffering system. After losing a child, he decided to go back to his chemist background to solve problems in his practice as a distraction. He was known for giving a very gentle anesthetic, but the chemical mix still left the patient wincing. He didn’t like anesthetic failure and the wait time while the patient was getting numb.

How does buffering anesthetic make a patient get numb fast? Anesthetic comes as an acid to increase shelf life, but the body can’t accept it to work until it is a base. The latency period is the time between injection and implementation. Using sodium bicarbonate to buffer the mixture to the body’s 7.5, we don’t have to wait or risk a patient being unable to become numb. When an infection is present, tissue can be in the 5s and will not let the body raise the pH high enough. It cuts the time significantly.

Based on our current issue of only treating one patient at a time, we can save both time and money. This simple change allowed him to work faster and reduce the overall days in the office.

They used to try to convince people that seeing one patient at a time can be more effective, but people may not have seen that as a problem. With the changes from COVID, one patient at a time has become necessary.

How does the system work? When you open the cartridge, it is good for 7 days. The cartridge connector connects your pen with the anesthetic and you dial the correct volume. It needs to be used immediately to take advantage of the CO2 released from the reaction.

Why is this system better than buffering your own? Infection control is greatly reduced and is just as cost-effective. The bicarbonate you buy changes each time you purchase, so the results can vary.

Does this lower the patient’s discomfort? Because the acid is being buffered, it is similar to the body’s pH. A normal injection is equivalent to piercing the skin and putting lemon juice in it.

For a new grad that is listening, what is the most comfortable way to give an injection? Buffering is the simplest way to do it and keep your finger on the plunger. He doesn’t use topical because it tastes terrible and starts lots of saliva production, which is bad for restorative work. Pull the tissue taut and put one small drop on the tissue before injection. Heating, tissue vibration, and going slowly are all additional tips you can use. Most patients are afraid of the injection and being hurt during a procedure. If you can lower that factor, they will refer like crazy. He also suggests using endo ice to check. If a patient can keep the endo ice on for 5 seconds, you know they won’t feel anything.

What types of anesthetic can be used? Anything but Marcaine, but he feels that should be only used at the end of a root canal to help with prolonged pain. Articaine/ Septocaine is a great one to use.

There is no shortage of supply at this time, but he suggests you buy now to be trained and ready to serve from day one.

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