Problem
A patient is in your office for nonsurgical periodontal therapy. She is very sensitive and local anesthesia will be needed. Her blood pressure is 130/85 mm Hg and her weight is 150 lb. The patient has diabetes, which is controlled. She has a history of hypertension and is taking Inderal.
Critical Thinking Questions
a) What are the medical considerations when choosing a local anesthetic?
b) Choose an appropriate local anesthetic for this patient.
c) What treatment modifications should be made for this patient, if any?
d) Are any dosage modifications indicated for the drug selected?