‘I learnt about Dentistry from that’

From Volume 46, Issue 8, September 2019 | Page 795

Abstract

Readers are encouraged to submit clinical experiences, good and bad, in a culture of open reporting, so that other clinicians will learn from these experiences. Unlike articles in Dental Update, in which published articles are peer reviewed by two experts in the field of the article, this page is not subjected to review other than by the Editorial Director.

Article

I am a final year student at a UK dental school. I was in our oral surgery clinic having already seen a patient prior to the one with whom this incident took place. The previous patient had been a particularly stressful surgical extraction of an UL8 which had left me exhausted and pressured for time.

As a result, I quickly bundled in the next patient (XLA of a LR6), took the appropriate history, presented it to my tutor and was ready to crack on. Having identified the relevant landmarks for my ID block, I was about to inject when one of the oral surgery nurses passing by stopped me and shouted: “IS THAT LIDOCAINE?”. I paused “ARE YOU SURE THAT IS LIDOCAINE?”. Slowly I put down the LA needle and removed the cartridge. It said Articaine.

I had asked my clinical partner for a cartridge of lidocaine when I was setting up for the extraction. As he handed me the cartridge, I had inserted it into the chamber without bothering to check that it was indeed lidocaine that I was injecting. It taught me a great lesson always to check what solutions I am administering and never to assume that others have checked for me. I'm glad it happened before I had performed the block and, whilst articaine is still used in some countries for IDBs, it is most definitely contra-indicated for these at my dental school.

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