Abstract

The discovery of substances that cause a loss of sensitivity was a benchmark in the history of medicine and dentistry and is considered one of the ten most important discoveries in medicine. Such substances allow performing surgical procedures without pain, which had previously been considered an unachievable ideal in academic circles. One of the most frequent errors in dentistry is systematically employing the same local anesthetic. Dentists should choose an anesthetic solution based on the patient and procedure to be carried out. Prevention is the best treatment for systemic complications stemming from local anesthesia and is achieved through an adequate anamnesis and physical exam, which allow choosing the safest anesthetic solution for each specific case. The aim of the present study was to carry out a literature review on local anesthetics, providing readers with information to guide them in the choice and amount of anesthetic solution, thereby preventing the occurrence of systemic complications.

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