Why does a root canal anesthesia not kick in and it hurts like a mfkr?!


Question:

Why does a root canal anesthesia not kick in and it hurts like a mfkr?

serious answers only, Dentists, experts please, the pain was horrible with all that painful drilling!


Answers:

If you have an infection, the area around the tooth becomes acidotic (low pH).

In order for local anesthetics to work, they must be at a higher pH in order to diffuse into the nerve. It has to do with the Henderson-Hasselbach equation, if you ever took chemistry:
http://www.biology.arizona.edu/biochemis...

This can sometimes be abated by adding sodium bicarbonate to the local anesthetic, but not always.

Hope that helps.




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