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Lidocaine 12.5%, Tetracaine 12.5%, Prilocaine 3%, Phenylephrine 3% Topical Anesthetic
BTT 12.5 Gel or Ointment
The Best Topical for Dental Procedures is The Baddest Topical in Town
The best topical for dentists is the Baddest Topical in Town™ (BTT 12.5). This gel is an effective combination of three anesthetic ingredients and a vasoconstrictor. It is often used as a pre-injection topical anesthetic for soft tissue and palatal procedures.
Compound topical anesthetics like BTT 12.5 are used for a variety of procedures including:
- Scaling and root planing
- Soft tissue and palatal procedures
- Pre-injection numbing
- Placement of orthodontic Temporary Anchorage Devices (TADs)
- Taking impressions and intra-oral radiographs
BTT 12.5 is available in multiple flavors in an extra-thick gel and is packaged in plastic squeeze bottles (oral syringe and adapter included).
The Baddest Topical in Town™ is also available in a thick plasticized ointment base. This ointment can be applied with a Q-Tip or micro-brush to the dried mucosal surface prior to the procedure.
The ingredients in this topical anesthetic include lidocaine 12.5%, tetracaine 12.5%, prilocaine 3%, and phenylephrine 3%. Together these ingredients offer the most powerful topical anesthetic available. Because the combined anesthetics are powerful, it is important to follow a few basic instructions.
- Clean and dry the area where topical anesthetic gel will be applied.
- Apply dental anesthetic gel sparingly to the mucosa.
- Rinse off within 2-3 minutes to avoid sloughing of tissue.
- Full anesthesia will occur in about 5 minutes and last around 20-30 minutes.
NOTE: DENTAL ANESTHETIC GELS MAY CAUSE NECROSIS (SLOUGHING OF TISSUE). DO NOT LEAVE GEL ON MUCOSA LONGER THAN 2-3 MINUTES.
- If dental anesthetic gel will be used on the entire mouth for cleaning, anesthetize quadrants separately. Do not use on the entire mouth at once.
- Apply dental anesthetic gel with a cotton-tipped applicator or with gauze. Anesthetic can be placed on the gauze and held on the area to be numbed.
- Many dentists take 3g/3ccs of the anesthetic gel and divide it among 4 strips of gauze that will each fit one quadrant, which comes to about 0.75g per quadrant
Download Prescription Forms for the Best Topical Ever
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Articles and Links
Update on Dental Topical Anesthetics – Decisions in Dentistry
Compound topical anesthetics in orthodontics: Putting the facts into perspective – American Journal of Orthodontics and Dentofacial Orthopedics
Comparative efficacy of 2 topical anesthetics for the placement of orthodontic temporary anchorage devices. – Anesthesia Progress
Using Topical Anesthetic before Propel [Video] – Vimeo