Topical anesthetic gels for dentists

The Baddest Topical in Town™


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This product requires a prescription. There is no compounding without a prescription for "office use" per FDA regulations.

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).

Dental Ointment

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.

BTT Instructions

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.

  1. Clean and dry the area where topical anesthetic gel will be applied.
  2. Apply dental anesthetic gel sparingly to the mucosa.
  3. Rinse off within 2-3 minutes to avoid sloughing of tissue.
  4. Full anesthesia will occur in about 5 minutes and last around 20-30 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

Click on the link to view prescription forms. If you have not accessed the page before, please call us at (855) 876-3060 for a password and further instructions.

Prescription Forms

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

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