Many patients are uncomfortable and fearful with the prospect of traditional dental services due to painful past experiences. With our dental compounding medications that are administered in office prior to procedures, patients can rest assure that they will be at ease during procedures.
Easy Numb (Profound Gel)
Ingredients: Lidocaine 10%, Prilocaine 10%, Tetracaine 4%
Description: By combining lidocaine, prilocaine, and tetracaine, we compound Easy Numb to give patients comfort through procedures, such as deep cleaning, that may otherwise require local anesthesia.
Easy Numb is made in a dental cream base that will be flavored according to your preference, such as mint and bubble gum.
Reference: Cosmetic Dermatology 2003 Apr;16(4):35-7 Topical Triple-Anesthetic Gel Compared With 3 Topical Anesthetics
Lee MWC
Department of Dermatologic Surgery, University of California, San Francisco
Easy Numb Plus (TAC-4)
Ingredients: Lidocaine 10%, Prilocaine 10%, Tetracaine 4%, Phenylepherine 2%
Description: For patients who are more prone to bleeding during procedures, Easy Numb Plus is helpful as the added phenylephrine is used to prevent the bleeding.
Easy Numb Plus is made in a dental cream base that will be flavored according to your preference, such as mint and bubble gum.
Tetracycline Capsules
Ingredients: Tetracycline 250mg or 500mg
Dyclonine 1% Oral Dental Solution (Anti-Gag)
Ingredients: Dyclonine hydrochloride 1%
Description: Dyclonine is used for suppressing the gag reflex in dental procedures such as positioning x-ray films, making impressions, or doing procedures to the molar areas. This may be useful as a pre-injection anesthetic or could be applied to gums prior to scaling, or gross-debridement. It could also be a useful alternative for topical analgesia.
Pain 2004 Mar;108(1-2):51-7 (click for abstract)
Pain Med. 2000 Mar;1(1):97-100
Triamcinolone Acetonide Oral Rinse for Treating Oral Lichen Planus
Ingredients: Triamcinolone 0.1% Suspension
Description: Corticosteroids are the class of drug most commonly used for the treatment of oral lichen planus. Triamcinolone acetonide paste is the most widely available commercial preparation for the treatment of oral lichen planus, but is difficult to apply to mucosa and patients have reported an unpleasant sticky sensation. Delivery of corticosteroids via an oral rinse has the advantage of providing drug contact with the distal, hard-to-reach crevices and surfaces of the oral cavity, which can prevent new eruptions.
The use of a 0.1% triamcinolone acetonide aqueous suspension as an oral rinse in the treatment of symptomatic oral lichen planus has proven to be more effective than the 0.1% dental paste. This preparation must be compounded extemporaneously and should not contain flavorings (which stimulate salivation and therefore dilute the preparation in the mouth, decreasing its effectiveness) or preservatives (which may sting or burn the mucosa). Also, researchers have formulated a triamcinolone acetonide solution for use as an oral rinse, which is more convenient to use and more palatable than the commercially available triamcinolone acetonide paste, with similar therapeutic efficacy.
Am J Health-Syst Pharm. 2005;62(5):485-491
Formulation and efficacy of triamcinolone acetonide mouthwash for treating oral lichen planus.
Click here to access the PubMed abstract of this article.
Topical Antibiotics for Periodontal Therapy
Ingredients: Metronidazole
Description: Compounding allows countless active ingredients to be incorporated into customized mouthwashes, gels, troches, etc. For example, to treat periodontal disease, antibiotics can be formulated as a mouthwash, or added to an oral adhesive paste or a plasticized gel that will maintain the contact between the tissue and medication for a prolonged period of time.
Metronidazole 25% in a lipogel-type base provides an efficient treatment of anaerobic infection when applied topically in the periodontal pockets.
Click on the following citations for abstracts/more information:
J Int Acad Periodontol. 2000 Jul;2(3):64-70
Vojnosanit Pregl. 2005 Jul-Aug;62(7-8):565-8
Minerva Stomatol. 2000 Jan-Feb;49(1-2):59-67
No More Blood Mouthwash (Anticoagulate Rinse)
Ingredients: Tranexamic acid solution (4.8%)
Description: Tranexamic acid solution (4.8%) used as a mouthwash has been used successfully to prevent post surgical bleeding after oral surgery without dose modification of oral anticoagulants.
J Oral Maxillofac Surg 1993 Nov;51(11):1211-6 Prevention of postsurgical bleeding in oral surgery using tranexamic acid without dose modification of oral anticoagulants.
Ramstrom G, Sindet-Pedersen S, Hall G, Blomback M Department of Oral and Jaw Diseases, Karolinska Hospital, Stockholm, Sweden.
Click here to access the PubMed abstract of this article.
Cold Sore Relief Gel Plus
(Acyclovir and Chlorhexidine Gel)
Ingredients: Acyclovir and Chlorhexidine Digluconate
Description: Herpes Simplex infections (cold sores) include a variety of infections caused by herpesvirus types 1 and 2; type 1 infections most commonly are indicated by the eruption of one or more groups of vesicles on the vermilion border of the lips or at the external nares, These cold sores can be treated with our Cold Sore Relief Gel Plus which includes an antiviral and an antiseptic agent in a topical gel dosage form.
U.S. Pharmocpeia 25/National Formulary 20, Rockville MD:
U.S. Pharmacopeial Convention, 2002, pp 2053-2057
AHFS Drug Information 00. Bethesda MD:
American Society of Health-System Pharmacists,
2000, pp 527-537, 3357-3359
Oral Fungal Infection Relief (Nystatin Oral Paste)
Ingredients: Nystatin
Description: Oral thrush is a complex disorder associated with altered immunity, immunosuppressive medications, chemotherapy, antibiotic therapy and use of steroids. Currently doctors prescribe nystatin suspensions but their dwell time in the oral cavity is very short. The paste dosage form provides for a longer residence time in the mouth but not one sufficient to continually bathe the oral cavity with the antifungal agent. The incorporation of nystatin into a slow release paste vehicle accomplishes the goal of providing the antifungal agent in a vehicle that has mucoadhesive properties and provides for a long release of nystatin.
Ruskin JD, Wood RP, MR et al.
Comparative trial of oral clotrimazole and nystatin for oropharyngeal candidiasis prophylaxis in orthotopic liver transplant patients.
Oral surg Oral Med Oral Pathol. 1992; 75(5):567-571
U.S. Pharmacopeia 23/National Formulary 18. Rockville MD:
U.S. Pharmacopeial Convention, 1995, pp 1109. 2065, 2098