References
Anesthesia Fact Sheet. (2015, May).
This drug doesnt have an
exact duration time, but it
will last for procedures
from five minutes up to 43.
The dentist inserts the drug
first towards the inferior
meatus subnasale and then
for the second dose it is
angled towards the middle
meatus subnasale with a
fast push of the plunger
rod. Wait 10 minutes to let
the drug activate before
starting a test drill.
Retrieved March 18, 2017,
from
https://www.nigms.nih.gov/
education/pages/
factsheet_Anesthesia.aspx.
Baillie, K. U. (2016, August 26). Penn Study
Finds Nasal Spray Effective
and Safe Anesthesia
for Dental Work. Retrieved
March 18, 2017, from https://
news.upenn.edu/news/penn-
study-finds-nasal-spray-
effective-and-safe-anesthesia-
dental-work.
Ciancio, S. G., Marberger, A. D., Ayoub, F.,
Garlapo, D. A., Pantera, E. A.,
Pantera, C. T., . . .
Myneni, S. R. (2016). Comparison of 3
intranasal mists for
INTRANASAL
anesthetizing maxillary teeth
in adults. The Journal of the
ANESTHETIC
American Dental
Association,147(5), 339-347.
SPRAY
doi:10.1016/j.adaj. 2015.11.009.
Cohen, A. (2016, September 13). Should
Dentists Use Kovanaze Nasal
Spray? Retrieved March
10, 2017, from https://
www.speareducation.com/
spear-review/2016/09/ Alissa Castellon
should-dentists-use-kovanaze- & Marsha Tran
nasal-spray.
 CONTRAINDICATIONS

These include, but are It is believed that cosmetic

not limited to: dentistry will have one of
the greatest benefits due to
High blood pressure the fact that the lip will not
Nose bleeds be anesthetized. This alone
can improve patient
Discomfort or gratification and can save
difficulty swallowing time. Patients with needle-
phobias will more likely
Also allergic reactions The first FDA approved
consider visiting the dentist
including: intranasal anesthetic made
to take care of their oral
of Tetracaine and
Rash health knowing they can fix
Oxymetazoline that has
their issue with a
Swelling been in development for
needleless anesthetic.
over 10 years. Designated
Narrowing of the for regional anesthesia
bronchi when performing a
restorative procedure on
Shock
teeth 4-13 and A-J in adults
and children weighing more
than 88 pounds.