What Are the Commonly Used Dental Anesthetics in Dentistry?

Learn which anesthetics your dentist uses, how they work, and what to expect during your procedure—so you feel confident and comfortable every step of the way.
Posted on May 04, 2025
Dentist holding a syringe filled with local anesthetic before administering an injection to a patient
A dental professional prepares a syringe with local anesthetic to ensure a comfortable experience during treatment.

At Pecan Tree Family Dentistry, your comfort is always a top priority. Whether you’re receiving a filling, an extraction, or oral surgery, we use safe and effective anesthetics to ensure your experience is pain-free and stress-free.

💉 What Is a Local Dental Anesthetic?

A local anesthetic is a medication that temporarily numbs a specific area of your mouth. It works by blocking nerve signals in the targeted region, preventing pain messages from reaching your brain during a procedure.

You’ll remain fully awake and alert, but you won’t feel pain in the treated area—only light pressure or movement.

🦷 Commonly Used Dental Anesthetics

Here are the most widely used local anesthetics in dentistry—and why we choose them:

✅ 1. Lidocaine (Xylocaine)

  • Most common anesthetic in general dental care
  • Fast onset: begins working in 2–3 minutes
  • Duration: 1.5 to 2 hours
  • Often combined with epinephrine to extend numbing and control bleeding

✅ 2. Articaine (Septocaine)

  • Known for deep penetration and fast onset
  • Great for lower molars and areas needing strong diffusion
  • Duration: 1–2.5 hours
  • Commonly paired with epinephrine for longer effect

✅ 3. Mepivacaine (Carbocaine)

  • Shorter acting—ideal for shorter procedures
  • Often used without epinephrine, making it suitable for:
    • Patients with heart conditions
    • Those with epinephrine sensitivity
  • Duration: 20–40 minutes (without epinephrine)

✅ 4. Prilocaine (Citanest)

  • Milder vasodilation effect than lidocaine
  • Sometimes used with lower concentrations of epinephrine
  • Common in combination treatments
  • Suitable for patients sensitive to stronger vasoconstrictors

✅ 5. Bupivacaine (Marcaine)

  • Long-acting anesthetic—up to 6–8 hours of relief
  • Typically used for:
    • Oral surgeries
    • Procedures with extended recovery time
  • Provides post-operative comfort when needed most

⚡ What’s the Role of Epinephrine in Dental Numbing?

Many anesthetics include a small amount of epinephrine (adrenaline) to:

  • Prolong the numbness
  • Minimize bleeding in the treatment area
  • Keep the anesthetic localized for safety and effectiveness

For patients with health conditions, anxiety, or sensitivities, we offer epinephrine-free options tailored to your needs.

🔗 Related Reading: What Is Epinephrine in Dental Anesthetics?

🏡 Personalized Anesthesia for Every Patient

We understand that no two patients are alike. That’s why we choose the anesthetic that best matches:

  • Your procedure type
  • Your medical history
  • Your comfort level

Our team will explain exactly what to expect—and we’re always happy to answer questions.

📞 Need Dental Treatment? Let’s Make It Comfortable

From routine fillings to complex procedures, your experience at Pecan Tree Family Dentistry will be safe, gentle, and transparent.

📍 Based in McKinney, TX?
📞 Call us at (972) 562-0767 or book your visit online

By Peter J. Kim, DDS

Dr. Peter J. Kim, DDS, is a highly skilled dentist in McKinney, TX. He earned his dental degree from the prestigious University of Michigan School of Dentistry and completed his residency in New York City. Dr. Kim is passionate about providing exceptional dental care and stays at the forefront of the field through advanced techniques and continuous education. Dedicated to serving the McKinney community, Dr. Kim offers a wide range of services, ensuring personalized care for every patient.