What Is Epinephrine in Dental Anesthetics Like “Novocaine”?

Learn why this common ingredient is used in local anesthetics and how it helps make your dental procedure more effective and comfortable.
Posted on April 25, 2025
Dentist preparing a syringe with local anesthetic before a dental procedure
A dentist holding a syringe with dental anesthetic that includes epinephrine to prolong numbness and reduce bleeding.

💉 What Most People Call “Novocaine” Isn’t Actually Novocaine

When you visit the dentist for a filling, extraction, or deep cleaning, your dentist will likely use a local anesthetic to keep you numb and comfortable. Many people call this “Novocaine,” but true Novocaine (procaine) is rarely used today. Instead, modern anesthetics such as lidocaine, articaine, and mepivacaine are preferred for their effectiveness and safety .

These anesthetics are often combined with a small amount of epinephrine—a key ingredient that improves how the anesthetic works.

⚡ What Is Epinephrine?

Epinephrine, also known as adrenaline, is a natural hormone your body produces in response to stress, excitement, or fear. In dentistry, it’s added to anesthetic solutions in very small amounts to enhance both the effectiveness and duration of the anesthesia .

✅ Why Do Dentists Use Epinephrine in Anesthesia?

1. It Makes the Numbing Last Longer

Epinephrine causes nearby blood vessels to constrict, which keeps the anesthetic localized. This means:

  • Numbness lasts throughout the entire procedure
  • Less risk of needing additional injections

2. It Reduces Bleeding

Constriction of blood vessels leads to less bleeding, making it easier for your dentist to see and work clearly—especially during oral surgeries or deep gum cleanings.

3. It Reduces the Overall Dose of Anesthetic Needed

With epinephrine, a smaller amount of anesthetic is often enough to achieve full numbing, which increases safety and reduces potential side effects .

🤔 Are There Any Side Effects?

Most patients tolerate anesthetics with epinephrine very well. However, some may experience:

  • A temporary increase in heart rate
  • Slight shakiness or “jitters”
  • A feeling of anxiousness shortly after the injection

These effects are short-lived and usually harmless, but we always recommend letting us know if you:

  • Have a history of heart conditions or high blood pressure
  • Are pregnant or nursing
  • Have experienced negative reactions to anesthesia in the past

At Pecan Tree Family Dentistry, we offer epinephrine-free anesthetics when needed for patients with specific health concerns or sensitivities .

🏡 Your Safety and Comfort Come First

Whether you’re here for a routine filling or a more involved procedure, we always explain the materials we use and ensure you’re fully comfortable before, during, and after treatment. If you ever have questions about anesthesia or alternatives, we’re happy to walk you through your options.

📞 Call us at (972) 562-0767 or contact us online to schedule your next visit.

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.