and sharing relevant topics with her peers.
Working with diverse groups of professionals,
educators, and clinicians inspires Laura to
enjoy all facets of dental hygiene while
imparting the skills and knowledge to improve
patient care to others.
For more information regarding Laura or her
programs, contact firstname.lastname@example.org or
visit ljweduserv.com. RDH
THOUGHT FOR THE MONTH:
“When work seems like a job, I don’t do it
anymore. I always want it to be something I’m
interested in and something that challenges me.”
ty-oriented, and passionate. If she were not a
hygienist, she could see herself as a biology pro-
fessor or aesthetician because she enjoys working
with people and contributing to their knowledge
She feels that she entered dental hygiene at
Laura describes herself as dedicated, quali-
the best of times and has enjoyed a variety of
roles within the profession. She has no regrets
about her career choice. Laura is proud of many
accomplishments she has made during her dental
hygiene career: improving periodontal protocols
for rural patients, creating a highly respected and
quality-oriented dental hygiene education
program, authoring numerous articles and
textbook chapters, receiving the American Dental
Hygienists’ Association’s Alfred C. Fones Award,
Laura is passionate about enjoying life with
friends and family and traveling with her hus-
band, Terry, and their Jack Russell terrier, Jackie.
She enthusiastically promotes quality in dental
hygiene care and services. Laura was a member
of the ADHA for three decades and served as a
delegate to the Nevada Dental Hygienists’ Asso-
ciation for several years. Her concerns about
dental hygiene include maintaining the quality
of dental hygiene education in spite of crowded
programs and the employment challenges faced
by new graduates and seasoned professionals
due to the increase in the number of dental hy-
giene educational programs.
Objectives of Laura Webb’s seminars
Laura Webb’s pain control and local anesthesia cours-
es are designed to provide a review and update on
products and procedures for nonsurgical periodontal
therapy. Participants might also review landmarks and
target areas for injection sites using models or partners.
Some of the topics covered include:
• Review of the rationale and indications for local anes-
thesia in nonsurgical periodontal therapy;
• Discussion of the factors that influence local anesthesia agent selection, dose, armamentarium, and
• Consideration of new armamentarium and pharmacology updates;
• Review of drug interactions, local and systemic
effects, and how to manage these issues;
• Examination of techniques and problem-solving skills
for local anesthesia; and
• Discussion of needle-free modalities for pain control
that are currently in study and development.
The programs for dental hygiene educators explore the
approaches to curriculum design, content, methodolo-
gies and collaborative learning approaches. In addition
to hands-on clinical teaching, topics include:
• Examination of the challenges dental hygiene pro-
grams face to ensure that students attain and maintain
competency and confidence in local anesthesia delivery;
• Understanding how curriculum design facilitates
• Demonstration of strategies that support balance in
teaching, learning, and testing;
• Discussion of teaching techniques to overcome com-
mon student errors; and
• Review of evaluation tools for self-assessment,
monitoring progress, and skill testing throughout the
students’ clinical experiences.
The AMSA Nerve Block
1. Malamed S. 2013 Handbook of Local Anesthesia 6th
2. Perry D, Loomer P. Maximizing pain control: the
AMSA injection can provide anesthesia with fewer
injections and less pain. Dimensions of Dental Hygiene
Apr/May 2003; 1 ( 2): 28-29, 32, 33.
3. Logothetis D. 2017 Local Anesthesia for the Dental
Hygienist, 2nd ed; Elsevier.
4. Bassett K, DiMarco A, Naughton D. 2015 Local
Anesthesia for Dental Professionals, 2nd ed; Pearson.
5. Patel JJ, Asif K, Aspalli S, Gururaja Rao TR. New
anesthetic technique in periodontal procedures. J Indian
Soc Periodontol 2012;16:253-5.
6. Logothetis D, Fehrenbach M. Local anesthesia options during dental hygiene care. RDH June 2014; 34( 6).
only two injections.
Reducing the number of penetrations saves
time and improves patient comfort and acceptance. The reduction in total volume of
anesthetic facilitates the provision of safe doses
of anesthetic and vasoconstrictor. The added
benefit of not anesthetizing the lip and face
also improves patient acceptance. Complications associated with AMSA injection are rare
and are related to those common to conventional palatal injections. As with all injections,
following proper technique protocols is key to
safe and reliable administration. RDH
stasis for NSPT even with the use of the CCLAD.
However, more recent studies as well as recent
reports from hygienists, have shown that—with
proper technique—profound anesthesia, adequate hemostasis, and appropriate duration of
anesthesia are readily achieved.
1, 4, 5
The AMSA is an important addition to the
dental hygienist’s repertoire of injections for
NSPT. Alone, it provides reliable, profound,
intermediate-duration local anesthesia to a wide
area of the maxilla usually requiring several
injections. Paired with the PSA, the entire
maxilla on one side may be anesthetized with