Course Description:

This course is worth .5 CE. 

More emergencies happen in dental offices related to the administration of local anesthesia than those that accompany oral or IV sedation. In this course, Dr. Anthony Feck dives deep into the different types of local anesthetics and the drug interactions between local anesthetics, vasoconstrictors, and sedative drugs, giving you a comprehensive top-down look of what you must consider and account for in order to treat safely.


In this course, you will learn about:

  • Drug interaction potential 
    • With existing drugs
  • Increased Toxicity Potential
    • More local anesthetic/vasoconstrictor
    • Medical conditions
  • Special needs of the sedation patient
    • Local anesthetic resistant
  • Understand the timeline of local anesthetic development.
  • Learn the chemical characteristics and properties of Lidocaine, Prilocaine, Mepivacaine, Bupivicaine, Articaine, 
  • What is pKa, and why is it important?
  • Study the mechanism of action (sodium blocking) and the factors in Onset of Action (anatomical variations, nerve morphology, lipid solubility, protein binding).
  • Recognize the signs of local anesthesia overdose and toxicity. 



Dr. Anthony Feck

How can I meet my state’s requirements?

To learn more about how DOCS Education’s full range of courses can satisfy your state’s regulatory requirements, visit This unique online resource is kept up-to-date with the latest in sedation legislation by DOCS Education’s fulltime regulatory counsel. Contact one of our course advisers with any questions or visit our course listings to see upcoming classes and locations.

DOCS Education courses carry the AGD PACE certification

DOCS Education is the nation’s premier provider of safe sedation and advanced dentistry education, having trained almost 24,000 dentists. Since 2000, our courses have been accepted by the AGD for Fellowship/Mastership and membership maintenance credit. We offer extensive CE opportunities, both in-person and online, that meet your needs.

What is DOCS Education?

DOCS Education is an exclusive community of professionals serving at the forefront of dentistry. We offer world-class courses on safe sedation and advanced dentistry, relying on instructors who are consistently ranked among the very best in the nation. We also are a supportive network of members who guide one another to be better, more confident, more successful dentists.