Anesthesia · single question

According to the ADA colour-coding standard for dental anesthetic cartridges, what colour band identifies 2% lidocaine with 1:50,000 epinephrine?

  1. Red
  2. Gold
  3. Silver
  4. Green
Show answer and explanation

Correct answer: D. Green

  • A. Red identifies 2% lidocaine with 1:100,000 epinephrine, the everyday workhorse cartridge.
  • B. Gold identifies 4% articaine with 1:100,000 epinephrine (Septocaine).
  • C. Silver/grey identifies 4% prilocaine plain in the ADA scheme.
  • D. CORRECT. GREEN identifies 2% lidocaine with 1:50,000 epinephrine. This is the most concentrated vasoconstrictor formulation available and is reserved for LOCAL HAEMOSTASIS in a limited surgical field — it offers no advantage in depth or duration of anesthesia over 1:100,000, only more epinephrine.

Note: The ADA colour scheme worth memorising: light blue = 3% mepivacaine plain; tan = 2% mepivacaine with 1:20,000 levonordefrin; grey/silver = 4% prilocaine plain; yellow = 4% prilocaine with 1:200,000 epi; blue = 0.5% bupivacaine with 1:200,000 epi; gold = 4% articaine 1:100,000; green = lidocaine 1:50,000; red = lidocaine 1:100,000.

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