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Clinical Tip — Profound Gel

Profound Gel is incredible.  I’ve been using this formulation for about 4 years.  It took the place of EMLA as a profound topical.  With a mixture of Lidocaine, Prilocaine, and Tetracaine, it can be used in a variety of situations:

  • As a normal topical.  Unlike EMLA, Profound gel tastes great, at least for the first 2 seconds.  After that you can’t feel anything or taste anything.  Place this for a minute or two before injections and they won’t feel a thing.
  • Use it on loose deciduous teeth for extraction.  You usually will not need to numb.
  • Use it as a topical prior to using Intraflow, X-tip, or Stabident.  This is about all the anesthesia we currently use.  We no longer use blocks for our operative.
  • Hygienist:  Use as a topical for root planning and curettage.  We load it in a centrix syringe with a blunt or felt tip and squirt around the teeth for profound anesthesia.  It will take about 5 minutes to numb the teeth and gums for 20 minute duration.


I can’t say enough about this stuff.  I couldn’t practice without it.  One source is:

Steve’s Pharmacy
1525 Mesa Verde Drive East
Costa Mesa, CA 92626

(Lidocaine 10%, Prilocaine 10%, Tetracaine 4%)