Upon a prescription order, we can compound:
lip balms for viral lesions
topical muscle relaxants/analgesics
non-staining antibacterial rinses
oral sedation in lollipops and freezer pops
lollipops for oral thrush
mouth rinses for aphthous ulcers or chemotherapy-induced stomatitis
mouth rinse to stop oral bleeding during dental procedures for patients who take anticoagulants
dry socket preparations
“mucosal bandages” to cover ulcerated, infected, or tender mucosa
lozenges that help to prevent gagging
and many more unique preparations and novel delivery systems.
Medications are manufactured in a limited number of strengths and dosage forms that will satisfy the needs of most patients due to stability concerns, and the cost of stocking and distributing numerous formulations of each drug.
Using pharmaceutical grade chemicals and specialized equipment not found in most pharmacies, we can compound medications in doses and dosage forms that are not commercially available. We want to optimize the care of every patient. Just let us know what you need!
Charles T. Bonner, Rph.
Steven’s Dentistry Compounds
Here are some of our compounded products that are popular for use in the office by dentists and dental hygienists.
Profound Gel and Profound Lite Gel
Profound Gel is an topical anesthetic gel made from a powerful combination of tetracaine, lidocaine, and prilocaine.
It allows for gingival recontouring and other soft tissue procedures with little or no need for local anesthesia. If a patient were to be given local anesthesia via injection, the patient would experience no burn or sting.
With Profound, you can nearly eliminate the need for lower blocks, which are not patient-friendly, and achieve instant pulpal anesthesia without any tongue or cheek numbness. We also compound Profound Light, which is half the strength and provides good anesthesia for deep cleanings and other work the dental hygienist might do but has less risk of sloughing. It is dispensed in 30g and 45g tubes.
Profound Light Applications
” I now use the (Profound) Light exclusively for pre-injection numbing. It is plenty strong to numb tissue prior to a needle puncture. For everything else I use the regular Profound Gel. For example, I use Profound for all palatal anesthesia. Palatal (roof of the mouth) anesthesia hurts like hell!! SO whether I am packing retraction cord, extracting a tooth, or doing laser recontouring of the palatal tissue, its all with (Profound) Regular.”
Profound Gel is a great gel that provides pulpal anesthesia. The gel contains prilocaine, lidocaine and tetracaine (10%/10%/4%) in a loose running mint flavored green gel.
We compound Profound gel in 30g or 45g quantities. The gel should be applied for no longer than 3 minutes to prevent possibility of sloughing- leave on the site for about 2 &1/2 minutes, then rinse thoroughly. We also compound Profound Light which is half the strength and provides good anesthesia for deep cleanings and other work the dental hygienist might do but has less risk of sloughing.
Profound Gel / Profound Light
Profpet is similar to Profound gel, but contains thickener and 2% phenylephrine to prevent bleeding. It is dispensed in 30g and 45g tubes.
Depblu is similar to Profound gel, but contains sweetener, thickener, and 2% phenylephrine to prevent bleeding. It is dispensed in 30g and 45g tubes.
Cyclone is a topical anesthetic in the form of a rinse that patients can swish around for one minute to anesthetize gingival and palatal tissues. It is fantastic for hygiene patients who needs some anesthesia but don’t want local infiltrations or blocks. It also works well for needle-phobic, sensitive hygiene patients, and for patients who gag during impressions. It is dispensed in 480mL and 960mL bottles.
Topical Therapy for Pain and Infection
The options to help patients with oral and perioral pain problems such as neuropathies, burning mouth syndrome, neuromas and neuralgias. Vehicle-carrier agents and bases have been developed that can penetrate the mucosa and cutaneous tissues and transport the active medication to the treatment site. Dentists have been using topical agents with increasing frequency as part of the therapeutic protocol for orofacial painful neuropathy.
Several topical intraoral medications are used in the treatment of oral ulcerations and infections, including antifungals; nonsteroidal anti-inflammatory drugs (NSAIDs); and corticosteroids.
Because of their rapid onset and low side-effect profile, topical medications offer a distinct advantage over systemic administration for orofacial disorders.
Medicated lollipops, lozenges, and adhering powders are ideal for keeping an antibiotic or antifungal in contact with an infected area in the mouth.
Topical Anesthetics—Combinations of your Choice
Update on Burning Mouth Syndrome
Burning mouth syndrome (BMS), also referred to as glossopyrosis or glossodynia (when the burning occurs on the tongue only) is usually described as oral burning pain, sometimes with dysesthetic qualities similar to those present in other neuropathic pain conditions.
Therapy for Temporo-Mandibular Joint Disorder (TMJ)
Transdermal application of NSAIDs such as ketoprofen results in significantly higher tissue levels beneath the site of application than are achieved with oral administration. Additionally, side effects such as gastrointestinal irritation are avoided.
Topical application of anti-emetics in a gel formulation provides a rapid onset and offers an effective alternative to oral administration. Oral surgeons have found this formulation to be particularly useful.
Compounding allows countless active ingredients to be incorporated into customized mouthwashes, gels, troches, etc.
For example, to treat periodontal disease, antibiotics can be formulated as a mouthwash, or added to an oral adhesive paste or a plasticized gel that will maintain the contact between the tissue and medication for a prolonged period of time.
Compounding dental mouthwashes or rinses may offer numerous advantages over commercially available dosage forms.
Elixirs, syrups, and suspensions often contain preservatives such as alcohol which can cause reactions or gastrointestinal irritation, or sugar which makes the preparation undesirable for prolonged use in the mouth or for diabetic patients.
A customized preparation without unnecessary excipients – i.e., a sugar-free, dye-free, lactose-free, and preservative-free dosage form – can eliminate concerns of palatability, alcohol content, and dyes which may stain exposed mucosa.
Various preparations are also available to treat burning mouth syndrome and anesthetic/analgesic and antibiotic/anti-infective mouthwashes are commonly requested.
Examples of Compounded Medications
We are dedicated to meeting the unique needs of dental patients, and we welcome your questions and medication problems. Our compounding professionals are problem-solving specialists!
Examples of Customized Medications for Dental Care
Anti-Viral Lip Balms
Ketoprofen/Cyclobenzaprine topical gel
Lidocaine/Prilocaine gel in plasticized base
Sucralfate Oral Adhesive Paste
Tranexamic Acid Mouthwash
Triple-Anesthetic gel – benzocaine/lidocaine/tetracaine (“BLT”)
All formulations are customized per prescription to meet the unique needs of each patient. Please contact our compounding pharmacist to discuss the dosage form, strength, and medication or combination that is most appropriate for your patient.
Submitted by Stevens Pharmacy Compounding Pharmacy To The World
Courtesy of Instant Response Video
1525 Mesa Verde Drive East # 101
Costa Mesa, CA 92626