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British Dental Journal (BDJ)Is 1:1000 Adrenaline as a Topical Haemostat an Effective Alternative to Control Bleeding in Dentistry and Oral Surgery?

The use of 1:1000 adrenaline is relatively safe and effective in otorhinolaryngology, suggesting similar benefits could be seen in oral surgery and dentistry.

As dental professionals, we are always looking for ways to improve patient outcomes and streamline procedures. This review explores the potential of using 1:1000 adrenaline as a topical haemostatic agent in oral surgery and dentistry, offering insights that could revolutionize your practice.

Key Points:

  • 1:1000 adrenaline, used topically, can improve surgical outcomes by providing better visualisation and control of bleeding during procedures.
  • Careful administration is necessary, as systemic absorption in large quantities could lead to cardiovascular complications, especially in patients with cardiovascular comorbidities.

Additional Points:

  • The cost of 1:1000 adrenaline may be higher than other haemostatic agents, but its potential benefits in improving surgical outcomes could outweigh the cost.
  • The use of 1:1000 adrenaline is not currently licensed for topical use in dentistry, but its availability in emergency kits for anaphylaxis treatment makes it readily accessible.


  • Further research is needed to establish the benefits and effectiveness of 1:1000 adrenaline as a topical haemostatic agent in oral surgery and dentistry.

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Did You Know?
According to the World Health Organization, oral diseases affect nearly 3.5 billion people worldwide, with oral surgery often being a necessary treatment.

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