Hello! Im a second year dental hygiene student. I will be administering local anesthesia for two quadrants of the mouth for scaling and root planing procedures; my patient has had total hip replacement in 2004, an aortic heart valve in 2001, and a kidney transplant in 2006. Im trying to determine which local anesthesia would be the most appropriate to use, as well as the amount. Im thinking that 2 cartridges of Mepivicaine 3% w/ levonordefrine 1/20K would be the wisest choice and amount.
Thanks for your query, I have gone through your query. If I am the treating doctor i would have administered local anesthesia without a Chat Doctor.  Either you can use lidocaine 2%. It also has some cardiac effects like bradycardia and hypotension. But we can use safely. If the patient is taking anti coagulants take care about bleeding. I hope my answer will help you. Take care.