Dentists are still allowed to use cocaine as an anesthetic.


Anesthesia, local1—Cocaine hydrochloride is indicated to provide local anesthesia and vasoconstriction of accessible mucous membranes, especially in the oral, laryngeal, and nasal cavities, prior to instrumentation (e.g., bronchoscopy) or surgical procedures. Cocaine’s toxicity must be considered prior to its use, especially when it is being applied to the tracheobronchial tree.

—Although cocaine is an acceptable topical anesthetic for dental procedures, it is no longer extensively used in dentistry because of its toxicity.

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