The epinephrine is used to prevent excessive bleeding, not for anesthetic
purposes.  Unless the work involves the gums it is not necessary at all.
Even with if gum work is necessary the procedure can be tried first and then
the epinephrine given later if necessary.

Sarah

Sarah Friend Barnett   LLLL, IBCLC
Bronx (New York City), NY  -  [log in to unmask]
" You are not obliged to finish the task,
 neither are you free to neglect it."       R. Tarfon