Dental Board General Chairside Practice Exam 2026 - Complete Prep Guide

The ingredient in local anesthetic solutions that prolongs the effect of the anesthetic is the vasoconstrictor. Vasoconstrictors, such as epinephrine, are added to local anesthetic formulations to constrict blood vessels in the area where the anesthetic is administered. This constriction reduces the blood flow to the site, which in turn decreases the rate at which the anesthetic agent is absorbed into the bloodstream.

By minimizing the absorption of the anesthetic, the vasoconstrictor prolongs its duration of action, allowing for longer pain control during dental procedures. The reduced blood flow also helps to minimize systemic side effects that can occur if the anesthetic is absorbed too quickly.

Other options like isotonic solutions and preservatives serve different purposes, such as maintaining the stability and effectiveness of the anesthetic while reducing irritation at the injection site. Reducing agents are typically used to prevent oxidation and maintain the efficacy of certain active ingredients but do not influence the duration of anesthetic action. Thus, the role of the vasoconstrictor is crucial for enhancing the effectiveness of local anesthetics in clinical practice.