There are three main types of local anesthesia: topical, injectable, and regional. Local anesthetics can be used to numb an area before a procedure or surgery. Topical anesthesia Applied to the skin as a gel, cream, ointment, drops, or spray Can numb an area before an injection or implant Examples include benzocaine, dibucaine, lidocaine, phenol, pramoxine, and prilocaine Injectable anesthesia Injected under the skin to target nerves that cause pain Can be used before a minor surgical procedure Examples include bupivacaine, lidocaine, mepivacaine, and prilocaine Regional anesthesia Injected near a nerve to numb a large area or an area deep inside the body Examples include spinal anesthetics