Open AccessTHE BASIS OF CARRYING OUT OF SAFE LOCAL ANESTHETIC IN OUTPATIENT DENTAL PRACTICE
Author(s) -
Е. Н. Анисимова,
N. U Anisimova,
R. S Babadjanyan,
M. V. Gromovik
Publication year - 2019
Publication title -
rossijskij stomatologičeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2413-2934
pISSN - 1728-2802
DOI - 10.18821/1728-2802-2019-23-3-4-144-148
Subject(s) - articaine , medicine , anesthesia , anesthetic , local anesthesia , molar , dentistry , epinephrine
On the basis of clinical and functional studies, a protocol for conducting safe local anesthesia in outpatient dental practice has been developed. The essence of the protocol is anesthesia with the treatment and removal of teeth in the upper jaw and lower jaw in the frontal section using a 4% articaine solution with a vasoconstrictor of 1: 200,000 under the infiltration method of anesthesia with an efficiency of 97.3 ± 1.3%, duration 29.2 ± 2.48 minutes and an MPA of 96.3 ± 1.23% and an injection rate of 1 ml / min; in anesthesia of the molars in the lower jaw using the conductive method at the mandibular orifice with the obligatory aspiration test with 4% articaine with epinephrine 1: 2 with an efficiency up to 92.54% ± 1.3 and a duration of 35.2 ± 2.43 minutes with a speed drug administration - 1 ml / min. Improving the effectiveness of anesthesia to 95.54 ± 0.3% is achieved by the periodontal method of introducing a 4% solution of articaine with a vasoconstrictor of 1: 200,000.