- Dentistry without pain - general anesthesia or local anesthesia?
- Pain threshold
- Methods
- Local anesthesia
Ways of
All men without exception are afraid of toothache. But some are able to overcome their fear, for others, this fear becomes an insurmountable obstacle for dental treatment. But nowadays there are ways painless dental treatment for any disease. So do not delay the visit to the dentist.
What causes toothache
Our teeth consists of hard tissue that surrounds the tooth cavity located therein with a soft cloth or pulp. Solid tissue do not contain nerve endings, so painless. The pulp is also a lot of nerve endings, so all of her disease is very painful.
Violations of the pulp may occur due to tooth decay or injury. When caries
More about caries - take care of your teeth until it's too late
the gradual destruction of the hard tissues of the tooth under the influence of living bacteria in the mouth. Waste products of bacteria that live in the mouth, is a plaque containing the acid, which destroys the hard tissue of teeth. Plaque is soft at first, then hardens and turns into tartar
Plaque - why it should be removed?
. Plaque, located between the tooth and gum, causing various diseases of dental tissues.
The conclusion is clear: the best time to remove plaque (dentist will make it easy and painless, along with teeth brighten a few tones), and if it began decay, then treat it is necessary in the early stages, when the teeth just specks ( I do not care what color).
What preparations carried out local anesthesia in dentistry
If the hard part of the tooth (crown) has collapsed, it may start the inflammation of the pulp, as well as ligament that holds the tooth root in the hole (periodontal) - it gives a strong toothache. There is already without anesthesia is usually not enough. Nowadays dentists have a large selection of painkillers. The first is, of course, the traditional procaine
Novocaine - why it is so popular in medicine?
. But he was already rooted in the past because it does not provide an absolute anesthesia.
A feature of modern analgesic drugs used in dentistry is the fact that all of them possessing good analgesic properties, at the same time, dilate blood vessels, which reduces their effectiveness
. Therefore, they are almost always added vasoconstrictors (usually based preparations epinephrine) in varying proportions: at a local narrowing of the blood vessels longer anesthetic agent retained in the gingival tissues
. Therefore, the dentist during treatment individually selected anesthetic for a particular patient, given his age, comorbidities, and dental health
. After vasoconstriction may unpleasantly affect the general condition of an elderly person or sick with hypertension, and so on
. The most safe and effective pain medications, many dentists now recognize ultrakain, it contains at least vasoconstrictor components
. It can be applied to pregnant women and nursing mothers as it passes through the placenta and is excreted in human milk
.
The methods of local anesthesia in dentistry
Any analgesic drug is a local anesthetic is administered as an injection. But do not be afraid, because today to not feel the injection into the gum, there is another pain relief - surface (applicator) in the form of an aerosol spray (eg, lidocaine) or gel to lubricate the gums. With this type of anesthesia can also safely remove plaque or to cure minor diseases of the teeth and surrounding soft tissues.
Local anesthetic (anesthetic) is injected through a variety of methods:
- infiltration method of administration - an anesthetic is injected under the mucous membrane, the periosteum or intraosseous, and then it penetrates into the surrounding tissue, and a few minutes later tissues lose their sensitivity about an hour; this time, is usually enough to cure a tooth;
- conductor method of administration - an anesthetic is administered to one of the branches of the trigeminal nerve (separate branches of the trigeminal nerve in the face as the upper and the lower jaw); This method is often used when removing large molars, while the various operations on the gums and the like;
- stem method of administration - an anesthetic is injected into the trunk of the trigeminal nerve to the place of its division into branches; This method is often used in maxillofacial operations (eg, trauma).
General anesthesia in dentistry
Since today there are excellent anesthetic to local anesthesia, general anesthesia in dentistry is used infrequently. The indications for it are uncontrolled by the patient fear of dental treatment (fear itself can cause severe complications), allergy to local anesthetics and increased gag reflex. Relative indications is a one-time treatment of several teeth, which usually takes a long time.
About general anesthesia patients should know that he, of course, should be a last resort, since the overall impact of drugs for anesthesia does not pass without consequences for the organism. It is difficult to predict how will react to general anesthesia just your body. Therefore, if you have the absolute indications for general anesthesia, it is necessary to choose the dental clinic, which has a permit (license - must watch!) To conduct general anesthesia. This ensures that there will be a specialist (anesthesiologist) and all the necessary equipment for general anesthesia.
General anesthesia in dentistry can be performed by inhalation (inhalation of gaseous drugs), intravenous or intramuscular administration of medicinal products.
Prevention of toothache
Toothache - itself does not take place
It is a regular visit to the dentist.