Pain or discomfort - the reason because of which many people avoid dental visits. But dentistry without pain is possible, if the doctor uses the most modern methods of anesthesia.
In this method of pain relief on the gums or aerosol spray is applied a special gel. Due to the high concentration of the drug anesthetics quickly penetrate through the mucous membranes of a few millimeters and holding block pain impulses.
Analgesic effect after using the applicator anesthetic lasts about ten minutes. Such drugs often contain lidocaine.
With the application anesthesia can reduce the sensitivity of only superficial tissues. It is held to the patient is not experiencing discomfort from the upcoming injection if it is used more in-depth view of anesthesia. Also, application anesthesia is performed by removing the movable teeth, removing dental plaque and periodontal autopsy abscesses (cavities in the gingival tissues, which are filled with pus).
Check crowns and bridges can be accompanied by discomfort, and surface anesthesia helps to eliminate them. When removing the dental casts of patients often gag reflex, and local anesthetic agents to prevent its occurrence.
This is the most frequently used method of anesthesia in dentistry. The anesthetic is administered via a syringe under the mucous membrane, periosteum, or intraosseous.
In order that the patient did not feel the injection, the injection site is pre-treated surface anesthetic. If the diameter of the needle will be picked up correctly, the person does not experience pain or it will be negligible. Discomfort will be less if the dentist uses a needle with a silicone coating.
The duration of anesthesia for infiltration anesthesia is approximately one hour. This time will be enough to cure your teeth and dental channels and perform operations on the pulp (loose connective tissue, which is located in the cavity of the tooth). Typically, infiltration anesthesia is used in the treatment of the upper jaw.
Conduction anesthesia and stem
Trigeminal nerve - this is the main sensitive nerve of the oral cavity. It consists of three branches, each of which supplies the specific area including teeth.
When conduction anesthesia medication using a syringe supplied to the fibers of one of the branches of the trigeminal nerve. This type of operation is recommended for pain relief in the molars, on the gums as well as during certain surgical procedures. Most regional anesthesia is used for manipulating the mandible.
When stem anesthetic drug is injected at the base of the skull, in the place where the trigeminal nerve has not yet been divided into branches. This method is used in the treatment of injuries and stationary when expressed pain.
Intraligamentarnaya (intraligamentous) anesthesia - one of the most effective types of anesthesia in dentistry. The anesthetic solution is injected under pressure into the periodontium (tissue that is located between the well and the dental cement, dental root). Duration of analgesia with this method of administration is thirty minutes to an hour.
If anesthetic is injected under high pressure, it penetrates into the medullary space of the lower and upper jaws. With slight pressure, the drug enters the gingiva and periosteum.
Intraligamentous anesthesia does not cause numbness of the tongue, lips and cheeks during and after the injection. For anesthesia requires a small amount of the drug, so the risk of toxic effects of drugs is much less than during other types of anesthesia.
Intraligamentarnaya anesthesia used in the treatment of pulpitis
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and dental extractions. This anesthesia is not performed if the patient developed acute periodontal inflammation. Intraligamentous anesthesia is also contraindicated to those who suffer from endocarditis or transferred it in the past.
Anesthesia in dentistry
General anesthesia (anesthesia) used in the treatment of teeth is very rare, as it is a complex type of anesthesia that is poorly tolerated by the patient. The risk of complications in the application of anesthesia is much higher than in other types of anesthesia.
In severe diseases of the cardiovascular and respiratory systems, general anesthesia is contraindicated. Also, do not use anesthesia when performing routine dental procedures, such as the treatment of caries
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The clinic, which provides treatment of dental diseases under anesthesia, have to be all the necessary equipment and modern drugs for general anesthesia. For the safe conduct of anesthesia meet the anesthesiologist and anastezist (a specially trained nurse).
Dental treatment under general anesthesia has several disadvantages. The most important of these are:
- It required a series of medical examinations (eg, laboratory tests and ECG), which will require additional time;
- The need for preoperative preparation;
- Compliance with certain rules of treatment.
But in some cases, general anesthesia is required. These include:
- Severe anxiety and concern for the patient during dental procedures;
- Removal of wisdom teeth
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Which have a complex root structure;
- Various surgical intervention (e.g. in the treatment of osteomyelitis).
Before performing anesthesia doctor must find out what comorbidities are present in the patient. If a person is allergic to any drugs, he must inform the doctor. Then the dentist will be able to choose the most comfortable and safe for the patient tactics of anesthesia.