Anaesthesia in Dentistry

Despite advances in modern dentistrythe area of ​​effective anesthesia, a potential patient will still remain in doubt that everyone in the dental office procedures are absolutely painless. On each individual anesthetic effect is not always clear. The approach to the choice of anesthetic doctor carried out strictly individually.

Every day, to dentists treat millionspeople worldwide. You, dear readers MirCovetov magazine, or have visited a dentist, or ask in the future. From dental problems are not insured by any one person. If, even, you will actively carry out preventive measures at home, still, there are cases when you need a specialist consultation. Many people due to fears accumulated since the time of the "Soviet" dentistry can not decide to go for help to the dentist. Despite the advances of modern dentistry in effective anesthesia (anesthesia), a prospective patient still remain doubts, that all in the dental office procedures are absolutely painless. Every dentist knows that each individual acting anesthesia is not always clear. The approach to the choice of anesthetic doctor carried out strictly individually. First of all, you need to know the composition of the anesthetic, to understand the principles of the efficiency of an anesthetic.

The composition of the anesthetic

Anaesthesia in Dentistry
The composition of each anesthetic, of course, different. Consider the composition is not the most effective anesthetics, such as "Novocaine" and "Lidocaine", which are less used at a reception at the dentist, we will not. It is necessary to understand the components of a common import anesthesia is most often used.

The anesthetic.
This is the main active ingredient, a member oflocal anesthesia. The structure of modern anesthetics, issued in the form of the cartridge (for special carpool syringes) or vials (rarely), as an anesthetic is administered "Articaine" or "mepivacaine hydrochloride."

Vasoconstrictor.
Introduced into the composition to enhance anesthesiaaction as well as to increase over time. In the absence of this component anesthesia it passes quickly, acting short term. Anesthetic drugs, which include "mepivacaine hydrochloride", do not contain vasoconstrictors.

What vasoconstrictors there? The most common of them - it's adrenaline (epinephrine) and norepinephrine. Adrenaline can reduce the anesthesia subsided from the place of its introduction, ie holds in the area of ​​injection. Thus, for example, 4% "articaine" solution with epinephrine injection operates after 45 minutes, and without epinephrine - only about 5 minutes. vasoconstriction does not occur and the active substance is derived from the injection site.

Stabilizers and preservatives.

You, no doubt, faced with these conceptsat home, when to buy, for example, food. Almost all of them contain preservatives or stabilizers to extend shelf life, as well as for the protection of certain components against destruction. For this purpose, applied anesthetic in EDTA, parabens and sulfites:

  • EDTA. The long title of this acid can scare a simple man in the street, so it is enough to stop its use. EDTA vasoconstrictor protect against destruction of lead and aluminum ions which can be released from the cartridge window.
  • sodium sulfite. Added to the cartridge with an anesthetic for the protection of the same vasoconstrictor from the destruction of its oxygen. By the way, this component is actively used in horticulture to give fruit when stored fresh.
  • Parabens. On this particular component of the conversation. The use of parabens to protect components inside the cartridge or ampoule is carried out only in anesthetics, which are sent to countries with a hot climate. Therefore, only used when necessary, as is a strong allergen.

Principles of anesthesia action

To understand how effective the anesthetic in a particular case, you must first understand the principles of its action.

What is the proper anesthesia?

Anesthesia - a short-term losstissue sensitivity after exposure to chemical factors. "Chemical factors" in this case is an anesthetic, which causes what is called "freezing". The substance contained in the cartridge or ampoule, for example, "Articaine" blocks the transmission of nerve impulses. of stimulation signals are not transmitted to the brain. The response perceived as pain is not possible on the part of the brain as an anesthetic "wraps" the nerve fiber in the injection zone. After the complete destruction of the active ingredient of the anesthetic, its effect ends and the sensitivity is reduced.

Factors leading to the inability to "analgesia" tooth

Anaesthesia in Dentistry
Intense fear of the patient before treatment.
Many patients are afraid of panic everything relatedintervention on the teeth, so any manipulation that is performed by a doctor, perceived in an exaggerated form, sometimes it leads to the impossibility of a full-fledged "anesthesia" of the tooth. Even the slightest discomfort the patient perceives as "hellish" pain. Trying to make a "double" or "triple" anesthesia often do not lead to the desired result. Moreover, the above described adrenaline generated in such moments, plays a lesser role than psychological factors, creating obstacles to full anesthesia.

The effects of alcohol.
Some people have to cope with the fear,before visiting the dentist drink alcohol, so to speak, "for courage". However, the influence of alcoholic beverages is fundamentally hampered not only by the doctor who has to deal with sometimes inadequate customer displays, but does not allow anesthetic to block the pain impulse. Sensitivity can be "removed" only higher doses or can not be eliminated altogether. Therefore, the so-called "acute" intoxication anesthesia practically does not occur, and the "chronic" alcoholics to achieve full anesthesia is not possible.

Individual cases of tolerance to anesthetics.
In other words, some people have a certainanesthetic can not act at all. Especially brightly this situation manifests itself in cases of "addiction" to the drug. Such moments, as compared with the previous two, occur less frequently, but still occur at a reception at the dentist.

What to do to improve the efficiency of anesthesia

Anaesthesia in Dentistry
To feel at a reception at the dentist comfortably, you need to adhere to the following guidelines.

Eliminate the fear of visiting the dentist.
Many people deal with fear in different ways, butmost do not resort to reasonable and proper means, relying on the "maybe". Dentists are advised to use before taking tranquilizers, that is, drugs that cause inhibition of the nervous system. They take the fear and stress, creates relaxation effect at the time of medical manipulations. Of course, most of the tranquilizers - are drugs issued on prescription. The modern non-prescription can be noted, for example, drugs "tenoten" and "tenoten children." Dentists recommend that adults who have a high degree of anxiety, take "tenoten" as follows. Initially, two tablets dissolve under the tongue, followed by two more five minutes later. Take they should be somewhere in twenty minutes before the start of the reception. People with moderate voltage for effective anesthesia only need one tablet in the same way. For children, use "tenoten children" one tablet twenty minutes before treatment. Scheme of application of this drug is recommended to check with your doctor.

To refuse the admission of alcohol.
Before visiting the doctor not to drink alcohol -it is quite feasible task. Do not use alcohol to relieve stress because it blocks the effectiveness of anesthesia. Also compounds and drugs create obstacles to the reception of anesthesia. So, dear readers, to give up the habit if you have it in front of the reception. To improve the quality not only of anesthesia, but life should opt out of addiction.

Apply another anesthesia in the case of individual tolerance to the drug.

Change the anesthetic one to another availablealmost any dental office. Especially because, given the large variety of modern anesthetics, there is always a choice. Another thing, if the patient is not getting used to a specific drug, and genetic disorder that blocks the effectiveness of any local anesthesia. It suggests there may be only one - anesthesia, ie full immersion in the dream. These procedures are usually carried out at hospitals.

To summarize

You, dear readers our website Magazine,listening to these recommendations by practicing dentists, you can not be afraid to go to the dentist only due to the fact that the anesthesia would not work. If you eliminate the above reasons can cause a negative effect, it will protect yourself from a lack of adequate "pain relief". Dental professional will always find the right way to completely "turn off" nerve conduction, creating an atmosphere of complete comfort during the most unpleasant procedures. Be healthy!

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