ASSESSMENT OF THE EFFECTIVENESS OF LOCAL ANESTHESIA ON THE LOWER JAW IN ADOLESCENTS AT THE OUTPATIENT DENTAL OFFICE

Abstract

The purpose of the study to evaluate the effectiveness of local anesthesia on the lower jaw in teenagers of the Transcarpathian region during a dental appointment, taking into account the level of personal anxiety. Materials and methods. An assessment of the psycho-emotional state and dental status of 204 adolescents aged 12-18 years who were patients of the "University Dental Polyclinic" LLC was carried out. The patient's appeal was both urgent and for the purpose of rehabilitation, planned. In all patients, the pathology was localized on the lower jaw. The level of reactive and personal anxiety was assessed according to the methodology of Ch. D. Spielberger (adapted by Yu. L. Khanin). The examinees were diagnosed with clinical therapeutic dental pathologies according to generally accepted criteria, the treatment of which required local anesthesia. The intensity of analgesia was determined according to the analgesia efficiency scale of Sokhov ST, 1997. To assess the quality of mandibular anesthesia, a scale was used that took into account the area of anesthesia, the onset time and the duration of anesthesia. The assessment was carried out in points. Statistical analysis of the obtained data was carried out on a personal computer using licensed programs “MS Excel 7” for the operating system “Windows” and the standard program package “STATISTICA” v. 6.0. Scientific novelty. The level of personal anxiety directly proportionally affects the effectiveness of local anesthesia at an outpatient dental appointment, its study and correction will improve the level of treatment. Conclusion. Visiting the dentist is a stress that manifests itself in the form of fear, tension, anxiety, restlessness, nervousness of varying degrees of severity, intensity and dynamics over time. When conducting medical interventions that require the accuracy of manipulations, a high level of reactive anxiety of the patient harms the work of the doctor and has a negative impact on the quality of the performed manipulation.A high level of anxiety with a high probability is a factor in the failure of mandibular anesthesia in adolescents and requires the implementation of additional methods of analgesia.