INDEX OF CLINICAL EFFECTIVENESS OF GUIDE ANESTHESIA FOR PAIN RELIEF OF TEETH IN THE LOWER JAW
DOI:
https://doi.org/10.35220/2078-8916-2020-36-2-49-53Keywords:
clinical efficacy index, anesthesia, dental an-algesia, lower jawAbstract
Purpose of work. Proposal and clinical justification of the local anesthesia index based on the criteria of clinical effectiveness, taking into account the features of various methods, the amount of anesthetic solution and pharma-cological properties of the active substance.
Materials and methods of research. The proposed index of local anesthesia (IMA) was studied in three groups of dental patients requiring depulpation of molars and pre-molars of the lower jaw for different indications. All pa-tients underwent mandibular anesthesia (MA) using the traditional method, in accordance with local protocols. Manipulations were performed by one doctor. Patients were divided into groups depending on the local anesthet-ic used. The age of patients is from 18 years to 40 years.
Results and discussion. One of the main pharmacological characteristics of local anesthetics is their anesthetic ac-tivity and systemic toxicity. The ratio of anesthetic activity to systemic toxicity of an anesthetic is called the thera-peutic index.
Interpretation of the index allows us to conclude that when performing the same method of anesthesia by one doctor, its effectiveness directly depends on the choice of anesthetic and is inversely proportional to the amount of solution used.
This fragment of work showed that IMA allows to deter-mine the effectiveness of local anesthesia in digital val-ues, taking into account the volume and properties of the anesthetic solution.
References
Бургонский В.Г. Современная технология мест-ного обезболивания в стоматологии / В.Г. Бургонский // Со-временная стоматология. – 2009. – № 3. – С. 92-99.
Герен Т. Разработка местных анестетиков для инъ-екций / Т. Герен, Л. Маман, С.Б. Виерзба // Стоматолог. – 2000. – № 1-2. – С. 15-21.
Гланц С. Медико-биологическая статистика / Гланц С. – М.:Издательство Практиика. – 1999. – 459 с.
Гумецький Р. Сучасні засоби місцевої анестезії в стоматології / Р. Гуменецький, М. Угрин. – Львів: ГалДент, 1998. – 160 с. –
Зорян Е.В. Алгоритм выбора местноанестезирую-щих препаратов: проблемы и решения / Е.В. Зорян, С.А. Ра-бинович, Е.Г. Матвеева // Клиническая стоматология. – 2008. – № 1(45). – С. 18-22. 6. Кононенко Ю.Г. Местное обезболевание в амбу-латорной стоматологии / Ю. Г. Кононенко, М. М. Рожко М. М., Г. П. Рузин. – 4-е изд. перераб. и доп. – М.: Книга плюс, 2008. – 304 с.
Матвєєва О.В. Фармакологія та проблеми безпеки застосування місцевих анестетиків / О.В. Матвєєва, А.П. Ві-кторов, В.П. Яйченя [та ін.] // Ваше здоров’я. – 2006. – № 35. – С. 12.
Malamed S.H. Handbook of local anesthesia / S.H. Malamed // 50th ed. St. Louis: CV Mosby, 2004.
Anisimov M.V. The elaboration and study of clinical ef-fectiveness of anesthetic solution, based on hyaluronate and lidocaine, at nerve block anesthesia of teets at lower jaw / M.V. Anisimov, S.A. Shnayder // Oxford University Press. Health Education Research. Issue 6(2), December 2017. Volume 32. –P. 1575-1582.
