Tooth Extraction Under Local Anesthesia

Author(s):  
S.T. Sokhov ◽  
V. V. Afanas'yev ◽  
M.R. Abdusalamov
Author(s):  
Fanny Liliani Liau ◽  
Sang-Heng Kok ◽  
Jang-Jaer Lee ◽  
Ru-Cheng Kuo ◽  
Chia-Rong Hwang ◽  
...  

2014 ◽  
Vol 02 (02) ◽  
pp. 064-073
Author(s):  
Vandana Chhabra ◽  
Ajay Chhabra

AbstractLocal anesthetics are the most commonly used drugs in dentistry. Despite preoperative patient evaluation, proper tissue preparation and meticulous administration techniques many local and systemic complications with the local anesthesia or tooth extraction have been reported from time to time. Extension of dental infections from maxillary teeth and other nearby structures to orbital spaces and tissues surrounding the eye present a rare but serious problem with the potential for causing significant impairment. The practioner should be aware of the severe consequences that may result from tooth extraction or local anesthesia.


2006 ◽  
Vol 63 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Mirjana Zivotic-Vanovic ◽  
Marjan Marjanovic

Background/Aim. Local anesthesia is the one of the most used procedures in surgical practice. It is used for toot extraction to produce analgesic and anesthetic effects. However, there is a question if it is equally safe to apply a local anesthetic combined with a vasoconstrictor (adrenaline) in healthy persons, and in the patients with a certain cardiovascular system disease. The aim of this study was to determine whether there were differences in cardiovascular variables during tooth extraction in healthy persons, and in cardiovascular patients when an anesthetic was applyted with adrenaline, or without it. Methods. The examinees were divided into the group with cardiovascular diseases (CV, n = 57) of II and III type, according to the American Society of Anesthesiologists (ASA) qualification, and healthy persons (H, n = 55). Both groups were randomly divided into two subgroups: CVa and Ha - where the anesthetic solution had the vasoconstrictor (3% lidocaine, and 1 : 100 000 adrenaline); CVb and Hb - where the anesthetic solution was without the vasoconstrictor (3% lidocaine). During the preparation for tooth extraction, the application of anesthetics, extraction and relaxation puls (fc), systolic (TAs) and diastolic arterial blood pressure (TAd) and ECG were registered. Results. The values of fc did not significantly differ among the groups in any measured term. The values of systolic and diastolic blood pressure in the groups CVa and CVb were significantly higher in all the terms of measuring (p < 0.05) from the values in the groups Ha and Hb. A significant increase of TAs was registered only in the phase of tooth extraction in the CVa and CVb group (< 0.05). The values of TAd did not significantly differ between the groups in all the measured terms. Extrasystolic beats were registered in 11 patients of the CV group and in 7 patients of the H group in the phase of anesthetic application or tooth extraction. Conclusion. This research shoved that tooth extraction under local anesthesia did not cause complications in cardiovascular patients who were in II or III ASA qualification group, regardless the presence of a vasoconstrictor in the local anesthetic solution.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Yuchen Hao ◽  
Zheqi Zhang ◽  
Yan Meng

In order to avoid the psychological harm caused by pain to patients, in this study, the application effect of computer-assisted local anesthesia in patient surgery was studied. In this method, 72 patients with hypertension, 35 males and 37 females, aged 53–83 years, with an average age of 70.8 ± 1.3 years, were selected for appointment tooth extraction in the department of stomatology from January to December 2014. All patients were booked for tooth extraction by ECG monitoring. Patients who were contraindicated for tooth extraction, had a history of mental illness, and had used antianxiety drugs and sedatives within 1 week before surgery were excluded. Patients were randomly divided into two groups according to their ID numbers: observation group, 36 cases, and control group. Painless oral local anesthesia injection instrument was used for local anesthesia injection. In the control group, 36 patients were injected with local anesthesia by traditional manual injection. The results showed that 86.11% of patients in the observation group had decreased anxiety scores after anesthesia, while only 13.88% of patients in the control group had decreased anxiety scores. Among patients with decreased anxiety scores, 80.65% in the observation group became nondental anxiety compared with 28.57% in the control group. Computer-assisted oral local anesthesia can effectively control dental anxiety and relieve the pain and discomfort of local anesthesia injection, and improve patient satisfaction, conducive to the smooth nursing work.


2014 ◽  
Vol 13 (2) ◽  
pp. 91
Author(s):  
Ayub Irmadani Anwar

Management of child behavior begins when the children enters the dental environment and continues until they leaveit. Fear of dentist and dental treatment have been considered a major hindrance to provide a quality dental services.Establish a friendly relationship with children is important for dentist to combat patient’s fears and to deliver effectiveand efficient treatment. The aim of this study was to assess children’s feelings and attitudes toward their dentist inHalimah Dg. Sikati Dental Hospital. A questionnaire designed to evaluate children’s attitudes and preferences towarddentists was completed by 45 children (29 females, 19 males) who attended the hospital. It showed 80% of the subjectreported that they had been to the dentist before; 84.4% report liked their visit, and 8.9% were afraid. A 93,3% of thechildren preferred their dentist to wear a white coat, while 80% preferred them to wear a mask, 82.2% preferred tobe treated by a female dentist, while 77,8% reported that their sibling had a pleasant perception. 80% of the childrenpreferred that their dentist wear the formal attire. Fear of local anesthesia and tooth extraction were the most commonreasons cited for not liking dental treatment. It was concluded that children have strong perceptions and preferences regarding their dentists.


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