Very often, people do not have enough time to visit the dentist. To preserve the health of the teeth, you need to inspect the oral cavity at least twice a year. This allows you to eliminate emerging problems on the teeth. But there are frequent cases when a person turns on strong feelings of pain. During the inspection revealed the advanced stage of pulpitis or caries. In this case, treatment without anesthesia is almost impossible, since the dentist is faced with open nerves of an already diseased tooth.
More recently, this issue was solved with the help of arsenic. It was placed in a cleaned tooth cavity and closed the temporary seal for a few days. The effect of arsenic has a detrimental effect on the nerves, which allows the doctor to later clean the tooth and carry out a filling.
To date, anesthesia in dentistry is different. Ultracain completely changed the idea of local anesthesia during dentistry. Now you can cure a bad tooth at once.
Content
Instructions for use
Ultracain is a medical drug that belongs to the anesthetic group for local use or in complex for conduction anesthesia. Well reduces the patient's pain. The pharmacological effect of this remedy is explained by the vasoconstrictive ability and anesthesia. Ultracain is used during tooth extraction, as well as during preparatory work in the oral cavity for operations.
Ultracain contains 12 mg of adrenaline hydrochloride and 40 mg of artacain hydrochloride. These substances reach the nerve endings, and this creates an anesthetic effect for five minutes. Vasoconstrictor effects provide a local effect means. Drug withdrawal time is 6-11 hours. During this time, the body is cleaned, and the remains out through the bladder and kidneys.
Side effects during use, ultracain is minimal, because it is successfully used in dentistry as an effective anesthetic drug. The use of ultracaine does not affect the cardiovascular system. Among the side effects note the slowdown of the reaction, because after its use is not recommended driving a car or work, which is associated with the speed of reaction.
During pregnancy, dental treatment is allowed to use this tool because it contains the minimum amount of epinephrine. Ultracain has no property to pass through the placental shield, that is, in no way can affect the development of the fetus. However, use in a pregnant woman and during breastfeeding should be reasonably and be done under the strict supervision of a physician.
The drug is not administered intravenously, and it does not enter into the inflamed area. The injection is done in the next honor.
Meal is possible only after ultracain has finished its effect, indicated by return sensitivity.
Instructions for the use of ultrakaina determines the age limit. Start of use of the drug is possible from the age of 4 years. After the injection, control over the reaction from the side of the nervous system and changes in the indications of intravenous pressure is required. Ultracain is administered in such dosages per one tooth:
- Simple tooth filling - 1 ml;
- Sealing and removal with a complication - 1.5 ml.
If the drug is used in the conduction anesthesia complex, the drug is administered in a volume of not more than 30 mg. The volume will depend on the extent of the dental intervention.
The main thing that the drug did not get into the vessel. It is necessary to make a check with a test aspiration. It is necessary that the pressure means consistent with the sensitivity of tissues. The highest permissible dosage for performing local anesthesia in one session:
- Children - 5 ml;
- Adults - 7 ml.
Drug sharing with anticoagulants and inhibitors is unacceptable. During their simultaneous use, enhanced hypertensive effect of ultracain is noted.
With the simultaneous use of vasoconstrictor agents, the anesthetic effect of the drug increases. The risk of hypertensive crisis also becomes greater with the simultaneous use of the drug with beta-blockers. Under the action of ultracain, the effect of other local anesthetics is enhanced, which in turn can lead to depression of the nervous system.
Also often ask the question, what to choose - lidocaine or ultrakain? Both tools can be equally used for local anesthesia in dentistry. The only difference is the toxicity of the drug. Lidocaine is more toxic, while ultracain has a stronger analgesic sustained effect.
When using each new kit, only new sterile syringes should be used. This allows you to protect against infection. An open bottle should be stored clearly according to the instructions, taking into account the temperature and the need to use over the next 48 hours.
The cost of ultracaine will depend on the form and type of manufacture of the drug. The cost of one ampoule is approximately 60 rubles. Shelf life for 5 years.
Types of ultracain
To date There are three types of this drug:
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Ultrakain DS Forte (the amount of epinephrine 1: 100000). An anesthetic that has an increased duration of exposure is excellent for depulping teeth and surgical interventions. The drug is prohibited to use at high pressure, thyroid disease, asthma, pregnancy and breastfeeding. - Ultrakain DS (the number of epinephrine 1: 200000). This tool is not used for diseases of the thyroid gland and asthma. The drug is approved for use by pregnant women and during lactation, for people with compensated cardiovascular diseases.
- Ultrakain D (without epinephrine). Perfect for people with thyroid disease, asthmatics, allergies - due to the lack of epinephrine in the product has no stabilizing preservatives. The tool is well tolerated by patients with hypertension and heart disease, but the duration of this drug is small - about 25 minutes.
Indications for use
Ultracain anesthesia is widely used in dentistry as an anesthetic drug. Used for local anesthesia. It can also be used as a conductive anesthetic drug. Its effect and the absence of significant side effects makes it possible to use ultracain during pregnancy. Do not use the drug when alcohol is in the blood.
Used for local anesthesia during the following dental procedures:
- deletion;
- sealing;
- preventive actions;
- fastening crowns;
- remove boils;
- treatment of wounds in the oral cavity.
Like every medicine, ultracain has some contraindicationswhich are divided into relative and absolute. The latter exclude the absolute possibility of using the drug, the first - to use with caution under the strict supervision of the dentist for indicators of human activity.
Absolute contraindications are:
- anemia, which appeared due to a lack of vitamin B12;
- human hypersensitivity to the drug;
- glaucoma;
- hypoxia;
- intolerance to sulfo groups;
- heart tachycardia.
Relative contraindications are problems that are associated with diseases of the cardiovascular system, endocrinological diseases (diabetes), and bronchial asthma. Injection with ultracain during arrhythmia is possible, but under the strict supervision of a dentist. Ultracain during lactation is approved for use.
Side effects
Side effects from the use of ultracain can be from various systems:
-
The cardiovascular system. Epinephrine in this agent, which narrows the vessels, in some cases can lead to a heart rhythm disorder (tachycardia). This usually occurs during the wrong dosage of medication. A slight increase in pressure is possible. A person may note complaints about the feeling of accelerated work of the heart muscle, feeling of shortness of breath, and headache. - Nervous system. Sometimes ultracain causes a disturbance or suspension of the respiratory function, muscle contraction, fainting, which cannot be controlled by the patient.
- Gastrointestinal tract. Complaints of pain in the stomach, vomiting, nausea.
- Bodies of sight. A person complains about the vagueness of objects, the inability to concentrate the look.
- Allergy. Allergies can be in the form of edema and redness of mucous membranes, rashes on the skin. This manifestation indicates probable problems with the human immune system. Therefore, when the drug is first administered to the patient, testing for ultracain is necessary.
Also during the use of ultracaine in dentistry, such side effects are likely to occur at the site of administration, such as tumors and inflammation.
There are negative reviews about the drug, when, after use, an ischemic disorder in the tissues at the site of its introduction appeared. It appears after the wrong application of the remedy (getting into the blood vessel). This side effect is not associated with ultracaine exposure. How to prevent these phenomena indicates the instructions to the drug.
During an overdose of ultracain, side effects are greatly exacerbated and may lead to convulsions, vomiting, stop breathing and heartbeat, a strong drop in blood pressure readings.
With the appearance of side effects, especially during pregnancy, injection of the drug should be immediately stopped. The patient is placed in a horizontal position, freeing the airways, and pressure and pulse are monitored. Taking into account the subsequent condition of the patient, treatment is carried out, which consists in supplying oxygen with a mask. During laryngeal edema, tracheal intubation is performed with constant monitoring of ventilation. In cases of marked impairment of the cardiovascular system, antiarrhythmic drugs are administered.
With the manifestation of cramps produced intravenous barbiturate injection short or ultrashort exposure. If there is a suspicion of vascular collapse, adrenaline is injected.
Ultracain for children
The drug is used for the treatment, removal, depulpirovaniya teeth with 4 years. Before the injection, the dentist will certainly test for allergies, will refuse to use when the tool is not suitable for the child.
Ultracain has been used in dental practice for quite some time, but even now this drug is considered one of the most effective anesthetics. Before the injection doctor treats the plot with a freezing agent with a pleasant taste, which has a positive effect on the human perception of the whole procedure.
To date, the implementation of local anesthesia is the main method of anesthesia in dentistry, during which a person is conscious, but does not feel any pain. The dentist has the ability to control his condition, calm down, communicate, which favorably affects the successful treatment.
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