Preparations for application anesthesia in pediatric dentistry. Application anesthesia in dentistry. Preparations for terminal anesthesia

A visit to the dentist is always discomfort. Today, problems are solved with the help of anesthesia. It is presented in a wide range of types, among which application anesthesia is used. It makes visiting the dentist much easier.

In other words, this type of anesthesia is called superficial or terminal. It is done without injection, anesthetizes the mucous membrane.

The local anesthetic comes into contact with the tissues and the pain disappears. It's simple and available method in performance technique. To achieve anesthesia, the skin is lubricated with a gel, ointment or sprayed with an aerosol. Chemicals, anesthetics, drugs affect nerve endings teeth.

Application anesthesia applied directly to the gum

In dentistry, the method is especially popular among pediatric dentists. Before the injection, superficial anesthesia is applied to the soft tissues and the child does not feel pain. For children, gels with the addition of fruit or other flavors are most often used.

Anesthesia technique

Before using anesthetics, it is necessary to pay attention to contraindications so that allergies do not occur. mucous membrane oral cavity frozen under surface anesthesia using chloroethyl. Its jet hits a certain area. After the action of the remedy, the pain is not felt.

Anesthetic spray spray

This method is somewhat dangerous. When used, tissue necrosis may occur. Freezing is used in case of removal of the root, which is located on the surface or cutting of suppuration.

Lidocaine preparation - spray and gel

Means that lubricate the skin are applied with cotton swabs. They treat the surface of the oral mucosa. If after the first treatment it did not work out desired effect, the procedure is repeated with the addition of lidase or dimexide. It must be remembered that the sensitivity of the teeth is very different, so the dose of anesthesia is not always the same.

A popular remedy for pain relief in dentistry is Emla gel. It is rubbed in ten minutes for an hour. The effect of anesthesia lasts twenty minutes.

Emla gel is used in pediatric dentistry

Tetracaine can be used as a powder and solution. It is characterized by high toxicity, caution and attention will not interfere during its use.

Penetrates anesthesia to a depth of 3 mm, begins to act in two minutes.

Desensil drug for topical anesthesia for adults

Anesthesia methods

Application anesthesia in parallel with medical methods has and non-drug methods. These include:

Moxibustion agents ( Nitric acid, potassium hydroxide, silver nitrate 10–30% solution, carbolic acid). Substances have not received active use in dentistry as they damage the pulp, as well as the tissues around the tooth.
Dehydration agents. After their introduction, dehydration of the hard tissues of the teeth occurs, as a result of which the pain decreases. These include potassium, magnesium, sodium carbonate, bicarbonates, and other mineral elements.
Substances of physiological action, including toothpastes, which include fluorine, strontium, aspirin, sulfidine, calcium glycerophosphate. When in contact with tissues, they do not allow the manifestation of pain perceptions. They create therapeutic effect. Used to treat hyperesthesia.

Toothpaste for the treatment of hyperesthesia in adults

Means of local anesthesia. These include liquids. The nerve endings located on the surface lose their conductivity after applying the substance to hard dental tissues.
Freezing agents that perform cooling are not used in dentistry. Their danger is manifested when they get in the way of breathing and susceptible teeth. With a sharp cooling, severe pain is felt.

Aerosols, when sprayed, cover a considerable area, so it is difficult to determine the dosage. This is a minus of the substance used.

Application anesthesia has another drawback, which is expressed in the toxic process. local funds. Entering the blood, they form a strong toxic concentration.

When is anesthesia used?

In dentistry, the freezing method is used in the following cases:

when removing tartar or plaque;
in the treatment of caries;
during fixation of the prosthesis;
to open suppuration;
when removing the pulp.

Contraindications:

application anesthesia with the use of dikain is prohibited for children who are under ten years old;
patients who have a strong sensitivity to anesthesia or to the components used;
if general anesthesia is administered, the individual diseases of the patient are taken into account.

Benefits of Surface Anesthesia

The use of application anesthesia gives a fast-acting effect. The operation can be carried out after a minute operation of the drug. The method of anesthesia provides complete safety. This makes it possible to administer anesthetics to children before injection with other painkillers.

The duration of anesthesia is sufficient to perform the necessary procedures associated with dental diseases.

Complications caused by surface anesthesia

Sometimes it happens that freezing can cause complications that are of a local or systemic type. The first causes damage to the soft tissues of the skin, with systemic skin itches and burns, or Quincke's edema occurs.

Quincke's edema is a rare complication

Side effects are manifested in the toxicity of the drugs used. Penetrating into the tissue, the anesthetic becomes highly concentrated.

Subject to contraindications using the application method, dental treatment is performed painlessly for both adults and children. The patient has the opportunity to choose the remedy that suits him.

Superficial anesthesia is one of the modern and effective methods anesthesia.

Application anesthesia is most often a viscous substance that is rubbed into the skin in the form of an ointment, gel or spray with an aerosol. The analgesic effect is the result of exposure to chemical elements, medical preparations and the anesthetics contained in them on the nerve endings of the tooth root.

Scope of application anesthesia

Application analgesia (anesthesia) is used to reduce the susceptibility at the injection site and for an analgesic effect on slime layer. Application anesthesia is used mainly by dentists to eliminate caries, remove milk or loose teeth, open mucous inflammations, get rid of tartar, when soldering crowns and general prostheses. bridge type that are attached to the gums. It is also used to reduce nausea during the production of an impression and to reduce pain in many diseases of the mucous layer of the oral cavity (gingivitis and stomatitis pathologies).

This method of anesthesia is practically harmless and extremely effective for the patient. The analgesic effect of this remedy begins in just a couple of minutes and does not go away within an hour.

According to the nature of the analgesic effect, anesthetic drugs are divided into 4 types:

Means that have features that allow you to cauterize the necessary areas (acidic nitrogen, zinc chloride solution, potassium hydroxide, carbolic acid, dissolved silver nitrate, etc.). But all of them have not gained wide distribution in the field of applied dentistry due to the fact that they have a pronounced toxicity and high risk damage the pulp area and other tissues involved in the formation of the tooth cavity.
Dehydration substances (sodium, potassium, magnesium and other carbonate and hydrocarbonate materials of mineral origin). These medicines reduce the vulnerability of hard parts of the tooth to painful reactions by removing fluid from there.
Preparations of physiological effects (pastes from fluorine, strontium, aspirin, sulfidine; paste from calcium glycerol subphosphate and others). These drugs, when in contact with the tissues of the tooth, have a special effect on the receptors of the dentinal passages, preventing the reception of a pain signal. These and other biologically related chemicals have a pronounced therapeutic result. Therefore, they are used in the treatment of a qualitative increase in the susceptibility of the hard zone of dental tissue.
Local anesthetics (Platonic liquid, Shinkarevsky's substance, Hartmann's liquid, Groshikov's solution, etc.). When covering hard areas of dental tissues, these drugs block the conduction of external nerve endings. In this situation, the anesthetic is almost always applied in liquid form.

Features of the use of certain drugs

Application medicines, when using which the analgesic result is obtained due to the effect of temperature-lowering substances (for example, ethyl chloride), are not used in dentistry because of the danger of their getting into the respiratory organs, as well as interaction with too sensitive teeth, a sudden drop in temperature which can cause incredibly severe pain.

The main disadvantage of using aerosol anesthetics is the large area of anesthetic spraying, which entails almost complete impossibility exact dosage. Due to the high concentration of drugs and their characteristic effect on vasodilation, once in the blood, they accumulate there to toxic volumes as rapidly as in subcutaneous injection. More to the cons this method Usually, the psychological inconvenience of patients due to a long-term decrease in the susceptibility of the mucosa, as well as a high chance of biting tissues in the oral cavity, especially in preschoolers, is considered. Local anesthetic in this case can be any.

The doctor can eliminate pain when a tissue is punctured with a needle using such methods as: distracting the patient's attention with something; squeezing the soft tissues supported by the palm during an injection; asking the patient to deep breath before injection; injection of small volumes of anesthetic only in the area of the intended entry of the needle.

Indications for the use of topical analgesia

Application anesthesia (analgesia) is a subtype of local analgesia.

It is used when dental procedures not to use general anesthesia. Application anesthesia in the dental field is considered to be an effect in which the mucous layer of the oral region is impregnated with a local anesthetic. This tool causes a change and inhibition of the activity of nerve endings, which entails a blockage of pain and spasmodic sensations.

Usually this species anesthesia is used in the following cases:

extraction of tartar and harmful plaque;
operational actions at the border of teeth and gums;
disclosure of inflammation;
analgesia of the injection site;
extraction of the affected pulp;
disclosure of suppuration;
pulling out milk teeth;
fixing bridge implants and crowns, acting as substitutes for part of the tooth.

Drugs that are intended for application analgesia have various forms: liquid, gel, viscous ointments, aerosol preparations, sprays.

The anesthetic drugs used in topical analgesia include:

tetracaine (dicaine); applied in the form of powders for sprinkling, liquids and ointments. This tool is poisonous because its use is limited;
lidocaine drug; used in the form of liquids, gel and ointments;
pyromecaine solution (otherwise it is called bumecaine); produced in the form of ointment, gel and liquid ampoules;
anesthetic drug (benzocaine); most commonly sold as glycerin or oily liquids;
alcohol solution propolis substance with analgesic effect.

How Anesthesia Works

Cauterization is carried out with a thirty percent solution of silver nitrate. Active substances remove water from tissues, thereby reducing susceptibility and eliminating pain.

Pastes based on strontium, sulfidine, aspirin, and fluorine have a physiological effect. Means of local analgesia reduce the conductivity of nerve endings, stopping pain syndromes. Surface anesthesia is quite effective for minor operations.

This area is represented by a huge selection of anesthetics. home salient feature application analgesia consists in the fact that the tissues are pre-treated with a disinfectant, dried and eliminate the possibility of salivary discharge at the site of application of this type of analgesia.

The analgesic effect is usually manifested after spreading, rubbing or applying an anesthetic to the tissues.

The duration of analgesia with this method of anesthesia is usually no more than 25 minutes, the depth of the anesthetized tissues is no more than 4 mm, the result is felt after 3 minutes.

Since anesthesia goes only to a shallow depth, then, if necessary, the manipulations are repeated.

The effect can be enhanced if an agent with a strong penetrating effect (Dimexide, Lidazine, and others) is added to the anesthetic. During application analgesia of the hard tissue of the tooth, it must be remembered that the dental region has a different susceptibility in some areas. The side effects of analgesia should be taken very seriously. The same applies to contraindications.

For painful manipulations, application anesthesia in dentistry is often used, since not every patient tolerates anesthesia normally. Anesthetics always greatly affect the state of the human body. If he has a tendency to allergic reactions, then with anesthesia you need to be extremely careful.

However, there are certain types of dental procedures that cannot be performed without pain relief and are often difficult. In such situations, the doctor should use anesthesia as carefully as possible. If the patient has previously had negative reactions on the similar drugs always use only local anesthesia. One of the varieties of this method of anesthesia is the application system. This is the surface application of drugs that are classified as anesthetics.

Advantages of surface anesthesia

This method is very popular in medical practice generally. But it is in dentistry that application anesthesia is used most often. This is the best option for those cases when the gum needs to be pierced repeatedly or make small incisions. In order not to load the body with full-fledged anesthesia, an application is used.

With a low-traumatic intervention, this type of anesthesia will the best option. But when a full-fledged operation is performed in the oral cavity, the application method may not be suitable enough. For local anesthesia use special preparations that are applied to the mucous membrane and are quickly absorbed.

Often, when working with young patients, it is the method of application anesthesia that is used. Children are often very afraid of dentists, and this method makes it possible to get rid of phobias.

Anesthetics, which are used for local application anesthesia, have a fairly powerful effect on nerve receptors. Thanks to this, unpleasant sensations completely disappear on the treated area.

Active ingredients do not penetrate too deeply into the body, so they do not affect internal organs. A huge advantage of this technology is that it is always noted high efficiency with maximum safety for the patient. Therefore, application anesthesia can be used even in the treatment of children.

In pediatric dentistry, this method is very common. The anesthetic is produced in the form of a gel, which often has a very pleasant taste. For adults, not only gel forms can be used, but also aerosols, solutions and ointments. In any case, this method of pain relief is very effective and well suited for all patients.

In dentistry, this method is often used. When we are talking about the treatment of children's teeth, special gels can be used in each oral therapy. But there are also special indications when the application system will be especially useful.

Local anesthesia is convenient to use when removing teeth, including in difficult cases. Application anesthetic will be appropriate in the treatment of caries, removal of tartar, opening of abscesses, removal of pulp and even fixation of prostheses, which is not always painless.

There are several types of drugs that can be used in dentistry as topical anesthesia. For each case, one or the other option is more suitable.

Anesthetics can be cauterizing, dehydrating, have a physiological effect, or work as local anesthesia. Often, specialists use dehydration or physiological preparations. The former have a dehydrating effect on tissues. As a result, the nerve endings become less sensitive, which relieves pain. In the second case, we are talking about the use of pastes with fluorine or strontium.

Application anesthesia is the best option when minor or moderate surgical intervention is required.

When removed a large number teeth or large-scale operations still use general anesthesia, since local anesthesia will not be enough. An indication for complete immersion in artificial sleep may be a strong gag reflex.

When choosing drugs for application anesthesia, only those drugs are used that are suitable for a particular patient, taking into account the sensitivity of his teeth and other indications. Therefore, the choice of anesthetic is an individual process for each patient.

Before using this or that remedy, the doctor must check the patient for contraindications. This is very important condition which concerns every patient, and especially a child. Allergic reactions to local anesthetics are not as severe as with use general anesthesia, but they can be quite noticeable and even life-threatening. Therefore, the specialist is obliged to eliminate all risks before starting treatment.

If the freezing method is chosen, it is likely that the dentist will use chloroethyl. It is released in a jet to the place where the incision or puncture will be made. The action of chloroethyl is quite powerful, so the mucous immediately becomes insensitive. The main thing is that this method allows you to process only that part of the tissue that is to be processed. Everything else will not be in any way connected with the action of the anesthetic.

The cauterization and freezing method is considered very common, but it has some significant drawbacks. The thing is that tissue necrosis often becomes a side effect of such anesthesia. This is very dangerous, so many specialists are trying to move away from such anesthesia and opt for other means. Freezing is well suited for gum abscesses and when superficial roots need to be removed.

Application anesthesia can be applied not only in a jet, as when using chloroethyl. In addition, gel and ointment can be used. After a short period of time, a strong analgesic effect appears, which lasts long enough for a long time. If you need to enhance the effect of anesthesia, then the specialist can add Dimexide or Lidase to the agent used. When choosing drugs of this type, the condition of the tooth and tissues around it is always taken into account. Each area may have different sensitivities. Therefore, the amount of anesthetic can vary significantly.

One of the commonly used means of application anesthesia is Emla gel. It can be called the most popular tool of its kind. feature this drug is its absolute safety for the human body. Operate active ingredients Emla for about 20 minutes, but at the end of their action, they simply apply a new portion of the product. This way you can ensure good pain relief for 1 hour. Longer use of the product will not best solution as it may cause an overdose.

Application anesthesia can also be used in powder form. Sometimes they are simply sprinkled on a certain area of tissue, but in some cases, when you need to slightly anesthetize the gums, they dilute the dry ingredients and prepare a solution.

Some time ago, Tetracaine, which was used as a powder, was quite popular. Now it is little used, as it has a very high level toxicity.

From folk remedies the best anesthetic is an alcohol solution of propolis. But it must be borne in mind that such a remedy should in no case be used for those patients who have allergic reactions on the bee products. Before using any anesthetic, you should definitely make sure that the patient has no contraindications to its use.

Application anesthesia is widely used primarily because of the small number of side effects, and also because of the relative safety for patients different categories. Nonetheless this method anesthesia has some drawbacks and can cause complications. It all depends on the type of drug that is used as a local anesthesia.

Problems with the use of surface anesthesia can be systemic or local. In the first case, pathologies occur on the skin or mucous membrane, namely where the agent was applied. Allergy is the main systemic complication that is possible when using topical anesthesia. AT this case not excluded severe itching and tissue swelling. expressiveness unpleasant symptoms depends on the amount of substance used.

If a specialist has used freezing or cauterization, this can cause permanent tissue damage. Sometimes even necrosis appears, which requires special attention by the doctor.

It is necessary to choose drugs for application anesthesia as carefully as possible. Some products can be quite toxic. This primarily applies to water-soluble products. They are used very carefully to avoid overdose, which can lead to bad consequences.

Contraindications for use

The main indicator that the patient cannot use one or another pain reliever is an allergic reaction that has already taken place. These drugs will be banned for him forever.

Otherwise, there are no special contraindications to the use of most substances used for topical anesthesia. The main thing is to monitor the reaction of the body and avoid overdose. Each drug has age restrictions. This must be taken into account when treating the oral cavity of a child.

Application anesthesia (from Latin applicatio - application) - non-injection anesthesia, in which an anesthetic is applied to the mucous membrane of the oral cavity, hard tissues tooth or pulp in the form of an ointment, gel or spray - without any injections.

Application anesthesia also has other synonyms - terminal or superficial. Allows for painless treatment teeth and gums, turning teeth for prosthetics. In pediatric dentistry, this procedure is simply indispensable for almost all manipulations - no needles and syringes that scare babies so much.

The mechanism of action of surface anesthesia

Anesthesia occurs as follows: the anesthetic gets on the tissues of the crown or gums, "leaks" 1-3 mm deep and affects the terminal nerve endings - the "terminal" parts nerve fibers. As a result, the fibers temporarily lose their sensitivity. The effect occurs within a few minutes and lasts up to a maximum of half an hour.

The method allows you to temporarily remove the sensitivity of the mucous membrane of the oral cavity and gums, dentin, that is, internal hard tissues, and pulp (neurovascular bundle).

Indications for use in dentistry

Treatment of uncomplicated caries. The tissues affected by caries are impregnated with an anesthetic that eliminates the sensitivity of the dentin;
hyperesthesia. With pathological sensitivity of the teeth, an anesthetic is rubbed into the hard tissues;
pulpitis treatment. Under a temporary filling on the bottom carious cavity a tampon moistened with medication is placed, as a result of which pulp sensitivity decreases;
grinding of "live" teeth before prosthetics;
removal of milk and pathologically mobile molars;
removal of tartar. The anesthetic is applied to the gums and to the enamel; opening of submucosal abscesses. When cleaning tissues from gum pus, it is necessary to anesthetize.

Surface anesthesia is often used as additional pain relief before an injection. To inject the drug painlessly, an anesthetic is first applied to the injection site. After that, the patient does not feel discomfort and pain during the injection.

Technique

The drug is applied to tissues by lubrication (ointments, gels and pastes) or spray irrigation. When anesthetizing the pulp and caries-affected dentin, the anesthetic is impregnated cotton swabs, which are placed in a drilled cavity.

For maximum effectiveness, the teeth are isolated from saliva using a rubber dam, a thin sheet of latex that is put on the tooth and fixed with metal clips.

It is important to understand that one should not expect a powerful effect from the application anesthesia of the tissues of the molars. In comparison with injection methods of local anesthesia, the superficial one, of course, loses. Nevertheless, the result is manifested sufficiently.

Rubber dam for isolation of saliva

Application in pediatric dentistry

In contrast to the tissues of the molars, the tissues of the milk teeth are characterized by better conductivity, have wide dentinal tubules, and therefore respond well to the application of the medication.

Due to this, anesthesia is used as the main method of pain relief in the treatment of caries and pulpitis in children, but only by a biological method while preserving the living pulp. Indicated for young patients from 2 years.

Types of anesthetics

Preparations for application anesthesia differ in the principle of action:

Anesthetic.

Ointments, gels, aerosols and solutions based on anesthetics that block nerve endings. Can be used in all cases where topical anesthesia is indicated.

Dehydration.

Salts of carbonic acid "take away" fluid from the dentinal tubules. Relieve symptoms of hyperesthesia.

Physiological.

Pastes based on fluorine, strontium and other minerals block the conduction of pain perceptions, clog the dentinal tubules and prevent the leakage of fluid from them, which causes hyperesthesia. In addition to treatment hypersensitivity used for pain relief.

Cauterizing.

Strong chemical substances(nitric, carbolic acid, etc.). Seal the tubules of the dentin. Previously, they were treated with hyperesthesia, but now they are practically not used due to high toxicity.

Preparations

The effect of pain relief during application anesthesia is provided by means, which include:

lidocaine;
tetracaine;
benzocaine.

Preparations with these substances are produced under such commercial names like Perylene Ultra, Railing Spray, Xylonor, Kamistad, etc. Some lidocaine sprays are available in various fruit flavors and are indispensable in pediatric dentistry.

Along with the above means, the effective analgesic effect of propolis has been proven - natural substance, which is a product of the vital activity of bees. It should be used with extreme caution, since propolis has strong allergenic properties.

Substances that make up anesthetics

Price

The cost of application anesthesia in Moscow and St. Petersburg is from 100-200 rubles (slightly cheaper than injection anesthesia). AT Nizhny Novgorod the price is a little lower. The cost is indicated for a single anesthesia in the area of the manipulation.

Side effects

Complications after superficial anesthesia are extremely rare. These include:

allergic reactions - with an allergy to an anesthetic, itching, redness and swelling of the mucous membranes are observed;
difficulty breathing and hoarseness of voice when using an aerosol and getting it into the respiratory tract.

The effect of topical anesthetics on pregnant women and children under 2 years of age has not been sufficiently studied. It is not advisable for these categories of patients to carry out the procedure unless absolutely necessary.

One of the guarantees effective pain relief without unpleasant consequences- experience and qualifications of the doctor. On our website you can find a list of clinics that successfully practice painless treatment using topical anesthesia.

Thanks to the variety of modern painkillers, the treatment of teeth and gums is painless and as comfortable as possible. Already today, most people fearlessly visit dentists at the first symptoms of the disease. Timely help a doctor solves the problems of patients, reduces the number of complications and preserves invaluable health.

To date, three main methods of anesthesia are used. Among them, a significant place is occupied by local application anesthesia.

Comfortable dental treatment

Dentophobia - fear of a dentist, appears as a result of the following reasons:

negative memories associated with previous treatment;
negative transmitted from parents (friends, relatives);
fear of infection dangerous infections transmitted through biological fluids;
fear of pain during medical procedures.

Many people confirm, despite the fact that the treatment does not take much time and is not accompanied by painful sensations, the fear of the next visit to the doctor still persists. To avoid worries, dentists recommend visiting clinics to check the health of teeth and gums in preventive purposes. Dynamic observation will allow timely detection of the disease and eliminate it with minimal medical intervention.

Before visiting a doctor is very important morale. A few drops of Valerian and Motherwort will help eliminate fear and believe in the best.

In most cases, patients suffering from dental phobia have many additional fears. If a this feature strongly affects mental balance and is harmful to health, conversations with a psychotherapist can help a person.

Today, even the most serious surgical interventions are carried out under the local. The action of anesthetics is so strong that the patient may experience discomfort and psychological stress but not pain. Depending on the specific case, the doctor chooses the type of anesthesia, dose and active drug. If sensitivity persists during treatment, the dentist is to blame.

When strong fear Before treatment, doctors resort to the use of general anesthesia. Many modern clinics offer to carry out medical interventions in a state of deep artificial sleep.

Painless anesthesia

Application anesthesia helps to eliminate pain sensitivity during medical procedures.

The method has significant positive features:

lack of need for special knowledge and skills in the application;
achieving a rapid therapeutic effect;
enough long-term action drugs;
safety in use;
no discomfort.

During application anesthesia in dentistry, the active drug is applied directly to the mucous membranes of the gums. The drug quickly penetrates into periodontal tissues and provides the desired effect. The preparations have convenient forms of release: gels, ointments, creams, aerosols, special strips and dressings.

In addition to the application method, conduction and infiltration anesthesia are successfully used in dentistry.

Anesthesia is carried out using a special cartridge syringe and capsules with anesthetics. Despite the fact that the needles of the injector are very thin and sharp, the injection procedure is very unpleasant. Local anesthetics help relieve sensitivity.

Apart from clear benefits, application anesthesia has disadvantages. These include: the development of allergic reactions, the impossibility of an accurate dosage, penetration active substances in bloodstream, bleeding gums, superficial therapeutic effect.

Let's start treatment

After describing the advantages and disadvantages of application anesthesia, the question arises - in what cases is it carried out?

The indication for the use of the method is:

Removal of mobile milk teeth.
Carrying out preventive cleaning.
Removal of orthopedic casts (with increased gag reflex).
Sample crowns.
Treatment superficial caries with increased tooth sensitivity.
Restoration of the crown of the tooth after root treatment.
Anesthesia of the injection site before the injection.
Temporary elimination pain sensitivity with inflammation of the gums;
Carrying out treatment on the oral mucosa (treatment superficial wounds, opening of submucosal abscesses, bandaging).

Contraindication for use local preparations is the presence of individual sensitivity and allergic reactions to a particular medicinal substance. Some types of anesthetics are prohibited for use in pediatrics due to the increased aggressive action of the drugs.

Used drugs

Medicinal painkillers are produced in convenient forms: gels, ointments, spireas, aerosols.

The active ingredients are Lidocaine, Benzocaine, Tetracaine.

Commonly used drugs in dentistry include:

Disilan- Paste based on Benzocaine. Available in orange, tutti frutti, apple, currant, peach, watermelon and cherry flavors. The drug has nice smell. After application, the effect of the drug occurs after 1 minute, persists for 12-15 minutes. Disilan is successfully used in pediatrics, in children from 5 years old;
Carried Aroma paste - powerful application anesthetic, which simultaneously includes 3 active ingredients (Tetracaine, Dibucaine, Ethylaminobenzoate). Antibacterial action provides Homosulfamine. The drug is available in a tube in the form of a paste, has strawberry smell and taste;
Lidoxor gel and spray- Contains the active ingredient Lidocaine. After applying the drug, it is not observed negative feelings. Due to the pleasant flavoring additives, the use of the drug is comfortable. The effect occurs at 2 - 3 minutes, the duration of action lasts up to 20 minutes;
Desensetin suspension and gel - preparations based on Lidocaine. Positive properties: pleasant taste, easy application, effectiveness, a small amount of contraindications;
Topex - active substance is Benzocaine. Gel for application anesthesia is well tolerated, successfully used in pediatrics.

The types of application anesthesia include: dehydration, cauterization, the use of physiological and local anesthetic agents.

The application procedure is simple. The dentist asks the patient to open his mouth, treats the necessary area with an antiseptic solution, and then applies an anesthetic medicine. After 2 - 3 minutes, the effect of the drug begins, the dentist proceeds to the main treatment. The duration of anesthesia lasts for 15-20 minutes. This time is sufficient for necessary procedures. If necessary, the drug is applied again.

The combination of application and infiltration anesthesia the child can be seen in the video:

Possible Complications application anesthesia: allergic reactions, redness of the mucosa, biting of soft tissues with teeth due to lack of sensitivity (in children), development of dental phobia (due to unpleasant feeling numbness).

Question answer

How much does topical anesthesia cost?

Price for superficial anesthesia varies depending on the level of prestige of the Moscow clinic and averages from 100 to 300 rubles.

Is it possible to treat root canals under local application anesthesia?

Unfortunately no. The method provides only superficial anesthesia. For endodontic and surgical interventions it is necessary to use conduction or infiltration anesthesia.

How long does mucosal numbness last after application anesthesia?

The effect of the drug in most cases does not exceed 15-20 minutes.

Can I use it myself local anesthetics to relieve a toothache?

No, this is absolutely not recommended. As a result inadequate application medicines, there Great chance development of side effects. If you have a toothache, but there is no way to immediately visit the dentist, it is recommended to take an analgesic in tablet form. Eliminate discomfort will help: Nimesil, Paracetamol, Ketorol, Dexalgin, Nise, Baralgin, Nurofen.

Although most analgesics provide fast and good effect, do not abuse their use. Seek medical attention as soon as possible.