Аннотация:
It is known that the reduction of blood vessels by epinephrine that are part of the local anesthetic leads to a decrease in oxygen intake and the development of hypoxia, which has a significant effect on the excitability of nerve fibers. This is due to the fact that epinephrine is present in the local anesthetic cartridge, which helps to reduce, until termination, microcirculation in the depot area, which leads to local hypothermia. With the introduction of local anesthetics, the temperature of which is significantly lower than the depot temperature, the patient experiences severe discomfort, which is associated with unsuccessful local anesthesia. The goal of the study was the need to analyze the feasibility of using the thermography method in assessing the degree of ischemia of the soft tissues of the maxillofacial region against the background of local anesthesia with a different concentration of epinephrine in dentistry. MATERIAL AND METHODS: In the pilot study, 22 healthy volunteer
Ключевые слова:
dentistry; epinephrine; hyperthermia; hypothermia; ischemia; local anesthesia; thermography
articaine; epinephrine; local anesthetic agent; vasoconstrictor agent; adult; dental anesthesia; double blind procedure; female; human; local anesthesia; male; microcirculation; pilot study; procedures; thermography; Adult; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Carticaine; Double-Blind Method; Epinephrine; Female; Humans; Male; Microcirculation; Pilot Projects; Thermography; Vasoconstrictor Agents
Васильев Ю. Л. Юрий Леонидович 1984-
Рабинович С. А. Сусанна Абрамовна 0001-
Дыдыкин С. С. Сергей Сергеевич 1960-
Логачев В. А.
Пихлак У. А.
Vasilyev Yu. L. Yurij Leonidovich 1984-
Rabinovich S. A. Susanna Abramovna 0001-
Dy'dy'kin S. S. Sergej Sergeevich 1960-
Logachev V. A.
Pikhlak U. A.
Possibilities of thermographic rating the level of microcirculation with local anesthesia in dentistry [Vozmozhnosti termografii dlia otsenki urovnia mikrotsirkuliatsii pri mestnom obezbolivanii v stomatologii]
Possibilities of thermographic rating the level of microcirculation with local anesthesia in dentistry [Vozmozhnosti termografii dlia otsenki...
Текст визуальный непосредственный
Стоматология
Издательство Медиа Сфера
Т. 97, Вып. 4 С. 4-7
2018
Статья
dentistry epinephrine hyperthermia hypothermia ischemia local anesthesia thermography
articaine epinephrine local anesthetic agent vasoconstrictor agent adult dental anesthesia double blind procedure female human local anesthesia male microcirculation pilot study procedures thermography Adult Anesthesia, Dental Anesthesia, Local Anesthetics, Local Carticaine Double-Blind Method Epinephrine Female Humans Male Microcirculation Pilot Projects Thermography Vasoconstrictor Agents
It is known that the reduction of blood vessels by epinephrine that are part of the local anesthetic leads to a decrease in oxygen intake and the development of hypoxia, which has a significant effect on the excitability of nerve fibers. This is due to the fact that epinephrine is present in the local anesthetic cartridge, which helps to reduce, until termination, microcirculation in the depot area, which leads to local hypothermia. With the introduction of local anesthetics, the temperature of which is significantly lower than the depot temperature, the patient experiences severe discomfort, which is associated with unsuccessful local anesthesia. The goal of the study was the need to analyze the feasibility of using the thermography method in assessing the degree of ischemia of the soft tissues of the maxillofacial region against the background of local anesthesia with a different concentration of epinephrine in dentistry. MATERIAL AND METHODS: In the pilot study, 22 healthy volunteer