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The choice of local anesthesia in the treatment of permanent molars in children aged 7–12 years

https://doi.org/10.33667/2078-5631-2023-12-7-13

Abstract

Relevance. Effective pain relief is required for high-quality outpatient dental treatment in children. Рeriodontal local anesthetic methods are  easier to implement and safer for young patients.

 Purpose. To conduct a comparative analysis of the use of various local anesthetics when using a modified periodontal method in the treatment  of caries and pulpitis of permanent teeth in children 7–12 years old at an outpatient dental appointment.

 Materials and methods. The study involved 108 children of the 7–12 years old age group, who need treatment for caries and pulpitis of permanent  molars. Local anesthetic was administrated 4% solution of articaine without a vasoconstrictor, with epinephrine at concentrations of 1:200,000,  1:400,000, 2% solution of articaine without a vasoconstrictor and with epinephrine 1:200,000. To determine the effectiveness of the treatment  a developed analog-visual scale was used.

 Results. The high efficiency and safety of the use of modified periodontal anesthesia using 2 and 4% solutions of articaine with epinephrine  in the treatment of permanent molars in children aged 7–12 years was determined.  

About the Authors

E. N. Anisimova
Moscow State University of Medical and Dentistry, A.I. Yevdokimov
Russian Federation

Anisimova E.N. - Candidate of Medical Sciences, Professor, Head of the Department of Anesthesia in Dentistry

AuthorID: 819227



N. Y. Anisimova
Moscow State University of Medical and Dentistry, A.I. Yevdokimov
Russian Federation

Anisimova N.Y. - Candidate of Medical Sciences, Associate Professor

AuthorID: 52507



M. I. Soykher
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University
Russian Federation

Soykher Marina Ivanovna - Candidate of Medical Sciences, Associate Professor of the Department of Dental, Preventive Dentistry and Orthodontics 

AuthorID: 1015483



O. V. Khodnenko
The Dental Polyclinic in Korolev
Russian Federation

Khodnenko Olga Vladimirovna - Candidate of Medical Sciences, Chief Physician

 



E. A. Yerilin
Moscow State University of Medical and Dentistry, A.I. Yevdokimov
Russian Federation

Yerilin Evgeniy Anatolievich - Candidate of Medical Sciences, Associate Professor of the Department of Anesthesia in Dentistry

AuthorID: 903116



I. A. Kravchenko
Moscow State University of Medical and Dentistry, A.I. Yevdokimov
Russian Federation

Kravchenko I.A. - graduate student, Assistant of the Department of Anesthesia in Dentistry

 AuthorID: 1080113



References

1. Daublander M., Kаmmerer P.W., Willershausen B., Leckel M., Lauer H.C., Buff S., Rosl B. Clinical use of an epinephrine-reduced (1/400 000) articaine solution in short ti me dental routine treatments-a multicenter study. – Clinical Oral Investigations. – 2012, 16(4):1289–95. https://doi.org/10.1007/s00784-011-0608-x.

2. Kаmmerer P.W., Krаmer N., Esch J., H. Pfau., U. Uhlemann., L. Piehlmeier., M. Daublаnder. Epinephrine-reduced articaine solution (1:400 000) in paediatric dentistry: a multicentre non-interventional clinical trial. – European Archives of Paediatric Dentistry. – 2013,14(2):89–95. https://doi.org/10.1007/s40368-013-0024-9.

3. Anisimova E.N., Anisimova N.Yu., Babadzhanyan R.S., Gromovik M.V. Fundamentals of safe local anesthesia in dental practice. – Russian Dental Journal. – 2019, 23 (3–4): 144–148. (In Russ.)

4. Anisimova E. N., Erilin E. A. Features of dental treatment of patients with mental health problems. – Endodontics today. – 2014, 4: 3–6. (In Russ.)

5. Anisimova E.N., Ermoliev S.N., Pershina L.V., Letunova N.Yu., Orekhova I.V. Efficiency and safety study of the use of 4% articaine solution with different levels of epinephrine. – Institute of Dentistry. – 2017, 74 : 38–40. (In Russ.)

6. Anisimova E.N., Golikova A.M., Fadeeva D.Yu., Anisimova N.Yu. The choice of drug for anesthesia and material for restoration in the treatment of dentin caries in pregnant women. – Institute of Dentistry. – 2019, 1(82): 40-41. (In Russ.)

7. Jakobs W., Ladwig B., Cichon P. Serum levels of articaine 2% and 4% in children. – Anesthesia Progress. – 1995,42(3-4):113–5. PMID: 8934976 PMCID: PMC2148919.

8. Anisimova N.Yu., Anisimova E.N., Kravchenko I.A. Comparative analysis of the use of 2% and 4% solution of articaine for injection local anesthesia. – Dentistry. – 2021, 100(5): 25–29 (In Russ.). https://doi.org/10.17116/stomat202110005125.

9. Kuhnisch J., Daublander M., Klingberg G., Dougall A., Spyridonos Loizides M., Stratigaki E., Amar J.L., Anttonen V., Duggal M., Gizani S. Best clinical practice guidance for local analgesia in paediatric dentistry: an EAPD policy document. – European Archives of Paediatric Dentistry. – 2017, 18(5): 313-321. https://doi.org/10.1007/s40368-017-0311-y.

10. Ramadurai N., Gurunathan D., Samuel A.V. Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial. - Clinical Oral Investigations. – 2019, 23(9): 3543–3550. DOI: 10.1007/s00784-018-2775-5.

11. Kammerer P., Daublаnder M. Comparison of anesthetic efficacy of 2 and 4% articaine in inferior alveolar nerve block for tooth extraction – a double-blinded randomized clinical trial. – Clinical Oral Investigations. – 2017, 21:1804–1805. doi: 10.1007/s00784-016-1804-5. PMID: 27020911.

12. Anisimova E.N., Anisimova N.Yu., Kravchenko I.A. Assessment of the effectiveness of pain relief in children during dental appointments. – EC Pediatrics. – 2022, 11(11):31-35. https://ecronicon.org/assets/ecpe/pdf/ECPE-11-01219.pdf.

13. Anisimova E.N., Pershina L.V., Ermoliev S.N., Orekhova I.V., Letunova N.Yu., Ryazantsev N.A., Gromovik M.V., Lushanin M.S., Golikova A.M., Erilin E.A. Development of a method of periodontal anesthesia in the treatment of teeth. – Institute of Dentistry. – 2017, 3(76):42–48 (In Russ.). https://www.elibrary.ru/item.asp?id=30486726.

14. Anisimova E.N., Anisimova N. Yu., Kravchenko I.A. The use of a modified periodontal method of introducing a local anesthetic drug at a pediatric outpatient dental appointment. – Dentistry of children’s and prevention. – 2021, 21(1):35–41 (In Russ.). https://doi.org/10.33925/1683-3031-2021-21-1-35-41.

15. Anisimova E.N., Anisimova N.Yu., Kovylina O.S., Kravchenko I.A. Evaluation of the effectiveness of local anesthesia in children at an outpatient dental appointment. – Dentistry of children’s age and prevention. – 2020, 20(2):101–104 (In Russ.). https://doi.org/10.33925/1683-3031-2019-19-3-56-58.


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For citations:


Anisimova E.N., Anisimova N.Y., Soykher M.I., Khodnenko O.V., Yerilin E.A., Kravchenko I.A. The choice of local anesthesia in the treatment of permanent molars in children aged 7–12 years. Medical alphabet. 2023;(12):7-13. (In Russ.) https://doi.org/10.33667/2078-5631-2023-12-7-13

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)