Ultracaine in dentistry: the composition and instructions for the use of the spray during pregnancy and breastfeeding

Very often, people do not have enough time to visit the dentist.To maintain the health of the teeth, at least twice a year, the oral cavity should be inspected.This allows you to timely eliminate the emerging problems on the teeth.But often cases when a person treats with strong sensations of pain.During the examination, a pulpitis or caries stage is started.In this case, treatment without anesthesia is almost impossible, since the dentist faces the open nerves of an already aching tooth.

Still relatively recently this issue was solved with the help of arsenic.He was placed in the cleared cavity of the tooth and was closed with a temporary seal of for several days.The effect of arsenic is detrimental to the nerves, which allows the doctor to clean the tooth and seal it in the future.

To date, anesthesia in dentistry is different.Ultrakain completely changed the idea of ​​local anesthesia in dental treatment.Now you can cure a sick tooth at a time.

Instruction for use

Ultracaine is a medical preparation that

belongs to the anesthetic group for topical use or complex for conductive anesthesia.It well reduces the patient's pain.The pharmacological effect of this remedy is explained by vasoconstrictor ability and anesthesia.Used ultracaine when removing the tooth, as well as during preparatory work in the oral cavity to operations.

The composition of ultracaine contains 12 mg of epinephrine hydrochloride and 40 mg of arthacaine hydrochloride.These substances reach the nerve endings, and create an anesthetic effect for five minutes.The vasoconstrictor effect is provided by the local effect of the agent.The time of drug withdrawal is 6-11 hours.During this time the body is cleaned, and the remnants go through the bladder and kidneys.

Side effects of during the use of ultracaine are minimal, because it is successfully used in dentistry as an effective analgesic.The use of ultracaine does not affect the cardiovascular system.Among the side effects noted slowing the reaction, so after its use is not recommended driving or work, which is associated with the speed of the reaction.

During pregnancy, it is allowed to use this remedy for dental treatment, since it contains a minimum amount of epinephrine.Ultracaine does not have the property to pass through the placental shield, that is, in no way can affect the development of the fetus.However, the use of a pregnant woman and breastfeeding should be justified and carried out under the clear supervision of a doctor.

The drug is not administered intravenously, nor does it enter into the inflamed area.The injection is done in a neighboring honor.

Food intake is possible only after the ultracaine terminates its effect, as indicated by the return of the sensitivity of the .

The instruction on the use of ultracaine also determines the age limits.The beginning of the use of the drug is possible from the age of 4 years.After the injection, monitoring of the reaction from the side of the nervous system and changes in the indications of intravenous pressure is required.Ultracaine is administered in such dosages for a single tooth:

• Simple tooth filling - 1 ml;
• Sealing and removal with complication - 1.5 m l.

If the drug is used in a complex of conductive anesthesia, then 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 is that the preparation does not enter the vessel.You need to do a test with a test aspiration.It is necessary that the pressure of the agent correspond to the sensitivity of the tissues.The maximum allowable dosage for performing local anesthesia in one session:

• Children - 5 ml;
• Adults - 7 ml.

It is not allowed to share the medication with anticoagulants and inhibitors.During their simultaneous use there is an increased hypertensive effect of ultracaine.

With the simultaneous use of vasoconstrictors, the anesthetic effect of the drug is increased.The risk of hypertensive crisis also increases with simultaneous use of the drug with beta-blockers.Under the influence of ultracaine, the effect of other local anesthetics is intensified, which, in turn, can cause to suppress the nervous system of .

It is also often asked what to choose - lidocaine or ultracaine?Both agents can equally be used for local anesthesia in dentistry.The only difference is the toxicity of the drug.Lidocaine is more toxic, while ultracaine has a stronger analgesic effect.

Only new sterile syringes should be used during the use of each new kit.This makes it possible to protect against infection.The open vial should be stored clearly according to the instructions, taking into account the temperature regime and the need to use it for the next 48 hours.

The cost of ultracaine will depend on the form and type of preparation.The cost of one ampoule is approximately 60 rubles.Shelf life for 5 years.

Types of ultracaine

To date, has three types of this drug:

• Ultracaine DS Forte( amount of epinephrine 1: 100,000).Anesthetic, which has a prolonged duration of action, is excellent for depulpiating teeth and surgical interventions.The drug is prohibited for use at high blood pressure, thyroid disease, asthma, pregnancy and breastfeeding.
• Ultracaine DS( amount of epinephrine 1: 200,000).This remedy is not used in diseases of the thyroid gland and asthma.The drug is approved for use by pregnant women and during lactation, people with compensated cardiovascular diseases.
• Ultracaine D( without epinephrine).Perfectly suitable for people with thyroid gland diseases, asthmatics, allergies - due to the lack of epinephrine in the preparation has no stabilizing preservatives.The drug is well tolerated by patients with hypertension and heart disease, but the duration of this drug is small - about 25 minutes.

Indications for use

Anesthesia with ultracaine is widely used in the dentistry of as an anesthetic drug .Used for local anesthesia.It can also be used as a conductive analgesic.Its effect and the absence of significant side effects make it possible to use ultracaine during pregnancy.It is forbidden to use the drug when there is alcohol in the blood.

Used for local anesthesia during the following dental procedures:

• removal;
• sealing;
• preventive measures;
• fastening of crowns;
• removal of abscesses;
• treatment of wounds in the oral cavity.

Like every medical preparation, the ultra-caine has some contraindications to , which are divided into relative and absolute.The latter exclude the absolute possibility of using the drug, the first - use with caution under the clear control of the dentist for indicators of human life.

Absolute contraindications are:

• anemia, which appeared due to a lack of vitamin B12;
• a person's hypersensitivity to the components of the drug;
• glaucoma;
• hypoxia;
• intolerance to sulfo groups;
• cardiac tachycardia.

Relative contraindications are problems that are associated with diseases of the cardiovascular system, with endocrine diseases( diabetes), bronchial asthma.Performing injections with the help of ultracaine during arrhythmia is possible, but under the clear control of the dentist .Ultrakaine during lactation is allowed to use.

Side effects

Side effects from the use of ultracaine can be from different systems:

• Cardiovascular system.Epinephrine in this drug, narrowing the blood vessels, in some cases can lead to a violation of the heart rhythm( tachycardia).Typically, this occurs during the wrong dosage of the medication.Perhaps a slight increase in pressure.A person can note complaints about a feeling of quickening of the heart muscle, a feeling of shortness of breath, a headache.
• Nervous system.Sometimes ultracaine causes a violation or suspension of respiratory function, muscle contraction, fainting, which can not be controlled by the patient.
• GASTROINTESTINAL TRACT.Complaints of pain in the stomach, vomiting, nausea.
• Vision organs.A person complains about the vagueness of objects, the inability to concentrate the view.
• Allergies.Allergies can be in the form of edema and redness of the mucous membranes, rashes on the skin.This manifestation indicates probable problems with the human immune system.Therefore, when the patient is first introduced the drug, it is necessary to test for ultracaine.

Also, during the use of ultracaine in dentistry, such side effects at the site of administration are likely, such as the appearance of tumor and the inflammatory process of .

There are negative reviews about the drug, when after use appeared ischemic disorder in the tissues at the site of its administration.This appears after improper application of the agent( getting into a blood vessel).This side effect is not associated with exposure to ultracaine.On how to prevent these phenomena indicates the instruction to the drug.

During an overdose of ultracaine, side effects are significantly amplified and can lead to convulsions, vomiting of , stopping breathing and heartbeat, and a strong drop in blood pressure readings.

If side effects occur, especially in pregnancy, injection should be stopped immediately.The patient is placed in a horizontal position, freeing the airways, the pressure and pulse are monitored.Taking into account the patient's subsequent condition, treatment is carried out, which consists in supplying oxygen with a mask.During the puffiness of the larynx, a tracheal intubation is performed with a constant control of the ventilation of the lungs.At the expressed infringements of work of cardiovascular system antiarrhythmic preparations are entered.

When seizures occur, is given intravenous injection of barbiturates with short or ultrashort exposure.If there are suspicions of vascular collapse, adrenaline is injected.

Ultracaine for children

The drug is used to treat, remove, depulpate teeth from 4 years.Before the injection, the dentist will certainly test for allergy, refuse to use it when the product is not suitable for the child.

Ultracaine 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, the doctor treats the site with a freezing drug with a pleasant taste, which positively affects the person's perception of the entire procedure.

To date, the implementation of local anesthesia is the main way of anesthesia in dentistry, during which a person is conscious, but does not feel any pain.The dentist has the ability to monitor his condition, calm, communicate, which has a positive effect on successful treatment.