Detailed instructions for the use of all types of Ultracaine in dentistry

Since childhood, people have been afraid of visiting the dental office and try to avoid such an event.

Modern dentistry has the ability to minimize the discomfort that creates fear with the help of specially developed painkillers.

Ultracain is considered one of these. The product reduces the pain inherent in the dental treatment process.

Drug review

Ultracaine is a transparent and colorless substance of a local anesthetic drug, odorless. The active ingredient is Articaine. Pharmaceutical companies produce the product in ampoules of 5 ml and 20 ml. The cardboard package contains 5 ampoules.

In dentistry, the substance is used as a local anesthetic. The injection can prevent the passage of impulses into nerve cells and prevent the occurrence of pain.

Composition and characteristics

1 ml. the solution contains articaine hydrochloride (4%) and epinephrine (adrenaline hydrogen tartrate). Articaine is a 5th generation analgesic that combines strong pain relief and safety for the patient’s health.

According to research, the effect of Articaine is two times stronger than the effect of Lidocaine. The drug has a high distribution rate.

Characteristics of the drug

start of action	3 minutes after injection
duration of action	45 min. – 1.5 hours
withdrawal time	from 5 to 10 hours
protein binding	95%
recommended quantity	1.7 mg/tooth
For adults	maximum 7mg/kg
children	maximum 5mg/kg
pregnant women	maximum 1.7 mg/tooth
metabolism	in the liver

Pharmacology offers

In dental practice, three types of the drug are used, differing in composition, properties and purpose.

Ultracain DS

Ultracain DS is produced in a cardboard box containing either:

• 100 carpules of 1.7 ml;
• 10 ampoules of 2 ml.

The anesthetic should be used with caution, since injection of the solution may cause allergies or other side effects.

Before use, it is necessary to find out the presence of all existing diseases and perform a preliminary test before administering the full dose.

After using Ultracain DS in pediatric dentistry, it is necessary to warn parents about possible independent damage to the soft tissues of the oral cavity.

A similar phenomenon occurs due to decreased tissue sensitivity over a long period of time.

The substance is prescribed for tooth extraction, orthodontic treatment, or during measures before prosthetics.

Ultracaine DS forte

It differs from Ultracaine DS in the increased content of epiniphrine hydrochloride (0.012 mg). It takes 2-3 minutes for the drug to take effect.

Typically, the effective action of the injection lasts for 60-75 minutes. A side effect may occur, and therefore the dentist needs to perform tests and identify possible health problems in the patient.

Ultracain D

This type of drug includes:

• articaine hydrochloride - 40 mg;
• sodium chloride - 2 mg;
• purified water.

It has a local anesthetic effect during dental treatment or removal.

A special feature is the absence of adrenaline in the composition, which allows the drug to be used even for patients with certain contraindications.

However, the solution lasts only 20 minutes. Moreover, the solution is non-toxic. The maximum dosage is not more than 40 mg. The product is contraindicated for use in children under 4 years of age.

Types of anesthesia before tooth extraction

In most cases, local anesthesia is sufficient for any dental procedures. Typically, this is one or more injections into the gums. Some clinics perform three-stage anesthesia, which completely eliminates pain. In this case, an anesthetic gel is first applied, then a short injection is given, and after some time a sufficient dose of anesthetic is administered. Sometimes it also becomes necessary to perform a similar operation under general anesthesia. What anesthesia for tooth extraction is required in each specific case is determined by the doctor in accordance with individual characteristics.

Most often, local anesthesia is sufficient. Such anesthesia relieves the patient 100% of pain. Only tactile sensitivity is preserved, which can also cause discomfort, but not severe. There are several types of local anesthesia.

1. Application anesthesia relieves pain only with superficial intervention. It is usually used before an injection to make insertion of the needle painless. Sometimes it is indicated when removing baby teeth in children. This anesthesia is carried out using a gel or spray based on lidocaine or benzocaine. They are applied to the gums.
2. Infiltration anesthesia is the most common method. In this case, pain relief during tooth extraction is administered by injection. Usually you need 2-3 injections on one side and the other of the diseased tooth.
3. Conduction anesthesia involves injecting an anesthetic into the area of ​​the nerve. After this, the entire area innervated by it loses sensitivity. It is usually used only on the lower jaw.
4. Trunk anesthesia is used in serious cases or when the patient is hypersensitive. In this case, the medicine is injected into the base of the skull.

In addition, sometimes a method such as sedation is also used. This is the administration of intramuscular or intravenous sedatives. They calm the patient, increase the pain threshold, and relax.

Indications and contraindications

The drug is used as an anesthetic substance for certain areas of the oral cavity during the following dental procedures:

• local anesthesia before treatment of a tooth affected by caries;
• administration of the product before extraction;
• during grinding of a tooth intended for prosthetics.

Dentists do not recommend using Ultracain in the following cases:

• personal intolerance to the components of the solution;
• children under four years of age;
• tachycardia;
• bradycardia;
• heart failure;
• anemia;
• hypoxia;
• with manifestations of bronchial asthma;
• severe symptoms of arterial hypotension;
• hyperthyroidism;
• myocardial infarction.

Classification of non-carious dental lesions and treatment methods depending on the clinical picture. Come here to become more familiar with the technique of application anesthesia in dentistry.

At this address https://dentist-pro.ru/lechenie/zuby/infiltracionnoj-anestezii-v-stomatologii.html read what drugs are used in dentistry for infiltration anesthesia.

Why is pain relief performed in dentistry?

Before tooth extraction, anesthesia is required, as this operation is very painful. These sensations can trigger a heart attack or put the patient into shock. Therefore, such manipulations are now carried out under anesthesia. Most often, local anesthesia is used. The injected drug blocks the transmission of nerve impulses from the diseased tooth to the brain. The sensitivity of the gums and surrounding tissues is greatly reduced. Therefore, the tooth is removed painlessly.

Many patients do not visit the dentist on time precisely because they are afraid of pain. They drown out unpleasant sensations with pills, which often leads to serious complications. But, the use of painkillers during tooth extraction allows treatment to be carried out without discomfort for the patient.

Features of use

The amount of drug administered is calculated taking into account the body weight and age of the patient. It is also important to take into account the individual characteristics of the body.

Basic recommendations for use:

• The optimal dose is 1.7 ml. In the absence of pathologies and the patient’s health characteristics, this volume should be sufficient to treat one tooth. If the effect is not achieved, the same amount is administered. If sensitivity is still present, then it is better to refuse this injection. In such a case, a complete blockade of the jaw is performed using analog drugs.
• Before operating on the tooth under the crown, a solution in a volume of 1 ml is injected.
• For the procedure of dissection and suturing of the palate and gums, the injection of 0.1 ml will be sufficient. substances.
• If it is necessary to increase the dose, the doctor should remember that the maximum volume should not exceed 7 ml/1 kg of the patient’s weight.
• The effect of the drug on children under 4 years of age has not been studied, and therefore it is better not to use the drug on children in this age group.

It is acceptable to use the substance for dental interventions in the oral cavity of pregnant and lactating women.

Absorption of the solution into the placenta is minimal compared to other anesthetics and does not pose a serious danger. The substance does not affect the process of breastfeeding and the quality of milk, since it does not penetrate into milk.

Reviews about pain relief in dentistry

Nowadays dental treatment has become much more comfortable than before. Pain is usually not felt even when removed. At the same time, many patients note that they received effective pain relief with the help of regular lidocaine. But there are also those who cannot tolerate this drug. And those who have been injected with modern anesthetics note that they have a better analgesic effect. There are many positive reviews about the drug “Ultracain”; patients note that they don’t feel anything even during a complex operation.

Category: Tooth extraction Published by Mister stomatolog

Precautionary measures

The treating dentist must remember to take certain precautions:

1. Ultracaine solution is administered exclusively intramuscularly; intravenous administration is strictly prohibited.
2. Use is not recommended if the patient has cholinesterase deficiency. Otherwise, the effect of the injection may last longer than the specified period.
3. Ultracaine is not injected into inflamed areas of the oral cavity.
4. The drug is collected using new instruments. Reusing syringes is unacceptable.
5. Cartridges must be carefully checked for integrity and serviceability.
6. Before the injection, the doctor warns the patient about possible difficulties in driving under the influence of the drug.

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Need for general anesthesia

Sometimes it becomes necessary to treat a patient under general anesthesia. This is necessary if the usual painkiller during tooth extraction does not help, for example, with a low pain threshold or fear of dentists. General anesthesia is also used in patients with various psychological or neurological disorders, as well as with an increased gag reflex. When extracting a tooth, this is rarely required, since the procedure is short, but during long-term treatment, complex surgery or complete implantation, general anesthesia is necessary. It uses trichlorethylene, administered through a breathing mask or injection drugs: Ketamine, Propanidide, Hexenal.

Side effects and overdose

Side effects from the drug most often occur within 5-70 minutes after administration. The following phenomena are possible:

• If exposed to the digestive tract , nausea and vomiting are likely to occur.
• The central nervous system may respond with seizures, blurred vision or fainting, tremors, dizziness, temporary blurred vision, or complete loss of vision.
• Allergic reactions manifest themselves in the form of rashes, such as urticaria, exacerbation of rhinitis, skin hyperemia, swelling of both individual parts and the entire face, difficulty breathing. Any of these symptoms can cause anaphylactic shock.
• Symptoms of effects on cardiac activity can be a sharp decrease in blood pressure, bradycardia, tachycardia, and heart failure.

In case of overdose, the following symptoms occur:

1. Motor stupor, or, conversely, excitement;
2. Nausea and dizziness;
3. Decreased blood pressure;
4. Convulsions;
5. Labored breathing;
6. Bradycardia;
7. Anaphylactic shock;
8. Swelling of the airways;
9. Skin allergic manifestations.

Analogues and interactions with other drugs

Before using Ultracaine, you should inform the attending physician about the medications the patient is taking at this stage.

Interactions with the following drugs are dangerous:

• Monoamine oxidase inhibitors;
• Antidiabetic medications;
• Types of inhalation anesthesia;
• Norepinephrine and adrenaline;
• Antithrombotic agents;
• Tricyclic antidepressants;
• Non-selective beta-adrenergic blockers.

analogue	difference	Packaging price
Ecocaine	Contains adrenaline in various dosages, used when long-term surgical intervention is necessary	From 900
Cytokartin	Used for intense ischemia and deep dental interventions	From 1000
Ubistezin	Used for minor operations in the oral cavity	From 1 415
Scandonest	Indicated when it is impossible to administer a vasoconstrictor	From 450
Septanest with adrenaline	Begins to act in 2-3 minutes. after administration, anesthesia lasts 40-60 minutes. contains 0.015 adrenaline tartrate, contains a considerable amount of preservatives	From 2 595
Mepivastezin	Used for patients with bronchial asthma, diabetes and allergies to adrenaline	From 1267
Lidocaine	The spray can be used for children over 2 years old. Also available in powder and injection form. Active ingredient: lidocaine hydrochloride	From 17
Brilocaine-adrenaline	Contains less adrenaline	From 1200
Artifrin	Administered intravenously, the composition of the auxiliary elements differs slightly from the composition of ultracaine	From 1350
Artikain	For use in dentistry only	From 238

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