The use of the drug Ultracaine DS in dentistry: instructions and reviews

For most of us, the fear of pain arising from dental treatment is the main feeling when visiting a dentist.

Indeed, more recently, the procedures used the anesthetics of the old generation and dental treatment was not easy. However, today there is a large list of drugs that allow you to remove all the unpleasant sensations. One of them is Ultrakain D.

Ultracaine( or Articaine) is a modern anesthetic intended for local anesthesia. Has a long duration of action with the introduction of minimal doses.

Since the preparation is well perceived by the tissues, it is used as anesthesia for the removal of teeth, sealing, and also when preparing the oral cavity for various operations.

Pharmacology and pharmacokinetics of substance

Pharmacological actionTwiem drug is a local anesthetic effect. It prevents the conduct of stimulation through the nerve impulse( in other words, it prevents the perception of pain).

Ultracaine with submucosal administration, has a high diffusion( penetrating) ability.

Pharmacokinetics of the drug is characterized by the following indicators:

• effective treatment time - from 20 to 40 minutes, and Ultrakain DS forte even up to 75 minutes;
• is rapidly excreted from the tissues( metabolized in the liver, and excreted by the kidneys for several hours);
• an important indicator of the drug is its speed - the effect of the injection occurs after only 1-3 minutes.

The effect of the drug on the cardiovascular system is minimal, due to a small amount in the composition of the drug adrenaline.

The drug stops the increase in blood pressure, and wound healing, with the prior use of Ultracain D-S, proceeds quickly and without special complications. As for the preparation of the amide group, Ultrakain has the following composition:

• 40 mg of articaine hydrochloride;
• 6 - 12 mc adrenaline hydrochloride;
• 0.5 mg sodium bisulfite;
• 1 mg sodium chloride;
• 1.7 mg purified water for injection.

The composition of the preparation can vary depending on its form and variety:

1. For example, the standard form of production of the drug Ultracaine DS is injection ampoules ( subcutaneous administration), containing 2 ml of the drug, produced in 100 ampoules per package.
2. In addition, is also manufactured in the form of cartridges containing 1.7 ml of substance in each.
3. There is an release form with prolonged action of : Ulracaine D-C Fort, characterized by a fast-acting effect of anesthesia and long-lasting action. This effect is achieved due to the increased content of adrenaline hydrochloride( 12 μg instead of 6 μg).

Indications and contraindications to the use of

As with any other drug, the anesthetic agent Ultrakain DS has both its indications and contraindications.

Indications for the use of the drug as anesthesia in dentistry are:

• holding teeth filling;
• tooth extraction in the absence of serious complications;
• tooth crown installation;
• removal of abscesses, treatment of sutures, wounds and other treatment procedures.

However, there are contraindications to the use of the tool, among which are the following:

• increased sensitivity level;
• individual intolerance of components;
• presence of atrial tachyarrhythmia or paroxysmal ventricular tachycardia;
• presence of glaucoma of the closed type;
• bronchial asthma;
• hypotension;
• kidney failure;
• anemia;
• diabetes mellitus;
• hyperthyroidism.

Although there are no specific instructions for the use of Ultracaine for pregnant and lactating women, it is still better not to resort to its use without much need.

In any case, the decision whether to use this particular drug or not depends on the opinion of the attending dentist.

Application and dosage regimen

When using Ultracaine D, it is important to remember that, like any drug intended for oral use, it is necessary to inject it strictly into non-inflamed tissues.

In addition, the preparation is not intended for intravenous administration of .

The drug regimens are as follows:

• , as an analgesia in the incision and suturing of , it is recommended to use 0.1 mg of the drug per injection;
• as anesthetic for tooth extraction on the upper or lower jaw injected anesthesia at the rate of 1.7 ml of solution per tooth;
• for the treatment of cavities and when grinding teeth for the crowns of , a dose of 0.5-1.7 ml per tooth is injected into the area of ​​the fold of the oral cavity.

A more accurate dosage of anesthetic should be selected depending on the duration of the proposed dental intervention. The maximum amount of the injected drug in one procedure should not exceed 7 mg per kilogram of body weight.

Features of the application in pregnancy

It is known that in pregnancy, taking any potent medicines is highly undesirable. However, modern medicine has a fairly large arsenal of funds, the correct use of which is safe for both the future mother and the fetus.

The list of such drugs includes and Ultracaine, considered quite innocuous due to the fact that it is a local anesthetic.

Anesthetizing the portion of the oral cavity into which the dose was administered, Ultracain has virtually no side effects on the whole pregnancy.

Since, as a minimum, the drug can penetrate the placenta to the fetus, it is necessary to consult with a gynecologist before use, which can both permit the use of an anesthetic and prohibit its use.

In any case, an experienced doctor can always help to choose an alternative, more harmless substance as an analgesic.

Features of the use of children

The use of Ultracaine D-C is allowed from the age of four as an anesthetic for depulpation, removal of dairy, and molars. Before using the baby, it is recommended to test for allergy and if the reaction has been identified, an analogue should be found.

The dose of the drug in case of administration to a child is calculated by a special formula, depending on the ratio of its age, height and weight. The amount of the drug, calculated by the formula, should not be more than 5 mg per 1 kg of body weight.

Side effects of

The drug Ultracaine, like almost any medicine, has a number of side effects, which are recommended to be consulted immediately before use.

Side effects caused by the use of the drug are such effects:

• headaches;
• lowering of blood pressure;
• nausea and vomiting;
• diarrhea;
• shortness of breath;
• blurred vision;
• allergic reaction to the components of the drug( itching, the appearance of urticaria and redness of the skin).

Of course, such manifestations are not found in everyone, and are not particularly pronounced. Side effects from the use of the drug also depend on the individual reactions of the patient to these or other components of the remedy, but in general, Ultracaine is suitable in most cases.

Cases of overdose

In addition to side effects from the use of the drug, there may be other unpleasant consequences.

To ensure that the injected drug does not give side effects, it is necessary to properly observe the dosage of the drug. In the event that the correct dose has been exceeded, the following symptoms of overdose may appear:

• retardation, confusion;
• dizziness;
• shock state;
• convulsions;
• sharp pressure drop;
• breathing disorder.

It is also recommended to prepare for the introduction of drugs that neutralize the condition of intravenous overdose( help to take a horizontal position, lifting his legs and, as soon as possible, start intravenous injections of electrolytes, glucocorticoids).

In case of a minor drug overdose, it is enough to provide the patient with access to fresh air and let him lie down for a while.

Precautions

The main precaution for using the drug is to limit its use to a minimum if the patient has a deficiency in the body cholinesterase( occurs in hepatic diseases), because they affect the drug particularly strongly, provoking apnea( respiratory arrest).

In addition, should limit the use of the drug and use it only in extreme cases with anemia, diabetes, hyperthyroidism and other diseases.

After the use of Ultracaine, care should be taken when driving vehicles or controlling traumatic mechanisms.

Other special instructions for

When applying an anesthetic, several features should be considered that are related to both the preparation itself and the methods of its administration:

• as already indicated, the agent should not be administered into inflamed tissues;
• should not be used intravenously;
• should be administered with caution to patients with bronchial asthma, to avoid hypersensitivity;
• always, when possible, in patients with various pathologies to use Ultracaine D-C, containing less adrenaline, rather than Ultracaine forte:
• to use better special( strictly disposable) syringes such as Uniject, Ultraject for injections;
• use the contents of the carpal with the drug within 2 days after its opening.

From the practical experience of using

Reviews of doctors and patients about the drug.

Purchase and storage of

The average price of the drug varies from 900 to 1200 rubles per package, depending on the region.

Store Ultracaine D-C is recommended at temperatures not higher than 25 ° C in a well-protected from sunlight, out of reach of children, no longer than 3 years from the date of release.

Efficacy, a small number of contraindications and availability, as well as the availability of various release forms( conventional and enhanced action) made this drug very popular among dentists and their patients.