DOI:

10.37988/1811-153X_2020_2_36

Sedation in dental practice in Russia. Status of the question

Authors

  • S.A. Rabinovich 1, PhD in Medical Sciences, full professor of the Pain management in dentistry Department
  • L.A. Zavodilenko 1, PhD in Medical Sciences, assistant professor of the Pain management in dentistry Department
  • Yu.L. Vasil’ev 2, 3, PhD in Medical Sciences, associate professor of the Operative surgery and topographic anatomy Department; associate professor of the Dentistry diseases propaedeutics Department
  • 1 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia
  • 2 Sechenov University, 119435, Moscow, Russia
  • 3 RUDN University, 117198, Moscow, Russia

Abstract

The problem of patient anesthesia in dental practice is still relevant. Not always only local anesthesia is enough for safe interventions. Significantly increase the effectiveness of the relief of pain by using anxiolytic sedation or controlled sedation. Every dentist, regardless of specialization, must have the skill of safe pain relief, as well as the ability to prevent and treat urgent and emergency general somatic conditions. The article highlights the current legislative vision of the competencies, labor actions and powers of dentists regarding the treatment of patients using sedation/ premedication. Sedatives that are acceptable for use by dentists have a calming effect, do not have a significant effect on respiration and hemodynamics, and do not cause addiction if they are correctly prescribed in accordance with the manufacturer’s recommendations. If oral sedatives are not effective enough, dental patients can be treated under conditions of anesthesia, the most popular is controlled sedation.

Key words:

dentistry, anesthesia, premedication, sedation, educational standard

For Citation

[1]
Rabinovich S.A., Zavodilenko L.A., Vasil’ev Yu.L. Sedation in dental practice in Russia. Status of the question. Clinical Dentistry (Russia).  2020; 2 (94): 36—39. DOI: 10.37988/1811-153X_2020_2_36

References

  1. Rabinovich S.A., Moskovets O.N. Problems of pain and anesthesia in dentistry. The current state of dental anesthesiology and prospects for its development. — Russian Journal of Pain. — 2009; 3 (24): 12—7 (In Russ.).
  2. Goncharenko Yu.V. Hypnotic analgesia in outpatient dentistry: master’s thesis. — Moscow, 2006. — 146 p. (In Russ.).
  3. Mishunin Yu.V. Anesthesia and sedation in outpatient dentistry: master’s thesis. — Moscow, 2001. — 315 p. (In Russ.).
  4. Moskovets O.N. Dependence of pain perception on the emotional state in patients on an outpatient appointment with a dental appointment: master’s thesis. — Moscow, 2004. — 302 p. (In Russ.).
  5. Sergeeva O.O. Decrease in psychoemotional stress and pain sensitivity in patients at a dental appointment: master’s thesis. — MGMSU, 2001. — 139 p. (In Russ.).
  6. Rabinovich S.A., Stosh V.I., Zoryan E.V. Guide to anesthesiology and emergency care in dentistry. — Moscow: MEDpress-inform, 2002. — 288 p. (In Russ.).
  7. Order of the Ministry of Health of the Russian Federation dated November 15, 2012 N919n «On approval of the provision of medical care to adult population on the profile of Anesthesiology and Intensive Care» (as amended on 09.14.2018) (In Russ.).
  8. Rabinovich S.A., Moskovets O.N., Lukyanov M.V., Zoryan E.V. The safety problems of local anesthesia in dentistry. — Moscow, 2004. — 48 p. (In Russ.).
  9. Zavodilenko L.A. Optimization of the use of modern methods of combined anesthesia on an outpatient dental appointment: master’s thesis. — MGMSU, 2001. — 126 p. (In Russ.).
  10. Novikova S.G. Premedication for outpatient dental interventions depending on the individual typological characteristics of patients: dissertation. — MGMSU, 2008. — 242 p. (In Russ.).
  11. Collin V., Toon M., O‘Selmo E., Reynolds L., Whitehead P. A survey of stress, burnout and well-being in UK dentists. — Br Dent J. — 2019; 226 (1): 40—9. PMID: 30631165
  12. Polunocheva I.V. Selection of premedication in dental patients with cardiovascular pathology: master’s thesis. — MGMSU, 2004. — 104 p. (In Russ.).
  13. Rabinovich S.A., Zoryan E.V., Dobrodeev A.S. Sedation in dentistry. — Moscow: League, 2013. — 224 p. (In Russ.).
  14. Bobkova A.Kh. A comparative study of the anxiolytic activity of hydroxyzine and tenoten in an outpatient dental practice: master’s thesis. — MGMSU, 2010. — 130 p. (In Russ.).
  15. Professional standard Dentist (approved by the order of the Ministry of Labor and Social Protection of the Russian Federation of May 10, 2016 No. 227n) (In Russ.).
  16. The Russian Ministry of Health Order of 20 December 2012 number 1175n «On Approval of the procedure of appointment and prescribing of drugs, as well as forms of prescription forms for drugs, procedures for obtaining these forms, their recording and storage» (In Russ.).
  17. Decree of the Government of the Russian Federation of June 30, 1998 N 681 “On approval of the list of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation” (as amended) (In Russ.).
  18. Decree of the Government of the Russian Federation of December 22, 2011 N 1085 “On licensing activities for the trafficking of narcotic drugs, psychotropic substances and their precursors, the cultivation of drug-containing plants” (as amended) (In Russ.).
  19. Kawai M., Kurata S., Sanuki T., Mishima G., Kiriishi K., Watanabe T., Ozaki-Honda Y., Yoshida M., Okayasu I., Ayuse T., Tanoue N., Ayuse T. The effect of midazolam administration for the prevention of emergence agitation in pediatric patients with extreme fear and non-cooperation undergoing dental treatment under sevoflurane anesthesia, a double-blind, randomized study. — Drug Des Devel Ther. — 2019; 13: 1729—37. PMID: 31190751
  20. Tsukamoto M., Hitosugi T., Yokoyama T. Comparison of Recovery in Pediatric Patients: A Retrospective Study. — Clin Oral Investig. — 2019; 23 (9): 3653—6. PMID: 31273527
  21. Order of the Ministry of Health of the Russian Federation dated December 7, 2011 № 1496n “On approval of the provision of medical care to adults with dental disease” (In Russ.).
  22. The order of the Ministry of Health of the Russian Federation dated November 12, 2012 N909n (as amended on July 9, 2013) “On the approval of the Procedure for the provision of medical care for children in the profile of anesthesiology and intensive care (as amended on September 14, 2018) (In Russ.).
  23. Order of the Ministry of Health of the Russian Federation dated November 13, 2012 N910n “On Approval of the Procedure of medical care for children with dental disease” (In Russ.).
  24. Sabouri A.S., Jafari A., Creighton P., Shepherd A., Votta T.J., Deng H., Heard C. Association between bispectral index system and airway obstruction: an observational prospective cohort analysis during third molar extractions. — Minerva Anestesiol. — 2018; 84 (6): 703—11. PMID: 29338145
  25. Sargin M., Uluer M.S., Ozmen S. The Effects of Bispectral Index Monitoring on Hemodynamics and Recovery Profile in Developmentally Delayed Pediatric Patients Undergoing Dental Surgery. — Paediatr Anaesth. — 2015; 25 (9): 950—5. PMID: 25970339

Published on

July 25, 2020