There are probably few people who would visit a dentist with joy or at least without fear. This unpleasant treatment procedure, which can often be accompanied by pain, makes us put off the visit to the clinic more and more. But at present, there are great opportunities to make the process of treatment and tooth extraction completely painless. For this, there are a lot of medications that perfectly anesthetize, the doctor can do anything in your mouth, and you won’t even feel it. One such drug is Ultracain DS Fort. Let's try to understand its therapeutic effect, in the features of use and contraindications.
Pharmacological effects on the body
This medicine belongs to the group of local anesthetics, which are widely used in dental practice. The drug is characterized by an almost instantaneous effect, after administration it takes only a few minutes before the start of anesthesia. The duration of the analgesic period is more than an hour, depending on what dosage was administered.
Ultracain DS Forte is well tolerated by most patients, the elimination half-life is only 25 minutes, and this process is carried out mainly by the kidneys. The medicine has a very low toxicity, which allows it to be reused.
Local anesthetic properties of the drug contribute to the loss of sensitivity at the injection site or in its area due to a decrease in the intensity of nerve impulses.
After the introduction of only 2 ml of the drug, the maximum plasma concentration is reached after 15-20 minutes. But it is noted that the concentration in the injection area is thousands of times higher than that in the bloodstream.
The form of the drug and its composition
Ultracain DS Forte is available as an injection solution. 1 ml of the drug contains in its composition:
- The main active ingredients are 40 mg of articaine hydrochloride and epinephrine hydrochloride, its concentration may vary.
- As additional components are included: sodium chloride, sodium metabisulfite, water for injection.
The drug is produced in ampoules and is a solution without color, completely transparent.
This drug is also available in different forms, which differ in the concentration of the active substance:
- "Ultracain DS Fort" 1: 100000 epinephrine concentration.
- Concentration can be 1: 200000.
- There is a form of the drug with absolutely no epinephrine.
Manufacturers pack the drug in special 1.7 ml capsules, which are inserted into the syringe, and then the needle is screwed on to administer the drug. This is how Ultracainum is introduced, the price of 1 ampoule of which is quite small - 40-50 rubles, so almost every patient can afford to buy such a drug before visiting the dentist. Its use will allow you to safely tear out or cure a tooth.
Indications for use of the drug "Ultracain"
The composition of the drug allows it to be used quite widely in dentistry in the implementation of infiltration and conduction anesthesia. This drug is used even in patients with somatic diseases. The introduction of Ultracaina DS Forte is shown in the following cases:
- If surgery is performed on the oral mucosa.
- Removal or extirpation of the tooth is necessary.
- Removal of teeth that are affected by periodontal disease.
- If there is a long-term intervention of the surgeon when removing cysts, grinding teeth before prosthetics.
The dosage of the drug in each case is determined individually.
Dosage and Administration
If you decide to buy "Ultracain" before going to the dentist, the instructions for use say that you can enter it only if there is no inflammatory process in the tissues. Intravenous administration is also contraindicated.
If you have to remove a tooth uncomplicated by inflammatory processes and other complications, then it is enough to introduce 1.7 ml of the drug into the submucosa, there may be times when it may be necessary to introduce an additional amount of the drug. In such situations, painful palatal injection can be avoided.
If the teeth to be removed are located nearby, then the number of injections can not be increased, the drug "Ultracain DS forte" will work and will well anesthetize.
If you have to make an incision and suture in the sky, then to create a palatine depot, 0.1 ml of medicine per injection is enough.
When removing the lower teeth, which are without inflammatory processes, an infiltration anesthesia with an injection of 1.7 ml per tooth is sufficient. If after the injection the desired effect of pain relief is not achieved, then an additional injection can be made into the submucous region. There are situations when such an approach does not lead to reliable anesthesia, then it will be necessary to conduct a conductor blockade of the mandibular nerve.
If surgery is performed and anesthesia is required, Ultracainum is dosed depending on the severity of the pathology and the expected duration of the operation.
If treatment or tooth extraction is performed in adult patients, then the active substance of the drug can be administered up to 7 mg per kilogram of weight. The dosage for children is selected in each case individually, taking into account the weight and age of the small patient. But it must be borne in mind that the amount of active substance should not exceed 5 mg per kilogram of the mass of the child.
In the treatment of elderly patients, the dosage is also desirable to take the minimum, but necessary to achieve the desired effect.
Some nuances of using Ultracain
There are always special rules and subtleties in the use of any drugs, and Ultracain is no exception. Here are some rules to follow when using this medication:
- To prevent intravascular injection, an aspiration test must be performed.
- The injection pressure should be consistent with the sensitivity of the tissue.
- In order to prevent the development of infectious diseases, the patient must ensure that the doctor uses a new needle and syringe every time the solution is taken from the vial. If the cartridge is already open, then it cannot be used for the next patient.
- It is also unacceptable to use a damaged cartridge for drug administration.
- If you use special stands for syringes, you can protect yourself from damage to the glass and make their functioning flawless.
If you follow these simple rules, then anesthesia with this drug will be wonderful.
The use of "Ultracain" in some groups of patients
Any anesthesia, even if it is a simple injection of Ultracain, requires special care in certain categories of patients, as well as in certain situations:
- If the patient suffers from diseases of the heart and blood vessels, there are cardiac arrhythmias, a history of stroke, arterial hypertension, then it is advisable to use a drug with a minimum content of the active substance or without it.
- The same applies to patients with diabetes mellitus, hyperthyroidism, emphysema or bronchitis.
- After visiting the dentist, you can eat only after the action of anesthesia has completely ceased.
- There was no particular effect on the ability to drive a car in the drug, but if a large dose was administered to the patient, it is better to refrain from this until the sensitivity is completely restored.
- With great caution, the drug should be used in patients with angina pectoris and post-infarction cardiosclerosis.
- In case of cerebrovascular accident, the dosage must also be strictly observed.
- Blood coagulation disorders require caution.
- Severe kidney and liver damage is a good reason to stop using Ultracain.
The use of "Ultracain" 1: 200000
This drug has a concentration of the active substance less, so it is most often used to treat pregnant women or nursing mothers.
This concentration is well suited for patients with problems in the cardiovascular system. But there are limitations:
- Use with great caution in patients with bronchial asthma.
- If there is a pathology of the thyroid gland, then the use of such "Ultracain" (injections) is prohibited.
"Ultracainum" without epinephrine
Given that almost all preservatives are absent in this form of the drug, this is the most suitable option for patients who are at high risk of allergic manifestations. It is also suitable for patients with asthma and with thyroid disease.
The drug is suitable for cores, but it must be borne in mind that the duration of this form is much shorter.
Undesirable manifestations after the use of "Ultracain"
If you use "Ultracain", the instructions for use in dentistry must be strictly observed, otherwise side effects are possible:
- Respiratory distress, which may result even in respiratory arrest.
- The appearance of seizures.
- Visual disturbances.
- If you decide to use Ultracain, the instructions for use warns that an inept injection can result in damage to the facial nerve.
- A headache may appear after the injection.
- Nausea and vomiting.
- Arterial hypotension develops.
- Bradycardia
- Some may, on the contrary, cause an increase in pressure.
- Allergic manifestations.
- Swelling at the injection site.
- Swelling of the upper and lower lips, cheeks, and even the vocal cords.
If after a visit to the dentist you find these manifestations, then urgently need to see a doctor.
Who is not allowed to take Ultracain
Despite the fact that patients after injections of the drug Ultracain DS Forte often leave positive reviews, there are pathologies and conditions in which its use is not desirable:
- Hypersensitivity to the components of the drug.
- Bradycardia
- Atrioventricular blockade of 2-3 degrees.
- Heart failure.
- Anemia.
- Hypoxia
- Angle-closure glaucoma.
- "Ultracain" has contraindications for use in childhood up to 4 years.
When visiting a dentist, be sure to inform your doctor about your chronic diseases.
Consequences of an overdose
Many people buy Ultracainum before visiting the dentist, the price of 1 ampoule is small, so some just in case purchase a couple, sit down in the dental chair without fear and ask the doctor to inject a double dose. But you need to know that there may be complications if the dosage is not respected. Here are some symptoms of an increased amount of the drug:
- Dizziness.
- Stupor.
- Respiratory failure.
- Generalized cramps.
- A sharp decrease in blood pressure.
- Collapse.
- Bradycardia
- Tachycardia.
If any of these signs appears, it is necessary to stop the administration of the drug and urgently take action.
Compatibility "Ultracainum" with other drugs
If you are visiting a dentist and are counting on an injection of Ultracain, you must tell your doctor what medications you are currently taking. The combination of the drug with the following medicines is not allowed:
- With cardioselective beta-blockers, for example, "Propranolol".
- With antidepressants.
- With drugs that inhibit the nervous system.
- It is unacceptable to combine Ultracain with Aspirin and Heparin - bleeding at the injection site is possible.
- If you use the drug with muscle relaxants, then their effect is enhanced.
- You can not use additional funds for inhalation anesthesia, the risk of developing heart rhythm disorders increases.
- Do not use solutions containing heavy metals for disinfection.
The use of "Ultracain" while carrying a baby
If a woman in a position visits a dentist, then it is advisable to use “Ultracain” with a minimum content of the active substance, the instructions for use in dentistry confirm this. But it is not recommended to use the drug completely without epinephrine, since adrenaline causes a narrowing of blood vessels at the injection site and a slowdown in absorption, which reduces the concentration of the active substance in the blood.
The active substance "Ultracain" is able to penetrate into breast milk, but its concentration there will be so insignificant that it will not be able to affect the baby. Therefore, if mom needs to tear out or heal a tooth, then you should not interrupt breastfeeding.
Reviews about the drug
Patients most often leave positive feedback after using Ultracain. Many note that after the injection, numbness passes after a few hours, it creates the feeling that the lips and tongue are swollen.
After using Ultracain, almost any dentist manipulation does not cause pain, and the treatment process takes place without stress.
Few patients report adverse effects after injection.
Inclines the choice of this medicine and its affordable cost in pharmacies. Almost everyone is able to give 40-50 rubles for a remedy.
Dental treatment and their removal is an unpleasant and painful affair, but with drugs such as Ultracain, all these procedures become painless.
But be sure to tell your doctor about all the chronic diseases and medications you have, the only way to guarantee safe pain relief.