M. Todorović, D. Mitić, R. Tijanić, M. Stojanović, G. M. Jovanović, S. Spasić
Uvod: Aparati koji koriste elektromagnetno zračenje u vidu visokofrekventnih radiotalasa sve češće nalaze primenu u mnogim granama medicine, a u poslednje vreme i u oralnoj hirurgiji. Rade na istom principu kao i elektrokauteri, s tom razlikom što elektrokauteri koriste talase frekvencije od 300kHz do 500kH, a radiotalasni aparati talase frekvencije 4MHz. To im omogućava daleko manju dubinu prodiranja energije, manju destrukciju i ograničeno lateralno oštećenje tkiva, bez opekotinskog efekta. Zarastanje rana je brže, formiranje ožiljaka je manje, a kozmetički efekat je izraženiji. U toku godinu dana na Odeljenju za oralnu hirurgiju primenjivanje radiotalasni aparat kod mnogih oralnohirurških intervencija. Sečenje tkiva bez dodira, simultano, sa izrazitim hemostatskim efektom ili čista koagulacija sprovode se vrlo jednostavno i uspešno. Aparat je testiran prilikom rada na mekim tkivima kože i sluzokože. Pravilnim i stručnim rukovanjem izbegavaju se eventualni štetni efekti. Kod pacijenata sa srčanim pejsmejkerom treba biti posebno obazriv i pridržavati se protokola. Ukoliko pacijent ima ugrađene dentalne implantate kontraindikovano je njihovo dodirivanje u toku rada aktivnom elektrodom. Zaključak: Radiotalasna hirurgija ima niz prednosti u odnosu na konvencionalnu hirurgiju u određenim indikacionim područjima.
输入：在高频放射性物质的照射下使用电磁辐射的机器在医学的许多分支中更为常见，最近在口腔外科中也更为常见。它们的工作原理与电机相同，不同于使用300kHz至500kH频率的电波和4MHz放射性波的电机。这使它们能够加深能量，减少破坏，并限制横向组织损伤，而不会产生烧伤效应。飓风生长更快，疤痕形成更少，更容易产生美容效果。在一年中，口腔外科将放射设备应用于许多口腔干预。无接触、模拟、具有明显止血效果或纯凝固的组织切割非常简单有效。该机器在柔软的皮肤和皮革纸巾上工作时进行了测试。Pravilnim i stručnim rukovanjem izbegavaju se eventualništetni efekti。患有心肌的患者应特别小心，并应遵守协议。如果患者抑制了牙科植入物，则禁止在有源电极期间触摸。最后，与传统手术相比，放射外科在某些适应症方面具有一系列优势。
{"title":"The use of radiofrequency ablation in oral surgery","authors":"M. Todorović, D. Mitić, R. Tijanić, M. Stojanović, G. M. Jovanović, S. Spasić","doi":"10.5937/asn1878880t","DOIUrl":"https://doi.org/10.5937/asn1878880t","url":null,"abstract":"Uvod: Aparati koji koriste elektromagnetno zračenje u vidu visokofrekventnih radiotalasa sve češće nalaze primenu u mnogim granama medicine, a u poslednje vreme i u oralnoj hirurgiji. Rade na istom principu kao i elektrokauteri, s tom razlikom što elektrokauteri koriste talase frekvencije od 300kHz do 500kH, a radiotalasni aparati talase frekvencije 4MHz. To im omogućava daleko manju dubinu prodiranja energije, manju destrukciju i ograničeno lateralno oštećenje tkiva, bez opekotinskog efekta. Zarastanje rana je brže, formiranje ožiljaka je manje, a kozmetički efekat je izraženiji. U toku godinu dana na Odeljenju za oralnu hirurgiju primenjivanje radiotalasni aparat kod mnogih oralnohirurških intervencija. Sečenje tkiva bez dodira, simultano, sa izrazitim hemostatskim efektom ili čista koagulacija sprovode se vrlo jednostavno i uspešno. Aparat je testiran prilikom rada na mekim tkivima kože i sluzokože. Pravilnim i stručnim rukovanjem izbegavaju se eventualni štetni efekti. Kod pacijenata sa srčanim pejsmejkerom treba biti posebno obazriv i pridržavati se protokola. Ukoliko pacijent ima ugrađene dentalne implantate kontraindikovano je njihovo dodirivanje u toku rada aktivnom elektrodom. Zaključak: Radiotalasna hirurgija ima niz prednosti u odnosu na konvencionalnu hirurgiju u određenim indikacionim područjima.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1880-1887"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Obradović, L. Kesić, A. Pejčić, Marija Igić, Marija Bojović, Dragana Stanisic, M. Petrović, I. Stanković, M. Jovanovic
{"title":"Periodontal disease in patients with type 2 Diabetes mellitus","authors":"R. Obradović, L. Kesić, A. Pejčić, Marija Igić, Marija Bojović, Dragana Stanisic, M. Petrović, I. Stanković, M. Jovanovic","doi":"10.5937/asn1878858o","DOIUrl":"https://doi.org/10.5937/asn1878858o","url":null,"abstract":"","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1858-1870"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fabrication of fixed dental restorations in patient with parafunctional activities of the orofacial system: Case report","authors":"M. Kostić, A. Igic, S. Krunić, N. Jevtić","doi":"10.5937/asn1878871k","DOIUrl":"https://doi.org/10.5937/asn1878871k","url":null,"abstract":"","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1871-1879"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Minić, A. Pejčić, R. Obradović, D. Mirković, Marijan Bradic
Introduction: An allergy is the failed defensive effort of the organism against foreign antigens. Reintroduction of the same foreign substance into the organism causes a reaction that leads to the destruction of one's own tissue. Allergic reactions can express themselves in many different organs and in any age group. Material and methods: In this paper, 84 patients were involved. The diagnosis was based on a positive history of pre-administration of a medicine, an insect bite, earlier allergic reactions, as well as a typical clinical picture. Variants of allergic changes, as well as the most common causes for their occurrence, were monitored. Looking for the most common allergens, dental practice drugs were also considered as potential drivers of allergic events. Results: The most common form of allergic reaction was Stomatitis allergica and Enanthema fixum, with localization on the dorsal surface of the tongue and the mucous membrane of the cheeks. Almost half of the registered patients reported a change after taking the appropriate group of drugs: sulfonamides and penicillins. Conclusion: If the cause of allergies is known, preventive control of an allergic reaction are in the first place. The high prevalence of allergic diseases and improved diagnostic procedures and treatments have had a great impact on the provision of medical care to allergic patients. Sometimes, it may not be possible to completely avoid allergic reaction, but these steps can help to prevent future allergic reactions. Physicians should adopt clear designations of the allergic disorders and adhere to this nomenclature in their professional and public communications.
{"title":"Allergic manifestations in oral cavity","authors":"I. Minić, A. Pejčić, R. Obradović, D. Mirković, Marijan Bradic","doi":"10.5937/ASN1877793M","DOIUrl":"https://doi.org/10.5937/ASN1877793M","url":null,"abstract":"Introduction: An allergy is the failed defensive effort of the organism against foreign antigens. Reintroduction of the same foreign substance into the organism causes a reaction that leads to the destruction of one's own tissue. Allergic reactions can express themselves in many different organs and in any age group. Material and methods: In this paper, 84 patients were involved. The diagnosis was based on a positive history of pre-administration of a medicine, an insect bite, earlier allergic reactions, as well as a typical clinical picture. Variants of allergic changes, as well as the most common causes for their occurrence, were monitored. Looking for the most common allergens, dental practice drugs were also considered as potential drivers of allergic events. Results: The most common form of allergic reaction was Stomatitis allergica and Enanthema fixum, with localization on the dorsal surface of the tongue and the mucous membrane of the cheeks. Almost half of the registered patients reported a change after taking the appropriate group of drugs: sulfonamides and penicillins. Conclusion: If the cause of allergies is known, preventive control of an allergic reaction are in the first place. The high prevalence of allergic diseases and improved diagnostic procedures and treatments have had a great impact on the provision of medical care to allergic patients. Sometimes, it may not be possible to completely avoid allergic reaction, but these steps can help to prevent future allergic reactions. Physicians should adopt clear designations of the allergic disorders and adhere to this nomenclature in their professional and public communications.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1793-1803"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71201373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Corticosteroids (CS) are natural or synthetic hormones that affect nearly every aspect of human physiology. In the clinical sense, by reducing the symptoms of inflammation and immunosuppression, CS act symptomatically, decreasing problems of the underlying disease or the current state of the patient. According to application, corticosteroids are divided into topical, local and systemic way of use. Topical use of CS makes vasoconstriction, lowers mast cells degranulation, and reduces the permeability of capillaries reducing the amounts of released histamine from basophils and mast cells. The main goal of this therapy is to relieve or at least reduce pain in patients, which has an impact on overall health, nutrition, speech. Soft tissue inflammations that require the application of CS are: recurrent aphthous stomatitis, oral submucosal fibrosis, keloids and hypertrophic scars, mucocele; painful syndrome with manifestations in the head and neck: Bechet syndrome, pemfigoid syndrome, bullous pemfigoid,Oral Lichen planus, etc.; that reduces the need for taking analgetics .In oral surgery they are used for the treatment of the impacted wisdom teeth and other serious interventions which apart from analgesics (NSAIDS and narcotic analgesics) require CS in order to reduce trizmus, swelling and pain. There are numerous studies that suggest the time and route of the administration CS in lower impacted wisdom teeth surgery, as well as different combinations of CS with other medications in order to reduce morbidity this such an intervention. Local application of CS is indicated in this treatment of gigantocellular lesions and can replace the surgical procedures. Conclusion: Corticosteroids have wide application in dentistry in their indicational areas.
{"title":"Application of corticosteroids in dentistry","authors":"G. M. Jovanović, M. Stojanović","doi":"10.5937/asn1878888j","DOIUrl":"https://doi.org/10.5937/asn1878888j","url":null,"abstract":"Corticosteroids (CS) are natural or synthetic hormones that affect nearly every aspect of human physiology. In the clinical sense, by reducing the symptoms of inflammation and immunosuppression, CS act symptomatically, decreasing problems of the underlying disease or the current state of the patient. According to application, corticosteroids are divided into topical, local and systemic way of use. Topical use of CS makes vasoconstriction, lowers mast cells degranulation, and reduces the permeability of capillaries reducing the amounts of released histamine from basophils and mast cells. The main goal of this therapy is to relieve or at least reduce pain in patients, which has an impact on overall health, nutrition, speech. Soft tissue inflammations that require the application of CS are: recurrent aphthous stomatitis, oral submucosal fibrosis, keloids and hypertrophic scars, mucocele; painful syndrome with manifestations in the head and neck: Bechet syndrome, pemfigoid syndrome, bullous pemfigoid,Oral Lichen planus, etc.; that reduces the need for taking analgetics .In oral surgery they are used for the treatment of the impacted wisdom teeth and other serious interventions which apart from analgesics (NSAIDS and narcotic analgesics) require CS in order to reduce trizmus, swelling and pain. There are numerous studies that suggest the time and route of the administration CS in lower impacted wisdom teeth surgery, as well as different combinations of CS with other medications in order to reduce morbidity this such an intervention. Local application of CS is indicated in this treatment of gigantocellular lesions and can replace the surgical procedures. Conclusion: Corticosteroids have wide application in dentistry in their indicational areas.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1888-1902"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dusan Surdilovic, El Sayed, T. Ille, Mohamed Hamed Said, P. Narain, Prabhu Manickam
Uvod: Zubi koji se pojavljuju u trenutku rođenja zovu se natalni zubi. Najčešći natalni zubi su donji mlečni sekutići.Tačan uzrok nastanka natalnih zuba nije poznat, ali se kao mogući faktori pominju infekcije, trauma, hormonska stimulacije itd.Imajući u vidu da postoji mogućnost aspiracije kao i otežana ishrana bebe, najčešće su indikovani za ekstrakciiju. Prikaz slučaja: Novorođenče staro jedan dan sa zubima u donjoj vilici poslato je na Odeljenje za dečiju stomatologiju u Thumbay u Dubaiju., u Ujedinjenim Arapskim Emiratima. Konstrukcija krunice bila je pričvršćena za desni sa mobilnošću II stepena (Millerova klasifikacija) Školjkasta gleđna struktura natalnih zuba je uklonjena parodontalnom kiretom, obazrivo, da se ne povredi zametak mlečnog sekutića. Vitamin K u dozi od 1 mg dat je IM u anterolateralni predeo butine novorođenčeta dva sata pre hirurškog tretmana.Postoperativni tok protekao je uredno Zaključak: Natalni zubi su retka pojava, međutim, nisu nepoznati kod novorođenčadi,Ekstrakcija je prva opcija tretmana, što je pre moguće, uzimajući u obzir sve komplikacije, uz obaveznu administraciju vitamina K .
引言：出生时长出的牙齿被称为天生的牙齿。Najčešći natalni zubi su donji mlečni sekutići.Tačan uzrok nastanka natalnih zuba nije poznat，ali se kao moguć我faktori pominu infekcije，创伤，hormonska stimulacije itd。考虑到抽吸和婴儿的食物一样困难，通常需要提取。病例现场：一位下颌有牙齿的老约会对象被送往迪拜Thumbay的儿童口腔科。在阿拉伯联合酋长国。牙冠的结构附着在二级（米勒分类）学校的活动右侧。出生牙齿结构的视图通过牙周裙小心地去除，这样就不会破坏乳区。维生素K u dozi od 1 mg，我在新冠肺炎前外侧注射。手术后的流程已经得到了正确的结论：Natal牙齿很罕见，但在新生儿中尚不清楚，拔牙是第一种治疗选择，考虑到所有并发症，必须服用维生素K。
{"title":"Hemorrhage control, infection prevention and application on anesthetics in exodontia of natal teeth","authors":"Dusan Surdilovic, El Sayed, T. Ille, Mohamed Hamed Said, P. Narain, Prabhu Manickam","doi":"10.5937/ASN1877813S","DOIUrl":"https://doi.org/10.5937/ASN1877813S","url":null,"abstract":"Uvod: Zubi koji se pojavljuju u trenutku rođenja zovu se natalni zubi. Najčešći natalni zubi su donji mlečni sekutići.Tačan uzrok nastanka natalnih zuba nije poznat, ali se kao mogući faktori pominju infekcije, trauma, hormonska stimulacije itd.Imajući u vidu da postoji mogućnost aspiracije kao i otežana ishrana bebe, najčešće su indikovani za ekstrakciiju. Prikaz slučaja: Novorođenče staro jedan dan sa zubima u donjoj vilici poslato je na Odeljenje za dečiju stomatologiju u Thumbay u Dubaiju., u Ujedinjenim Arapskim Emiratima. Konstrukcija krunice bila je pričvršćena za desni sa mobilnošću II stepena (Millerova klasifikacija) Školjkasta gleđna struktura natalnih zuba je uklonjena parodontalnom kiretom, obazrivo, da se ne povredi zametak mlečnog sekutića. Vitamin K u dozi od 1 mg dat je IM u anterolateralni predeo butine novorođenčeta dva sata pre hirurškog tretmana.Postoperativni tok protekao je uredno Zaključak: Natalni zubi su retka pojava, međutim, nisu nepoznati kod novorođenčadi,Ekstrakcija je prva opcija tretmana, što je pre moguće, uzimajući u obzir sve komplikacije, uz obaveznu administraciju vitamina K .","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1813-1820"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Stojković, Marija Igić, Olivera Tričković-Janjić, Simona Stojanović, M. Topalović
Introduction: as a process of determining the likelihood of developing a new carious lesion in a given person within a specific period of time and/or the likelihood of changes occurring in severity and/or activity within existing lesions. In the last decades, the emphasis has been put on personalized preventive approach that provides individual estimation of caries risk. The aim: The aim of this study was to emphasize the significance and possibilities of caries risk assessment in children. Conclusion: Further research in this field should be aimed at distinguishing unique caries risk factor or the combination of factors that would show high caries predictive importance, and to allow very early identification of an individual/population group at risk before a clinical manifestation of the disease.
{"title":"Significance and possibilities of caries risk assessment in children","authors":"B. Stojković, Marija Igić, Olivera Tričković-Janjić, Simona Stojanović, M. Topalović","doi":"10.5937/ASN1877832S","DOIUrl":"https://doi.org/10.5937/ASN1877832S","url":null,"abstract":"Introduction: as a process of determining the likelihood of developing a new carious lesion in a given person within a specific period of time and/or the likelihood of changes occurring in severity and/or activity within existing lesions. In the last decades, the emphasis has been put on personalized preventive approach that provides individual estimation of caries risk. The aim: The aim of this study was to emphasize the significance and possibilities of caries risk assessment in children. Conclusion: Further research in this field should be aimed at distinguishing unique caries risk factor or the combination of factors that would show high caries predictive importance, and to allow very early identification of an individual/population group at risk before a clinical manifestation of the disease.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"34 1","pages":"1832-1841"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Gligorijević, M. Kostić, Ana Tačić, L. Nikolić, V. Nikolić
Introduction. Porosity and surface adherence of acrylates make them collectors of infectious content from the mouth. This applies particularly to cold-curable acrylates, whose structure is less compact. The aim of this study was to investigate the antimicrobial effects of cold polymerized dental acrylics after impregnation with silver nanoparticles. Material and Methods. Different concentrations (2%, 5% and 10%) of silver nanoparticles were added to the polymer components (powder) of cold polymerizing acrylate, after which disk-shaped samples, 10 mm, in diameter, were made. A disk of silver nanoparticles was used as a control for our study. Antimicrobial activity was investigated using the disc diffusion method on the two most common oral cavity infecting agents - Gram positive bacterium, Staphylococcus aureus ATCC 25923, and fungus Candida albicans ATCC 2091. The results have shown that the control sample as well as the samples of silver impregnated acrylics resins exhibit antibacterial activity. The growth zone inhibition of Staphylococcus aureus in the culture medium is proportional to the concentration of silver nanoparticles in the cold curing acrylic resin. On the other hand, the test samples did not inhibit the growth of Candida albicans in the medium. Conclusion. Silver nanoparticles in cold curing acrylic resin demonstrated antibacterial activity. Expanding their antimicrobial spectrum of activity and their potential clinical application will be the subject of the future research.
{"title":"Antimicrobial properties of acrylic resins for dentures impregnated with silver nanoparticles","authors":"N. Gligorijević, M. Kostić, Ana Tačić, L. Nikolić, V. Nikolić","doi":"10.5937/ASN1775696G","DOIUrl":"https://doi.org/10.5937/ASN1775696G","url":null,"abstract":"Introduction. Porosity and surface adherence of acrylates make them collectors of infectious content from the mouth. This applies particularly to cold-curable acrylates, whose structure is less compact. The aim of this study was to investigate the antimicrobial effects of cold polymerized dental acrylics after impregnation with silver nanoparticles. Material and Methods. Different concentrations (2%, 5% and 10%) of silver nanoparticles were added to the polymer components (powder) of cold polymerizing acrylate, after which disk-shaped samples, 10 mm, in diameter, were made. A disk of silver nanoparticles was used as a control for our study. Antimicrobial activity was investigated using the disc diffusion method on the two most common oral cavity infecting agents - Gram positive bacterium, Staphylococcus aureus ATCC 25923, and fungus Candida albicans ATCC 2091. The results have shown that the control sample as well as the samples of silver impregnated acrylics resins exhibit antibacterial activity. The growth zone inhibition of Staphylococcus aureus in the culture medium is proportional to the concentration of silver nanoparticles in the cold curing acrylic resin. On the other hand, the test samples did not inhibit the growth of Candida albicans in the medium. Conclusion. Silver nanoparticles in cold curing acrylic resin demonstrated antibacterial activity. Expanding their antimicrobial spectrum of activity and their potential clinical application will be the subject of the future research.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"33 1","pages":"1696-1702"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71200981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Uvod: Duža postoperativna anestezija postiže se upotrebom lokalnih anestetika dugog dejstva,kao što su ropivakain i bupivakain. U različitim hirurškim granama, duži bezbolni postoperativni period postiže se kombinacijom ropivakaina sa deksametazonom. Cilj rada bio je utvrditi kakav efekat na dužinu trajanja lokalne anestezije ima kombinacija 0,75% ropivakaina sa dodatkom deksametazona u toku i posle oralnohirurških operacija. Materijal i metode: Na Odeljenju oralne hirurgije Klinike za stomatologiju u Nišu, u toku 2017. godine, ispitivanjem je obuhvaćeno 12 pacijenata koji su podeljeni u 2 grupe: studijsku grupu od 6 pacijenata , koji su prilikom anestezije dobili 4 ml 0,75% rastvora ropivakaina i 1 ml deksazona od 4mg i kontrolnu grupu od 6 pacijenata koji su primili 4 ml 0, 75% rastvora ropivakaina. Statistička obrada podataka rađena je u programu SPSS 15.0. Rezultati:Vreme pojave prvih znakova anestezije, utvrđenih testom senzitivne osetljivosti mekih tkiva (usne i gingive) u studijskoj grupi bilo je 1,5 min, a u kontrolnoj 2,66 min. Vreme nastupanja potpune anestezije tj. potpune neosetljivosti mekih tkiva u studijskoj grupi bilo je 3,5 min, a u kontrolnoj 4,66 min. Vreme za koje su pacijenti još uvek osećali dejstvo anestezije u studijskoj grupi iznosilo je 625, 5 min što ima i statističku značajnost (p < 0.01), dok je u kontrolnoj grupi taj period bio oko 290 min. Zaključak: Male doze deksametazona dodatih lokalnom anestetiku mogu smanjiti potrebu za dodatnom anestezijom i analgetskom terapijom u prvia 24 sata posle teških oralno hirurških operacija.
引言：术后长时间麻醉是通过罗哌卡因和布比卡因等长效局部麻醉剂实现的。在不同的外科分支中，罗哌卡因和地塞米松的组合可以实现较长的术后期。Cilj rada bio je utvrditi kakav efekat na dužinu trajanja lokalne anestezije ima kombinacija 0,75%的ropivakaina是一个很好的运营商。材料和方法：2017年在尼沙口腔医院口腔外科。该研究包括12名患者，分为两组：一组为6名患者，接受4 ml 0.75%罗哌卡因溶液和1 ml 4mg地塞米松，另一组为对照组，6名患者在麻醉期间接受4 ml 0.75%罗哌嗪溶液。数据的统计处理在SPSS 15.0程序中进行。结果：通过软组织（嘴唇和生姜）敏感性测试确定，研究组首次出现麻醉迹象的时间为1.5分钟，控制2.66分钟。研究组完全麻醉的时间，即完全软组织不敏感的时间为3.5分钟，控制4.66分钟。研究组患者仍感到麻醉的时间为625.5分钟，具有统计学意义（p<0.01），而对照组患者的麻醉时间约为290分钟。最后，在严重口腔手术后的前24小时内，在局部麻醉剂中加入小剂量地塞米松可以减少对额外麻醉剂和镇痛治疗的需求。
{"title":"Analysis of efficacy of adding dexamethasone to ropivacaine in oral surgery","authors":"Simona Stojanović","doi":"10.5937/ASN1776754S","DOIUrl":"https://doi.org/10.5937/ASN1776754S","url":null,"abstract":"Uvod: Duža postoperativna anestezija postiže se upotrebom lokalnih anestetika dugog dejstva,kao što su ropivakain i bupivakain. U različitim hirurškim granama, duži bezbolni postoperativni period postiže se kombinacijom ropivakaina sa deksametazonom. Cilj rada bio je utvrditi kakav efekat na dužinu trajanja lokalne anestezije ima kombinacija 0,75% ropivakaina sa dodatkom deksametazona u toku i posle oralnohirurških operacija. Materijal i metode: Na Odeljenju oralne hirurgije Klinike za stomatologiju u Nišu, u toku 2017. godine, ispitivanjem je obuhvaćeno 12 pacijenata koji su podeljeni u 2 grupe: studijsku grupu od 6 pacijenata , koji su prilikom anestezije dobili 4 ml 0,75% rastvora ropivakaina i 1 ml deksazona od 4mg i kontrolnu grupu od 6 pacijenata koji su primili 4 ml 0, 75% rastvora ropivakaina. Statistička obrada podataka rađena je u programu SPSS 15.0. Rezultati:Vreme pojave prvih znakova anestezije, utvrđenih testom senzitivne osetljivosti mekih tkiva (usne i gingive) u studijskoj grupi bilo je 1,5 min, a u kontrolnoj 2,66 min. Vreme nastupanja potpune anestezije tj. potpune neosetljivosti mekih tkiva u studijskoj grupi bilo je 3,5 min, a u kontrolnoj 4,66 min. Vreme za koje su pacijenti još uvek osećali dejstvo anestezije u studijskoj grupi iznosilo je 625, 5 min što ima i statističku značajnost (p < 0.01), dok je u kontrolnoj grupi taj period bio oko 290 min. Zaključak: Male doze deksametazona dodatih lokalnom anestetiku mogu smanjiti potrebu za dodatnom anestezijom i analgetskom terapijom u prvia 24 sata posle teških oralno hirurških operacija.","PeriodicalId":39229,"journal":{"name":"Acta Stomatologica Naissi","volume":"33 1","pages":"1754-1762"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71201086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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