Aspects and Problems of Local Anesthesia in Older Patients: State of the Question
https://doi.org/10.37586/2686-8636-3-2023-183-187
Abstract
Dental care is one of the types of medical care most demanded by various age groups of patients. In the process of human aging, pathological and dystrophic changes develop in all organs and tissues, including the tissues of the maxillofacial region, which increases the need for patients to contact various specialists. Older and oldest-old often have several chronic somatic diseases and age-related mental characteristics, for the treatment of which several groups of drugs are used simultaneously. In geriatric dentistry, anesthesia should be applied taking into account polypharmacy, somatic and cognitive health. When deciding on a dosing regimen and assessing the risks of local anesthesia, it is important to consider not only the length of each visit to the dentist but also the total number of visits required to achieve dental health.
About the Authors
E. V. Velichko
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Velichko Elina V., MD, PhD, Associate Professor of the Department of Pathophysiology, Institute of Biodesign and Modeling of Complex Systems,
Moscow.
Yu. L. Vasil’ev
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation; Kazan State Medical University
Russian Federation
Russian Federation
Vasil’ev Yury L., doctor of medical sciences, professor of the Department of Operative Surgery and Topographic Anatomy of the Institute of Clinical Medicine named after. N.V. Sklifosovsky; Professor of the Department of Orthopedic Dentistry,
Moscow;
Kazan.
S. A. Rabinovich
A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Rabinovich Solomon A., MD, PhD, professor, Head of the Department of Pain Management in Dentistry,
Moscow.
T. D. Babich
A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Babich Tatiana D., MD, PhD, Associate Professor, the Department of Pain Management in Dentistry,
Moscow.
O. P. Dashkova
A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Dashkova Olga P., MD, PhD, Associate Professor, the Department of Cariesology and Endodontics,
Moscow.
L. A. Zavodilenko
A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Zavodilenko Larisa A., MD, PhD, Associate Professor, the Department of Pain Management in Dentistry,
Moscow.
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Review
For citations:
Velichko E.V., Vasil’ev Yu.L., Rabinovich S.A., Babich T.D., Dashkova O.P., Zavodilenko L.A. Aspects and Problems of Local Anesthesia in Older Patients: State of the Question. Russian Journal of Geriatric Medicine. 2023;(3):183-187. (In Russ.) https://doi.org/10.37586/2686-8636-3-2023-183-187
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