For citation: Put’ V.A., Solodky V.G., Reshetov I.V., Svyatoslavov D.S., Shaimiev N.I., Epifanov S.A., Charalampos M. Anesthesia in the outpatient practice of a dentist and maxillofacial surgeon. Sedation as efficacy and safety of treatment. Head and neck Head and neck. Russian Journal. 2019;7(3):58–63 (in Russian).
Doi: 10.25792/HN.2019.7.2.58–63
Background: Nowadays, the new technologies for lost dental functions diagnostics and engineering programs for treatment planning and prototyping are being actively developed. An interdisciplinary approach to complex clinical cases is the basis for creating a program of dental and maxillofacial rehabilitation.
Objective: to evaluate the results of medical sedation on an outpatient basis from the standpoint of efficacy and safety.
Material and methods: 3 groups of patients were observed: the first one contained healthy individuals, the second – patients with compensated comorbidity or severe psycho-emotional stress, the third – patients with concomitant sub-мcompensated and decompensated diseases.
Results: мethods of anesthetic management of intraoperative and postoperative patient monitoring were applied. The protocols of preprosthetic restorative surgery, immediate implantation and intraoperative direct prosthetics have been developed. The main condition was to maintain the function of the patient after the surgery. The clinic has introduced the basic safety principles in outpatient dental practice of various degrees of complexity.
Conclusion. The great attention of surgeons should be payed to anesthesia, especially for elderly patients. This is one of the key factors in the safety and effectiveness of the treatment.
Key words: preprosthetic reconstructive surgery, intraoperative immediate prosthetics, dental implantation, sedation, anesthesiology aid, treatment safety
The authors declare no conflict of interest. Source of financing: The work was financially supported by the Ministry of Education and Science of the Russian Federation: a subsidy for the implementation of complex projects for the creation of high-tech production as part of the implementation of the Government Decree of April 9, 2010 No. 218, line 8 on the topic “Creating high-tech digital production of precision metal complexes for implantation based on additive technologies ”, agreement number 03.G25.31.0234 from 03.03.2017.
For citation: Put’ V.A., Solodky V.G., Reshetov I.V., Svyatoslavov D.S., Shaimiev N.I., Epifanov S.A., Charalampos M. Anesthesia in the outpatient practice of a dentist and maxillofacial surgeon. Sedation as efficacy and safety of treatment. Head and neck Head and neck. Russian Journal. 2019;7(3):58–63 (in Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.
摘要
背景：如今，用于缺失的牙科功能诊断的新技术以及用于治疗计划和原型设计的工程程序正在积极开发中。针对 复杂临床病例的跨学科方法是创建口腔科和颌面康复计划的基础。目的：从疗效和安全性的角度评估门诊患者的 药物镇静效果。材料和方法：观察了3组患者，第一组包含健康个体，第二组包含具有并发症症或严重心理情绪压 力的患者，第三组包含伴有亚补偿和失代偿疾病的患者。结果：术中和术后病人情况监测的麻醉方法得到应用。 已经制定了修复前重建手术，即刻植入和术中直接修复的方案。主要条件是在手术后保持患者的正常生理功能。 该诊所已在各种复杂程度的门诊牙科实践中引入了基本安全原则。结论：外科医生应特别注意麻醉，特别是对于 老年患者。这是治疗安全性和有效性的关键因素之一。
关键词：修复前重建手术，术中即刻修复，种植牙，镇静，麻醉辅助，治疗安全
作者宣称没有利益冲突
资金来源：这项工作得到了俄罗斯联邦教育和科学部的财政支持：作为执行2010年4月9日第218号政府法令的一 部分，实施复杂项目以创造高科技产品的补贴。 主题为“基于添加剂技术创建用于植入的精密金属配合物的高科 技数字化生产”的第8行，协议编号为03.03.2017的协议编号03.G25.31.0234
引用：Put’ V.A., Solodky V.G., Reshetov I.V., Svyatoslavov D.S., Shaimiev N.I., Epifanov S.A., Charalampos M. Anesthesia in the outpatient practice of a dentist and maxillofacial surgeon. Sedation as efficacy and safety of treatment. Head and neck = Head and neck. Russian Journal. 2019;7(3):58–63 (in Russian).
作者对所提供数据的独创性以及发布说明性材料（表格，图表，患者照片）的可能性负责