Abstract
The article intends to study the risks of performing injection anesthesia for dentists experiencing chronic fatigue syndrome. Materials and methods used: The survey was conducted from August to November 2019 at various dental clinics of Moscow, with 308 dentists having filled in the questionnaire. Information source: The “Questionnaire on Assessing Injection Security and Chronic Fatigue Syndrome” was offered to dentists from clinics representing different types of ownership and contained 88 questions. Results: 97,14% of the respondents were feeling anxious while performing local anesthesia, yet, regrettably, 14,28% of them had to refer the patient to a dental surgeon for this procedure. 17,14% (n=53) of the 308 respondents noted that they had to confront the patient’s general condition worsening significantly due to a local anesthetic injection prior to the start of dental treatment. The mistakes made mostly had to do with anesthetic choice (26,73%), needle choice (12%), and needle breakage (3,78%). 17,14 per cent of dentists had the experience of confronting grave, even fatal outcomes of anesthesia. The majority of dentists (74,29%) work from 41,2 to 57,7 hours weekly. The risk of developing chronic fatigue syndrome was assessed as high in 11,43% of all cases. Conclusion: Given the absence of prophylaxis in 45,71% of cases related to anesthetic injection and the increased concentration of vasoconstrictor in the anesthetic in 88,57% of all instances, keeping records of complications caused by injection anesthesia is recommended.
Highlights
Conclusion: Given the absence of prophylaxis in 45,71% of cases related to anesthetic injection and the increased concentration of vasoconstrictor in the anesthetic in 88,57% of all instances, keeping records of complications caused by injection anesthesia is recommended
6. Врачи, имеющие длительный рабочий день — 14,29%, усугубляют свое состояние тем, что мало внимания уделяют состоянию здоровья: спортом занимаются 45,71%, от вредной привычки — курения — страдает 42,86%, самостоятельно лечатся 22,86%, при этом 43,22%, занимаясь самолечением, продолжают ходить на работу, 95,24% имеют заболевания опорно-двигательного аппарата и 14,28% имеют аллергию различной этиологии, что также может негативно сказываться на качестве лечения
Summary
По месту работы врачи распределились следующим образом: 47,96% (n=148) врачей-стоматологов работает в муниципальных поликлиниках, 52,04% (n=160) — в частных клиниках, из них 80% (n=246) К сожалению, 14,28% врачей все же направляют пациентов к хирургу-стоматологу для проведения местной анестезии, а 85,72% выполняют анестезию самостоятельно. Волнение при проведении местной анестезии испытывают 97,14% респондентов, особенно хирурги при проведении проводниковой анестезии в области нижней челюсти, и 2,86% при проведении проводниковой анестезии в области верхней челюсти, при этом 20% из них — стоматологи-хирурги, которые не могут обойтись без применения местных анестетиков каждый день.
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