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Analgesics general dentistry /certified fixed orthodontic courses by Indian dental academy

Analgesics general dentistry /certified fixed orthodontic courses by Indian dental academy



Welcome to Indian Dental Academy ...

Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients

State of the art comprehensive training-Faculty of world wide repute &Very affordable.



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    Analgesics general dentistry /certified fixed orthodontic courses by Indian dental academy Analgesics general dentistry /certified fixed orthodontic courses by Indian dental academy Presentation Transcript

    • ANALGESICS INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
    • www.indiandentalacademy.com
    • www.indiandentalacademy.com
    • Definition: IASP  Latin word “POENA” meaning “PUNISHMENT”  www.indiandentalacademy.com
    •  Nociception  Transduction  Transmission  Perception  Modulation www.indiandentalacademy.com
    • www.indiandentalacademy.com
    • Definition:  Greek word ANA-without , ALGESIA-pain  www.indiandentalacademy.com
    •  Opioid or Centrally acting or Narcotic  Nonopioid or Peripheral acting or non- narcotic www.indiandentalacademy.com
    •  Produce inhibition of neuronal activity  Inhibit release of neurotransmitters by closing voltage gated calcium channels  Activate descending inhibitory systems  Inhibit post synaptic neurons by increasing potassium channel conductance www.indiandentalacademy.com
    • Mu  Kappa  Delta  sigma  www.indiandentalacademy.com
    • Inhibit synthesis of prostaglandins  Inhibition of free radical formation  Inhibition of cytokine synthesis or cellular signaling mechanisms mediating inflammation  Inhibition of prostaglandins in hypothalamus, spinal cord and inhibiting nitric oxide synthesis in macrophages-PARACETAMOL  www.indiandentalacademy.com
    • OPIOIDS  Respiratory depression  Nausea and vomiting  Hypotension  Constipation  Urinary retention  Physical dependance  tolerance  www.indiandentalacademy.com
    • NSAIDS peptic ulcers, GI bleeding Na & water retention, renal failure Bleeding, agranulocytosis Asthma, skin rashes, pruritis, angioedema ASPIRIN: salicylism at doses of 3-6gms/day Reyes syndrome Acute salicylate poisoning  www.indiandentalacademy.com
    •  Persistent pain requires prophylactic therapy  Use oral medication whenever possible  Doses should be determined on individual basis  Keep it simple  Insomnia must be treated vigorously  Admission is sometimes necessary to achieve pain control  Balance between degree of relief and unwanted side effects www.indiandentalacademy.com
    •  Efficacy and ceiling effect  Speed of onset and duration of action  Specific side effects and metabolism  Dysphoria  Toxic metabolites  Partial agonists and mixed agonists and antagonists www.indiandentalacademy.com
    •  Clinician should know minimal number of drugs  Analgesic and antipyretic uses  Anti-inflammatory use  Consider substitution if there is no response with one drug  Avoid using multiple nsaids  Topical or systemic administration  Nsaids in pregnancy www.indiandentalacademy.com
    •  Severity of pain  Medical history  Known allergy www.indiandentalacademy.com
    • OPIOIDS  NSAIDS  www.indiandentalacademy.com
    • www.indiandentalacademy.com
    • Anti depressants  Anti convulsants  Alpha 2 adrenergic agonists  Anti epileptics  www.indiandentalacademy.com
    • www.indiandentalacademy.com
    • Essentials of medical pharmacology 5th edition- KD Tripathi  Post graduate medical journal(dec 1984)-Robert G Twycross  Clinical implications of cox-2 inhibitors for acute dental pain management-JADA 2005(136)  The efficacy of combination analgesic therapy for relieving dental painJADA 2002(133)  Drugs for pain management in dentistry- Australian dental journal 2005 (50)  Newer NSAIDS-A review of their therapeutic potential and adverse drug reactions Journal, Indian academy of clinical medicine 2002(3)  www.indiandentalacademy.com
    • Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com