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dc.contributor.authorDorofeev, Aleksey E.-
dc.contributor.authorSevbitov, Andrey V.-
dc.contributor.authorVasiliev, Yuri L.-
dc.contributor.authorPlatonova, Valentina V.-
dc.identifier.citationDorofeev A. E., Sevbitov A. V., Vasiliev Yu. L., Platonova V. V. Analysis of pain perception of elderly patients with different levels of anxiety during surgical dental appointment. Vestnik SPbSU. Medicine, 2017, vol. 12, issue 2, pp. 170–178.en_GB
dc.description.abstractElderly patients constitute a significant proportion of the population. All they need skilled dental care. Elderly patients constitute a significant proportion of the population. All at some point need skilled dental care. However, a significant proportion of patients are afraid of dental appointments. Premedication is prescribed for patients with high levels of anxiety before dental treatment. However, study of each patient’s medical history reveals a significant number of comorbidities limiting the use of medications for the prevention of stress and pain at a dentist’s appointment. This study evaluated the perception of pain of elderly patients with middle and high levels dentophobia during a surgical dental appointment. All patients who participated in the study live in geriatric center. All patients before tooth extraction surgery took the advice of a psychiatrist and neurologist. Patients with a high level of a dentophobia were given an over the counter premedication and local anesthesia with a solution of 4% articaine with vasoconstrictor in a dilution of 1:200000. Premedication was not administered for patients with a middle level of dentophobia, and local anesthesia was administered using a 3% mepivacaine solution without vasoconstrictor. Evaluation of pain perception was carried out by the following methods: electroodontodiagnosis, electromyography of facial muscles, Sound Eyes Motor Scale and the visual analogue scale. The results obtained using these methods have shown a reliable correlation between each other. The efficiency of premedication was proven as reducing the perception of pain of patients with high level of dentophobia. Refs 15. Figs 4.en_GB
dc.publisherSt Petersburg State Universityen_GB
dc.relation.ispartofseriesVestnik of St Petersburg University. Medicine;Volume 12; Issue 2-
dc.subjectelderly ageen_GB
dc.subjectlocal anesthesiaen_GB
dc.titleAnalysis of pain perception of elderly patients with different levels of anxiety during surgical dental appointmenten_GB
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