Injection anesthesia use frequency in treatment of primary and permanent teeth pulpitis

Aim. To analyze the injection anesthesia use frequency in the treatment of primary and permanent teeth pulpitis by paediatric dentists of Republic of Tatarstan, Mari El and Chuvashia according to survey results.

Methods. 202 pediatric dentists participated in questionnaire survey.

Results. 89.55±2.64% of specialists use devital amputation method in Tatarstan, 94.12±2.85% - in other regions. Significantly more doctors use vital extirpation (85.29%) and vital amputation (41.17%) in the permanent teeth treatment in regions than in Tatarstan (69.40 and 25.37%, respectively). 76.47% of doctors in regions and 54.47% in Tatarstan (p <0.01) use injection anesthesia in the treatment of permanent teeth pulpitis in their daily practice. Injection anesthesia is used by 20.15% of dentists in Tatarstan and 26.47% in regions when treating primary teeth. Percentage of specialists who do not use anesthesia in their practice is greater In Tatarstan - 29.10% (8.82% in other regions). Less than 10% of physicians use infiltration anesthesia, conduction and periodontal methods. The main reasons of doctors refusal from the use of injection anesthesia in children - a child’s behavior, which does not allow to perform the procedure, fear of complications and paediatric dentists belief in the absence of its necessity.

Conclusion. Low percentage of injecting anesthesia use in pediatric dentistry was revealed, especially in the primary teeth treatment; there is a need for dentists motivation to wider use of injection techniques of analgesia in the pulpitis treatment by raising awareness, what will allow to use more advanced methods of pulpitis treatment, reduce number of visits and treat more efficiently and painlessly.