Anestesia Local Odontológica y Embarazo
Anestesia Local Odontológica y Embarazo
Anestesia Local Odontológica y Embarazo
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ANESTESIA LOCAL ODONTOLÓGICA Y EMBARAZO. Articulo en XML
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Sano Jean, Colmenares Narhayber, Sakkal Antonieta,
Cedillo Marisabel, Duran Carlos Traducción automática
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Recibido: 23/06/2000
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Aceptado para publicación: 05/10/2000 Compartir
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Resumen:
Abstract:
The conservation of the welfare of the unit mothers-fetus, during the period
pregnancy, is the fundamental objective of the equipment of the health perinatal.
Traditionally, the dentist has offered the conservative options of the processing to women
pregnancy. At present, this no longer is thus; being been able to administer, of being
necessary, drugs that they permit the local anesthesia, being attributed few effects collaterals
and maintaining specials cares during the procedures. However, the majority of the
Obstetricians and Dentist prefer that the dental processing be practiced during the second
quarter, being maintained to the most minimum one said procedures during the other periods
of gestation.
Introducción
Anestésicos Locales
Los anestésicos locales impiden la producción del impulso nervioso actuando sobre la
membrana celular, su acción consiste en un bloqueo de la conducción nerviosa al reducir la
permeabilidad de la membrana a los iones sodio (9).
La duración de la acción de un anestésico local depende del tiempo de contacto real con
los tejidos nerviosos. Por tal motivo, los anestésicos locales llevan habitualmente un
complemento vasoconstrictor, en general adrenalina o noradrenalina. Sin embargo, es punto
de controversia el empleo de vasoconstrictores en fórmulas de anestésicos locales empleados
en odontología, por el peligro conocido de los efectos adversos después de la absorción
sistémica (4). Los vasoconstrictores disminuyen la velocidad de absorción sistémica del
anestésico, de forma que aumentan la duración del efecto anestésico, disminuye la dosis del
anestésico necesario, disminuye la hemorragia en el área infiltrada y disminuye el riesgo
general de la anestesia local (5).
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