Friday, July 8, 2011

Some common drugs used in dentistry

Drugs to Control Pain and Anxiety
Local anesthesia, general anesthesia, nitrous oxide, or intravenous sedation is commonly used in dental procedures to help control pain and anxiety. Other pain relievers include prescription or nonprescription anti-inflammatory drugs, acetaminophen (Tylenol,paracetamol),NSAID(dolonex DT-piroxicam) and anesthetics.
Anti-inflammatory drugs
Corticosteroids are anti-inflammatory drugs that are used to relieve the discomfort and redness of mouth and gum problems. Corticosteroids are available by prescription only and are available as pastes under such brand names as Kenalog in Orabase, Orabase-HCA, Oracort, and Oralone(all containing triamnicilone).
Non steroidal anti-inflammatory drugs can also be prescribed like Mortin(ibuprofen),paracetamol etc.
dologel-choline salicylate(nsaid) nd lignocaine
Anesthetics
Dental anesthetics are used in the mouth to relieve pain or irritation caused by many conditions, including toothache, teething, and sores in or around the mouth (such as cold sores, canker sores, and fever blisters). Also, some of these medicines are used to relieve pain or irritation caused by dentures or other dental appliances, including braces.
Anesthetics are available either by prescription or over-the-counter and come in many dosage forms including aerosol spray, dental paste, gel, lozenges, ointments, and solutions. Dental anesthetics are contained in such brand name products as Anbesol, Chloraseptic, Orajel(benzocaine),and Xylocaine.
Note: Most benzocaine-containing medications used for teething may be used in babies 4 months of age and older. Most of the other nonprescription medicines that contain a dental anesthetic should be used only in children 2 years of age and older. Also, because the elderly are particularly sensitive to the effects of many local anesthetics, they should not use more than directed by the package label or the dentist. Anesthetics used for toothache pain should not be used for a prolonged period of time; they are prescribed for temporary pain relief until the toothache can be treated. Denture wearers using anesthetics to relieve pain from a new denture should see their dentist to determine if an adjustment to the appliance is needed to prevent more soreness.

Drugs to Control Plaque and Gingivitis

Chlorhexidine is an antibiotic drug used to control plaque and gingivitis in the mouth or in periodontal pockets (the space between your gum and tooth). The medication is available as a mouth rinse and as a gelatin-filled chip that is placed in the deep gum pockets next to your teeth after root planing. The drug in the gelatin-filled chip is released slowly over about seven days. Dental products containing this antibacterial are marketed under various prescription-only brand names, such as Peridex, PerioChip, and PerioGard, as well as other over-the-counter trade names.
cetyl pyridium chloride is also used to control plaque and gingivitis(orajel gum rinse)
Note: Chlorhexidine may cause an increase in tartar on your teeth. It may also cause staining of the tooth, tooth filling, and dentures or other mouth appliances. Brushing with a tartar-control toothpaste(containing triclosan or zinccitrate or pyrophospahtes) and flossing your teeth daily may help reduce this tartar build-up and staining. In addition, you should visit your dentist at least every six months to have your teeth cleaned and your gums examined. Be sure to tell your dentist if you have ever had any unusual or allergic reaction to this medicine or to skin disinfectants containing chlorhexidine.

Drugs Used to Treat Periodontal Disease

The doxycycline periodontal system (marketed as Atridox) contains the antibiotic doxycycline and is used to help treat periodontal disease. Doxycycline works by preventing the growth of bacteria. Doxycycline periodontal system is placed by your dentist into deep gum pockets next to your teeth and dissolves naturally over seven days.
Note: Tell your dentist if you have ever had any unusual or allergic reaction to doxycycline or to other tetracyclines. Use of doxycycline periodontal system is not recommended during the last half of pregnancy or in infants and children up to 8 years of age because the product may cause permanent discoloration of teeth and slow down bone growth. Use of doxycycline periodontal system is not recommended, if breastfeeding, since doxycycline passes into breast milk. This class of drugs also may decrease the effectiveness of estrogen-containing birth control pills, increasing the chance of unwanted pregnancy.

Dry Mouth Drugs

Pilocarpine(cholinergic), marketed as Salagan, may be prescribed by your dentist if you have been diagnosed with dry mouth. The drug stimulates saliva production.
Antibiotics
Antibiotics
Cefixime - 200mg Clavulanic acid - 125 mg
MAHACEF-CV 200
Amoxycillin Trihydrate I.P. eq. to Amoxycillin - 875 mg Clavulanate Potassium U.S.P. eq. to Clavulanic Acid - 125mg MOXIKIND- CV 1000
Amoxycillin - 500mg As Amoxycillin Trihydrate I.P.
MOXIKIND-500
Cefuroxime axetil - 500 mg
CEFAKIND-500
Tetracyclines (the class of drugs including demeclocycline, doxycycline,minocycline, oxytetracycline, and tetracycline), and the drug triclosan (marketed as Irgasan DP300) are also used in dentistry. These medications may be used either in combination with surgery and other therapies, or alone, to reduce or temporarily eliminate bacteria associated with periodontal disease, to suppress the destruction of the tooth's attachment to the bone or to reduce the pain and irritation of canker sores. Dental antibiotics come in a variety of forms including gels, thread-like fibers, microspheres (tiny round particles), and mouth rinses.

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