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PRESCRIPTION OF MEDICINES IN DENTISTRY -TIPS FOR BEGINNERS — Transcript

by DENTISTRY ’N MORE · 2,295 words · 463 segments · language en · Watch on YouTube

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0:10hello everyone welcome back to another
0:11session in industry and more
0:13so today's topic is drex it's
0:16prescription and dentistry so this video
0:19is to help
0:21the recent passwords or the interns or
0:24the final years
0:25those who are
0:27just started or recently started
0:30prescribing tricks and with or having a
0:32lots of confusion regarding how to
0:35prescribe tricks on what dosage
0:38so all those things will be cleared in
0:40this session so i'm going to explain you
0:42in scenario-wise scenario
0:45first i'm going to give you a idea about
0:47the common chief complaints then the
0:49common directs and finally the
0:52scenario however so this is to give a
0:54comprehensive idea about the drug
0:56prescription and 90 percentage of the
0:59problems you might encounter in your
1:01dental clinics or departments
1:05so this video explores the common dental
1:08scenarios where the trek prescription is
1:10mandatory
1:12so let's see what are the common
1:14scenarios or chief complaints when we
1:16need to
1:17prescribe drugs for the patient
1:20the first thing is pain
1:22there is a first and foremost chief
1:25complaint a patient comes to a dentist
1:28pain can be slight pain moderate pain
1:30severe pain throbbing pain so many
1:32varieties of pain are there
1:35and another type is pain
1:37due to ulcer
1:40next uh scenario is
1:43swelling and infection
1:45infection and swelling
1:49is
1:50like if swelling is a definitely
1:51infection will be there
1:53so that is another scenario with or
1:55without pus discharge so it can be
1:59swelling and pus discharge without pain
2:02or it can be pain swelling and pus
2:05together
2:06so that is the second scenario
2:09next scenario is
2:11the post surgical
2:13uh direct prescription that is uh we
2:16have done
2:17a normal extraction
2:20normal forceps extraction and we need to
2:23prescribe drugs to prevent any
2:26complications or any infection
2:29and another scenario where we have
2:33done
2:34a surgical extraction that is uh
2:37an impacted canine
2:40extraction
2:42by bone cutting or third molar
2:45impaction
2:46so where we need to
2:48prescribe more drugs than the normal
2:51then we may face
2:53uh patients with tmj problems
2:56uh christmas or mouth opening difficulty
3:00or such problems that is a tmg
3:01associated problems
3:04then
3:05we can also
3:06encounter patients with
3:09leukoplakia lichen planners or such
3:12autoimmune diseases
3:14and lastly our patients with halitosis
3:18or bleeding gums
3:23so these
3:25comprises almost 90 percentage of the
3:28scenarios now i am going to explain you
3:31about the drugs
3:35we are supposed to
3:36use in most of the conditions
3:39so i am going to give you the scenario
3:41wise prescription
3:43in detail so first let me tell you about
3:45the drugs
3:47so commonly used uh painkillers are
3:49paracetamol
3:52uh diclofenac
3:53mefenomic acid
3:56and
3:57ibuprofen
3:59next thing is for infection that is most
4:02commonly used amoxillin
4:04or the combination amoxillin and
4:06clavulinic acid
4:09in association with if there is
4:11anaerobic infection we need to use
4:13metronodizer so it all comes under
4:15antibiotics
4:17and also for
4:18infection control
4:20then we have a common trick which should
4:22be given along with antibiotics to
4:25prevent
4:26the side effect of antibiotics that is
4:28gastric irritation
4:29as a side effect of most of the
4:31antibiotics so we need to give
4:32ranitidine along with
4:34this
4:36antibiotics
4:37then we have ceresho peptidase group
4:42the rest of peptidase uh
4:44is another group of tricks
4:46then we have
4:47muscle relaxant that is a chloroxy zone
4:51is another group of trick
4:54and
4:55for ulcer pain
4:56we can give lignocaine or
4:59lidocaine
5:00topical gel
5:03and
5:04for autoimmune diseases we can give
5:08steroids
5:09triumphs and along we can prescribe
5:13now let's start the
5:15first scenario patient comes to you
5:18with
5:19normal pain
5:20the pain is very minimal
5:23but intermittent type
5:25there's no much diagonal variation
5:27there's no much postural variation
5:30so in such case you can give a simple
5:33paracetamol 500 mg
5:36mostly you need to give sos that is
5:39whenever he needs you can take one
5:42but it should not cross uh three to four
5:44decks
5:46per day
5:47so maximum he can take it up
5:49six hours daily that is maximum four
5:52tricks
5:53paracetamol you can give or
5:56dichlorofenic that is
5:5850 mg you can give
6:00or mephenamic acid again 500 mg
6:04and ibuprofen is 400 mg
6:08so all this can be given just for
6:11uh normal pain that is pain without a
6:14much
6:15symptoms
6:16that could be due to a reversible
6:18proprieties or any other
6:21problems
6:23if the pain is moderate moderate means a
6:26patient has
6:28starting of reverse irreversible
6:29pulpitis
6:31pain is a little bit moderate not very
6:34dull or throbbing type
6:36so in that case you can give a
6:38combination of paracetamol and
6:40diclofenac that is a combination
6:43will be in range of
6:46500 mg paracetamol and 50 mg diclofenac
6:49so we'll get many combinations so that
6:52can be given in moderate
6:55uh scenario pain scenario if the pain is
6:58very severe you can go for
7:00centrally acting tramador that is
7:02combination of paracetamol and tramadol
7:05paracetamol 500 mg and trimodal 50mg so
7:09mostly sometimes you can give
7:11painkillers three days
7:13[Music]
7:15three times a day but mostly i suggest
7:18uh painkillers are just for pain if the
7:21patient is relieved of pain he can stop
7:23it
7:23not like antibiotics so mostly give sos
7:27whenever he needs we can take one
7:30so that is related to pain
7:33so
7:34for slight pain uh one trick can be
7:37given at a time paracetamol
7:38dichlorofenic ibuprofen or phenomic acid
7:41you can just write the generic name no
7:43native brand name brand name changes or
7:45varies from
7:47place to place because uh parastemol
7:50will be known with many other names
7:53in one district it has got different
7:55name another district another name so i
7:57cannot uh suggest a particular trick or
8:00tell a brand name
8:02in a public platform
8:05so you can
8:06just write the generic name whenever
8:09you need no need to write the brand name
8:11so that is a pain scenario moderate pain
8:13you can uh go for a combination of
8:15parastomal and dichlorofenic again sos
8:20for severe pain paracetamol and tramadol
8:22combination
8:24the second scenario patient comes to you
8:27with
8:28swelling that is an infection is there
8:32pain
8:33infection but no pus sometimes pain
8:35won't be there if pain is not there you
8:36don't need to give painkillers
8:39but if swelling is there
8:41if you uh clinically diagnose
8:44infection presence of infection you need
8:46to start amoxilin
8:48so normally plane amox is fine but
8:51infection is maybe two to three days
8:55uh you need to give for uh give
8:58amoxillin and clavonic acid combination
9:00that is uh much more
9:03comparatively effective in such cases
9:06so normally amox will be given plane
9:09amoks will be given in post uh
9:12extraction scenario that is in
9:13extraction
9:15uh we give barista more three days
9:18then amox 500 mg three days
9:22three times
9:23tid
9:24then we can give
9:26the rhinitin
9:29this amox
9:30should be after food
9:32and this ranitidine that is to pre
9:34orgastic irritation should be
9:36uh two times daily uh as long as you
9:41take this amoxillin that is three days
9:44morning one
9:46night one that is before foot
9:48that is
9:49total six tablets
9:52so the
9:54most important thing with the
9:55antibiotics unlike the painkillers you
9:57need to prescribe
10:00and you need to
10:01force the patient to take it on a full
10:04course not uh stopping in between
10:06because the next time the patient will
10:08be having resistance to
10:10that drug and it will not be effective
10:13in that patient
10:14now we'll come back to this swelling
10:16case so where we need to give amoxilin
10:19and clavinic acid mostly it is like a
10:22mox class 625
10:24we can give for three days or five days
10:27tid that is thrice a day
10:30depending upon the severity
10:32and if there is first discharge you need
10:34to prescribe metro need a soul that is
10:37400 mg
10:39mostly it is thrice a day some people
10:41give twice a day
10:45so we can give three days or four days
10:47that is metro neanderthal 400 mg
10:51so that is a
10:52scenario of infection with bus or two to
10:55three days
10:57uh
10:58prolonged infection because the uh
11:01aerobic bacteria would have changed to
11:03an aerobic bacteria that is a causative
11:06organisms will be changing to the
11:08anaerobic one
11:10if the infection is in a chronic state
11:13so in anaerobic bacteria we need to give
11:16metronome dissolve for an acute
11:18infection or a new infection we can just
11:20prescribe
11:22the amoxillin or mox class 625 it is a
11:25combination of glavonic acid
11:27so in such cases we need to give
11:30paracetamol there is a painkiller three
11:33days
11:34more clouds six twenty five three days
11:37or five days
11:38and
11:39our ranitridine
11:41three days again twice a day
11:44then the metro gel or the metronome
11:45dissolved 400 mg three days that is the
11:48case in
11:51infection
11:54now we have sometimes a scenario where
11:58patient underwent
11:59a
12:01surgical extraction of impacted third
12:04molar
12:05in such cases
12:07we need to add s ratio peptides
12:11to reduce the bone swelling okay
12:15so if
12:16serratu peptidase is not prescribed the
12:19bone swelling take more time to get
12:21reduced
12:22so in that case you need to add sriracha
12:25peptidase that is a 10 mg for three days
12:29now you can give twice a day or thrice a
12:31day
12:32both are acceptable 10 mg seratio
12:34peptidase in case of surgical extraction
12:37to reduce the bone swelling
12:41that is again
12:42painkillers the moxillin
12:46and
12:47mox or moxcloud depends upon the person
12:50to person
12:51and the severity of infection then the
12:53rhinitine
12:54then
12:55if uh
12:56metronome gel or metronome dissolved
12:58sometimes not required can give no
13:01problem
13:02metronome dissolve and along with that
13:04stereochemistry peptidase 10 mg
13:06for three days
13:08so that is the case where bone swelling
13:10is expected
13:13now we have
13:15a muscle relaxant muscle relaxant where
13:18patient is having a tmj problem so
13:21muscle relaxation is to relax the
13:23muscles of mastication that is
13:25temporalis masseter middle and lateral
13:28terry gold so these all are attached
13:30with the tmj so we are going to relax
13:32the muscle so most commonly clorox is on
13:35500 mg is given maybe for one week
13:39but the problem with this muscle
13:41relaxant it is uh the side effect is
13:43drowsiness
13:44and
13:46such dizziness drops in his problems are
13:48there so mostly it is given once a day
13:50that is at night so if patient with uh
13:54this christmas or
13:56uh limited joe opening or mouth opening
13:58problem you can prescribe chlorexis on
14:03in number that is once a day that is
14:05especially at night
14:09so that is muscle relaxant but mostly
14:10muscular accident comes along with a
14:13painkiller so there will be always uh
14:16paracetamol methanoic acid or
14:18dichlorofenic along with muscle action
14:20so you don't need to prescribe an
14:22additional
14:23painkiller so you can just give
14:26uh like loc mr so always mr will be
14:29there along with the brand name where
14:31the mercedes accent is there so only
14:33thing is you need to prescribe ask the
14:35patient to take it at night because of
14:37this side effect
14:39that is the next scenario
14:42and we have uh ulcer so sometimes
14:45patient comes with ulcer
14:47so in that case uh topical gels are
14:49available lignocaine and lidocaine gel
14:51so these gel are anesthetic gels and
14:55anti-inflammatory gels so it can be
14:58applied
15:00so many other dendrogel many names are
15:03there colon salicylate so many other
15:06so you can just prescribe dendrogel or
15:08anesthetic gel so if you write a generic
15:11name also the patient is able to get the
15:14same from the medicine you don't need to
15:15write the brand name
15:17so that is regarding also pain
15:20then
15:21lastly we have the
15:24steroids corticosteroids that is triumph
15:26syndrome which is commonly used for the
15:28autoimmune condition such as leukoplakia
15:31or lichen planus
15:33where
15:34fifty percentage uh triamcinolone
15:36topical
15:37uh can be applied
15:39and if it is a drug it can be given
15:41twice a day for 15 days
15:44that is regarding the autoimmune problem
15:46that is the steroids
15:48for the leukoplakia lichen planus
15:50problem
15:51now lastly
15:52we have
15:55the halitosis or bleeding gums
15:57issues in such cases we can prescribe
16:00chlorhexidine
16:01cloroxidine
16:03will be helpful for the hyalitosis and
16:06bleeding gum problems only the patient
16:09is undergoing a proper cleaning that is
16:11a scaling procedure otherwise it won't
16:13be much effective
16:15so
16:16so that is all about the common
16:17scenarios and the trick prescription
16:20so this is uh basically aimed to
16:24help the recent passouts or
16:27finally students where they are having a
16:30lots of confusion how to prescribe
16:32tricks and what are the dosages and what
16:33is the
16:35sequence
16:36so only thing is to identify or diagnose
16:40the problem whether you are asked from
16:43your relatives or your friends or family
16:46so that's all about
16:48drugs
16:49into industry the commonly used drug
16:51center industry drugs in dentistry is a
16:53very very vast topic
16:55it's pharmacology pharmacokinetics side
16:58effects
16:59so i have not gone in detail i just want
17:02to give a comprehensive idea about
17:06the common
17:07dental scenarios and the drug
17:09prescription so this means you need to
17:12identify the problem properly if the
17:14pain is there
17:15the intensity of pain the nature of pain
17:17you need to understand and you can give
17:19a plain one a combination one or a
17:22trauma roll combination and regarding
17:24the swelling
17:25you need to know whether there is a pus
17:28and its duration acute or chronic nature
17:30and in surgical extraction case if it is
17:32a normal extraction
17:34of it is a
17:35bone cutting extraction you might need
17:38to
17:38add a serrature peptidase along with
17:40that
17:41and for tmj you need to prescribe a
17:43muscle accent
17:45and regarding the ulcer pain
17:48so i'll come up with a new topic and
17:50industry and more thank you
17:54[Music]
18:03you

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