The Use Of Medication In The Dental Practice - Basic Principles - Dental Online College
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The Use Of Medication In The Dental Practice - Basic Principles

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Dr. Dr. Tröltzsch

The speaker Dr. Markus Tröltzsch (Göttingen) provides a presentation about the use of medication associated with orofacial indications. First, he points out that the majority of infections in the orofacial region is due to odontogenic infections, which are usually caused by multiple bacteria. He notes that the effective concentration of all medicines taken orally is greatly reduced due to first pass metabolism.

For an extended list of odontogenic diseases and other indications associated with the orofacial or craniomandibular system, Dr. Tröltzsch discusses the recommended medicine and its dose (here the dose refers to a patient with a weight of 75kg and needs to be adjusted accordingly). The indications include toothache, apical infections, periodontitis, alveolitis sicca, submucous/subperiosteal abscess, sialadenitis, antibiotic prophylaxis, analgesic therapy after surgery, bone infections, sinusitis, craniomandibular disorders and infections of the mucosa. To relieve or prevent pain, usually, for odontogenic treatments the non-opioid analgesics Ibuprofen and Metamizole are administered.

In order to compensate for the adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on the gastric mucosa, these analgesics are given in combination with the drug Omeprazole/Pantoprazole. Omeprazole/Pantoprazole is a proton-pump inhibitor, which reduces gastric acid and protects the gastric mucosa. If stronger pain relief is needed, opioid pain killers may be used.

For the treatment of certain bacterial infections, the administration of antibiotics is required. In addition to the intake of medicine, in several cases like an abscess or sialadenitis, the expert emphasizes the need of cooling. Medication for pregnant patients is mentioned separately. During pregnancy, the number of medicines that can be applied is limited.

The expert

Dr. Dr. Markus Tröltzsch

Universität Göttungen und Praxis Dr. Dr. Tröltzsch in Ansbach

Dr. Tröltzsch studierte Zahnmedizin an der Universität Erlangen - Nürnberg bis 2005. Anschließend studierte er bis 2010 Medizin an der gleichen Universität. Währenddessen bildete er sich mit dem Curriculum für Ästhetische Zahnheilkunde der APW und an der Abteilung für Chirurgie der Universität Sydney und der Abteilung für Mund- Kiefer und Gesichtschirurgie der Universität Zürich weiter. Dr. Tröltzsch arbeitet in der Forschungsgruppe von Professor Messlinger (Abteilung für Physiologie der Universität Erlangen-Nürnberg), arbeitete an der Abteilung für Mund-, Kiefer und Gesic ...more »
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