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Depulpation of a dental element is a procedure that allows you to kill a painful nerve that worries the patient. This manipulation requires the use of special painkillers, one of which is arsenic. To necrotize the dental nerve, arsenic paste is placed into the canal. To achieve the desired effect, the product must be kept for a certain time. Therefore, it is very important to know how much arsenic should be kept in the dental element.

Application in dentistry

Arsenic paste is used in the treatment of pulpitis for the purpose of analgesic effects on the pulp. However, in this case there are indications and contraindications.

Arsenic must be used:

• when a patient may have an allergic reaction to an anesthetic drug;
• if the anesthetic drug used does not have the maximum effect;
• there is not enough time for the anesthetic drug to take effect;
• if the patient has recently suffered a heart attack;
• the patient has hypertension;
• the patient is under the influence of alcohol.

Contraindications:

• when the patient has an allergic reaction to arsenic or anesthetic drugs that contain arsenic;
• if a child under three years old needs dental treatment;
• tooth roots are not sufficiently formed;
• if the patient is diagnosed with glaucoma;
• when the patient has pathologies of the genitourinary system;
• perforation of the roots of dental elements was diagnosed.

You can find out how treatment with arsenic works here:

Video - Specialist about arsenic in teeth

Soft tissue bruise

Damage to soft tissue most often results in a bruise, which can be large as a result of a strong blow. Since there are soft tissues on every part of the body, bruises and bruises can appear everywhere. Soft tissues mean:

• muscles;
• subcutaneous tissue;
• leather.

If soft tissue is damaged, emergency assistance should also be provided to the victim, which implies knowing how long to keep the cold for such a bruise. The algorithm of actions includes the following activities:

1. Providing peace . The victim should be helped to find a comfortable position. If possible, it is better to lay it down.
2. Cooling compress . The most important thing is to know exactly how long you need to keep the ice on for a bruise. Typically, 15 minutes is enough to cool the injury site. If an extensive bruise has formed, the manipulation time can be extended to 20 minutes. Application of cold is a very important procedure, the purpose of which is to reduce swelling. If you don't have ice on hand, it is recommended to take a plastic bottle and fill it with cold water.
3. Pressure bandage . After the cooling procedure, it is necessary to apply a bandage to the injured part of the body.
4. Disinfection of the bruise site . Iodine treatment is required if there are abrasions or scratches in the area of ​​injury. In this case, the bandage must be sterile, and it is applied after using the disinfectant. This will help avoid complications such as infection.
5. Taking analgesics . If the pain is severe, it is recommended to give the victim a painkiller. If there is a suspicion that this is a fracture, then you should refrain from taking analgesics until the ambulance arrives.

It is not enough just to provide emergency assistance for bruises, and to know how long to keep the cold on the injury site so that bruising and swelling do not form. You should definitely consult a traumatologist to avoid serious consequences.

If the victim's condition begins to deteriorate, he must be transported to the trauma department. Signs of deterioration are:

• severe weakness;
• dyspnea;
• fainting;
• violation of movement functions.

If an injured person is diagnosed with difficulty breathing due to a spinal injury, chest or abdominal contusion, this is considered an alarming sign. It is important to transport the victim very quickly to a medical facility. This condition can be caused by:

• intestinal injury;
• the presence of internal bleeding;
• rupture of tendons or muscle fibers.

Such injuries require urgent and mandatory medical intervention.

Stages of treatment

The initiation of therapy must necessarily begin with an examination using an x-ray. Then, if the pathology is confirmed, the specialist opens the carious cavity and removes dead tissue. Arsenic paste is placed into the cleaned channel. The final steps include filling the dental element with a temporary filling. The doctor determines the duration of arsenic exposure. The second visit is characterized by the removal of arsenic from the tooth and the dead nerve is removed. This manipulation is absolutely painless.

How long should you keep arsenic paste in your tooth?

It is very important to determine how much arsenic should be kept. There are a lot of criteria here - the patient’s age, the drug used, pulp indicators (the drug is placed on a closed pulp or an open one). The average duration of exposure to arsenic on a nerve is 1 day. If multiple treatments are necessary, the doctor will increase the duration of action to two days.

If we are talking about the treatment of dental elements of children, then the extraction of arsenic should occur no later than 16 hours later.

Attention! There are modern medicines that contain arsenic. Their effect on the diseased nerve can be increased to five days.

General rules for marinating meat

Marinating meat products is a whole science; the final result depends on how correctly the process goes. To get a delicious kebab, use only fresh meat.

Signs of a fresh product:

• presence of uniform color;
• absence of foreign fragments, stains, shades;
• dark red color of lamb;
• red for beef, pink for veal and pork;
• light, soft pink color of poultry meat.

A fresh, pleasant, slightly perceptible smell is a sign of the freshness of the product. The presence of a pungent aroma should alert you and make you refuse such meat.

When a meat product is purchased several days before a picnic, you need to properly preserve it to prevent spoilage. Chilled meat is stored for 2 days on a refrigerator shelf at a temperature of 0 to -3 degrees (pork can be stored for up to 5 days under the same conditions).

General rules for marinating meat:

1. Cut the product into large, oblong pieces; this will save you from the difficulty of threading them onto skewers. Make the pieces approximately the same size so the meat will cook evenly.
2. To improve the interaction between onions and meat, you need to puree them (use only the juice obtained) or cut the onions into traditional rings.
3. Add a small amount of vegetable oil, it will take the aromas of the spices and release them to the meat.
4. Add salt when the dish is ready, otherwise it will turn out dry. Another option for adding salt is to add salt to the pre-chopped onions (this will release more juice).
5. Marinate in containers made of glass, ceramics, or enameled metal. Do not use aluminum, it can oxidize.
6. The time for marinating shish kebab varies; some recipes require the meat to be in the marinade for about an hour, others require 24-hour aging. Store food marinated for longer than 60 minutes on a shelf in the refrigerator or basement.

Recommendations

Since arsenic paste is poisonous, safety rules must be followed. It is important to come to your next appointment at the time agreed with your doctor. First of all, follow this list of rules:

1. Maintain the integrity of the temporary filling. Initially, the filling is made airtight, so arsenic acts exclusively on the diseased nerve. If the integrity of the filling is damaged, arsenic comes out and affects the surrounding tissues. As a result, an inflammatory process occurs, which is accompanied by painful sensations.
2. Do not exceed the period of exposure to arsenic.
3. The specialist should not make a mistake with the dosage of the product.

What to do if you experience discomfort?

Often the patient may experience discomfort when exposed to arsenic, to minimize anxiety, it is recommended:

• rinse your mouth with soda solution if there is a sour taste. In this way, the acidic effect can be neutralized and burns can be avoided;
• after arsenic is introduced into the tooth, pain may occur; a glass of warm milk will be required to relieve it. To do this, hold the milk in your mouth for a few seconds, and then drink the drink completely.

Reference! Milk, namely the protein it contains, quickly removes arsenic from the body.

Head contusion

Head injuries are very dangerous and have serious consequences. A fall or blow to the head can cause a concussion. In this case, it is important to provide medical assistance to the victim very quickly and competently. But not every person is familiar with the algorithm of actions for such an injury, and many doubt whether it is possible to apply ice to the head for bruises.

A concussion is considered a mild degree of brain damage. The victim is diagnosed with:

• attacks of nausea;
• headache;
• dizziness;
• short-term loss of consciousness.

If a person hits his head and the blow is very strong, he is diagnosed with damage to brain tissue. Typical symptoms in this case will be the following:

• unbearable headache;
• repeated vomiting;
• loss of consciousness.

This condition is very life-threatening for the victim, so he needs to be taken to hospital immediately. But before the ambulance arrives, the person should be given emergency assistance, as there is no time to delay. You need to know what to do and how long to keep ice for a head injury.

If a person becomes ill and falls, hitting his head, or the injury occurs as a result of a fight or traffic accident, first aid includes the following:

1. The position of the victim . The person should be laid on a surface that should be as flat and hard as possible. It is important that the body is positioned on its side. This is due to the fact that the patient may vomit and there is a risk of choking on the vomit.
2. State of an injured person . It is necessary to determine the level of his consciousness. Under no circumstances should you disturb the victim. It is recommended to contact him to make sure how he reacts to sounds.
3. Complete loss of consciousness . In order to bring a person to consciousness, it is recommended to use ammonia. You can also wipe your face with a towel soaked in cold water.
4. Applying a bandage . It is necessary to apply a bandage with a dressing material in case of bleeding.
5. Cooling injury . It is important to apply ice to the injury site in the first minutes after the accident. You should know exactly how to properly make a cooling compress for a head injury, and how long to keep the cold. The maximum time for this manipulation is a quarter of an hour. It is strictly forbidden to apply ice to bare skin; it must be wrapped in cotton material. You can use a handkerchief or towel for this purpose. Regardless of how long you need to keep the cold on the bruise, the cooling procedure should be repeated several times with intervals of half an hour.
6. Drinking . Immediately after a head injury, you should not give the victim anything to drink, as this will most likely cause widespread swelling.
7. Control of heart rate and breathing . Before the doctor arrives, the victim’s heartbeat and respiratory function should be monitored. If the patient's condition worsens and there are no signs of life, it is necessary to turn the injured person onto his back and begin cardiopulmonary resuscitation.

While performing all these steps, you must remember to call an ambulance. While a medical worker arrives, everything must be done to ensure that the victim’s condition does not worsen. If there is also an injury to the facial part, and the question arises of how long to keep the cold for a bruise of the face, then the time of the cooling compress will be the same - 15 minutes.

How harmful is arsenic?

Since this product is a type of poison, it is used for dental purposes in minimal dosages, with strict adherence to safety rules. Proper use of arsenic minimizes harmful effects.

If the timing of exposure to arsenic is violated, it can penetrate the tissue structure, accumulate there and cause complications. If some of the arsenic gets into the oral cavity, then a protracted inflammatory process should be expected.

With incorrect dosages of arsenic, the following consequences are observed:

1. Dentin begins to turn black.
2. Swelling and inflammation of the pulp occurs.
3. Toxic effects on the body.
4. Inflammatory process of periodontal tissue.
5. Osteonecrosis.

Very often, the patient may ignore the deadlines indicated by the specialist. As a result, arsenic periodontitis occurs, the treatment of which requires a long time. When exposed to arsenic, tissue necrosis cannot be ruled out. If the patient experiences increased sensitivity, toxic damage to the intestines and liver subsequently occurs.

Video - Treatment of pulpitis

Consequences of devitalization

Arsenic is a strong toxin and most often leads to complications. The tooth may hurt and the surrounding tissues may become inflamed if the dose is not calculated and more paste is applied than necessary.

After the medicine is placed, the crown hurts for the following reasons:

1. inflammation of periodontal tissues or drug-induced periodontitis - in this case, it is painful to press on the crown, swelling of the surrounding tissues occurs and you will need to clean the canals, followed by filling and treatment of soft tissues;
2. swelling of the nerve bundle – it may be painful to press on the crown due to the fact that a highly concentrated paste was applied for a long time;
3. osteonecrosis is a serious consequence of pulp removal using arsenic paste, when bone tissue becomes necrotic, the jaw hurts, it is painful to press on the tooth and urgent treatment is required;
4. intoxication of the body is the most complex consequence, which occurs a few days after the medicine is put in, it becomes painful to press the crown, but the main symptoms relate to poisoning of the whole body;
5. blackening of dentin - with this complication it can be painful while chewing, the crown reacts to temperature stimuli, changes in color, black dentin is visible through the enamel.

If complications arise, when the organ hurts and changes color, it is necessary to wash the canals, symptomatic treatment and root filling.

Arsenic extraction process

In the depulpation procedure, it is very important to remove arsenic in a timely manner. If you ignore this indicator, you can get the above complications.

Advice! When the patient is unable to visit the doctor at the appointed time, the arsenic must be extracted independently. To do this, wash your hands and disinfect them in advance. Then break the integrity of the seal and remove the arsenic. The danger of manipulation is that it can be swallowed. Therefore, procedures should be carried out with extreme caution. Upon completion of the manipulation, the oral cavity must be rinsed with a soda solution. In this case, visit the dentist as soon as possible.

Symptoms of complications

When the paste is applied, there may be such alarming symptoms with which you need to immediately go to the dentist:

• The gums near the diseased organ become inflamed, it becomes painful to open your mouth - the first few hours after the medicine is applied, the crown will hurt a little, but painkillers help in most cases;
• After visiting the dentist, your general condition may worsen, then you do not need to do anything on your own, it is better to immediately go to the doctor to remove the drug;
• The crown begins to darken - this is a sign of dentin death, which should not normally happen;
• A throbbing pain appears in the area of ​​the treated organ.

Symptoms such as these indicate that a filling must be done urgently, otherwise the bone tissue will begin to die. The arsenic preparation, as already mentioned, should be in the cavity for no more than 48 hours.

It also happens that the medicine is not applied correctly, then this time is not enough for the pulp to die. In this case, you need to do depulpation using an alternative anesthesia option. This may be sedation or inhalation anesthesia, but only when local anesthesia does not work or is contraindicated.

Category: Tooth extraction Published by Mister stomatolog

Use of arsenic for pregnant women

If a woman is a nursing mother or is pregnant, then the use of products containing arsenic is strictly prohibited. This is due to the toxic effect on the baby. When a woman is short of pregnancy, it is important to warn the dentist about the situation. Modern dentistry is rich in safer medications that are approved for use by pregnant women.

How to store finished shish kebab

Sometimes there is a need to properly preserve already cooked kebab. For example, when the weather turns bad and vacationers are forced to go home.

Rules for storing cooked meat:

• Wrap a warm dish with foil and a towel;
• after cooling completely, place the pieces in an enamel bowl;
• if the product is placed in a bowl without a lid, wrap it in cling film;
• Place the dish in the refrigerator, or, if it is not available, in a portable cooling container;
• the finished dish can be frozen: put it in a zip bag (after removing the air from it), a plastic container, put it in the freezer;
• Defrost the finished product in the microwave, place it in the oven (pre-wrap the meat in foil), preheated to 200 degrees for 20 minutes.

Preserving already marinated meat is not difficult at all. The main thing is to follow the established rules in order to get a high-quality product with excellent taste during frying.

About the composition of arsenic paste

It is important! Additionally, auxiliary substances can be added to the paste, which are necessary for preparing a small dose.

The patient must remember that in no case should the duration of exposure to arsenic on the diseased nerve be exceeded, because this is fraught with dangerous consequences.