Local anesthesia in children younger than 4 years in dentistry: state of the question

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The article is a review of modern literature and an analysis of the legal framework regarding the use of local anesthetics in children under 4 years of age. There is a discussion of the validity of the off-label principle. In the domestic and foreign literature, there are publications highlighting the use of drugs based on 4% articaine in children under 4 years old, despite age-related contraindications according to the instructions. It is necessary to pay special attention to the regulatory status of the instructions for the medical use of the medicinal product. Summarizing the presented arguments, we can talk about the available spectrum of clinical studies, meta-analyzes and RCT data on the use of articaine in dental practice in children under 4 years of age, which indicates its effectiveness and is considered a safe alternative to lidocaine for use. in children of all ages

Keywords:

pain

children

age

local anesthetics

articaine

off-label

Authors:

Gulenko O.V.

Kuban State Medical University

Vasil’ev Yu.L.

First Moscow State Medical University. I.M. Sechenov of the Ministry of Health of Russia (Sechenov University)

Scopus AuthorID: 57194755259
ORCID: 0000-0003-3541-6068

Received:

27.07.2020

Accepted:

14.08.2020

List of references:

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