Preventive and multimodal analgesia in dentistry. What can an anesthesiologist do?
https://doi.org/10.24884/2078-5658-2026-23-2-121-132
Abstract
The issue of postoperative pain relief in outpatient surgery, particularly in dentistry, remains relevant both in Russia and abroad. This work analyzes the literature on the topic of modern approaches to choosing a method of pain relief after outpatient dental interventions, and reviews the most common painkillers and their combinations. The influence of different groups of drugs on the mechanisms of pain formation is considered: transduction, transmission, modulation and perception. The article also reflects the mechanisms and features of pain formation in the orofacial region in dental pathology. The conducted analysis of the literature showed that, today in outpatient practice, there is no single standard for pain relief for patients during and after dental operations. This is greatly influenced by the national characteristics of different countries, such as the presence or ban on a number of drugs, as well as the availability of potent and narcotic drugs for prescription in outpatient settings. At present, the evidence collected in the world specialized literature confirms the effectiveness of using the principles of preventive and multimodal analgesia in dental outpatient practice. Meanwhile, high-quality comparative clinical studies that allow choosing the most effective and safe method of postoperative pain relief are limited.
About the Authors
O. V. Lapin
Dental clinic «La Dental soul»
Russian Federation
Russian Federation
Lapin Oleg V., Chief Physician, Anesthesiologist and Intensivist
Moscow
A. Yu. Zaitsev
Petrovsky National Research Center of Surgery;
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Zaitsev Andrey Y., Dr. of Sci. (Med.), Head, Chief Scientific Research Fellow of the Department of Anesthesiology and Intensive Care, Petrovsky National Research Center of Surgery; Professor of the Department of Anesthesiology and Intensive Care, I. M. Sechenov First Moscow State Medical University (Sechenovskiy University)
Moscow
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Review
For citations:
Lapin O.V., Zaitsev A.Yu. Preventive and multimodal analgesia in dentistry. What can an anesthesiologist do? Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2026;23(2):121-132. (In Russ.) https://doi.org/10.24884/2078-5658-2026-23-2-121-132
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