ASSESSMENT OF PAIN PERCEPTION OFELDERLY PATIENTS WITH DIFFERENT LEVELS OF DENTOPHOBIYA DURING SURGICAL DENTAL APPOINTMENT

Elderly patients constitute a significant proportion of the population. All they need skilled dental care. However, a significant proportion of patients are afraid of dental appointment. Premedication before a dental treatment are shown for all patients with a high level of anxiety. However, during studying the medical history of each patient the significant number of comorbidities areidentified that limit us in the use of medications for the prevention of stress and pain at the dentist's appointment. This study evaluated the perception of pain of elderly patients with middle and high level of a dentophobiya on surgical dental appointment. All patients who participated in the study, are living in geriatric center. All patients before surgery tooth extraction took the advice of a psychiatrist and neurologist. Patients with a high level of a dentophobiya were held premedication over-thecounter medication and local anesthesia with a solution of 4% articaine with vasoconstrictor in a dilution of 1:200000. Premedication wasn't conducted for patients with middle level of dentophobiya, and local anesthesia was done using 3% mepivacaine solution without vasoconstrictor. Evaluation of pain perception was carried out by the following methods: electroodontodiagnosis, electromyography of facial muscles, Sound Eyes Motor Scale and the visual analogue scale. The results obtained using these methods have shown a reliable correlation between each other. The efficiency of premedication was proven as reducing the perception of pain of patients with high level of dentophobiya.