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Informationen Zahnärztliche Arzneimittel (IZA) Informationen über Zahnärztliche Arzneimittel (IZA) Arzneimittelkommission Zahnärzte 03/2020 Geleitwort Seit 2006 sind die „Informationen über zahnärztliche Arzneimittel“ für alle Zahnärzte kostenlos online auf der Internetseite der Bundeszahnärztekammer verfügbar. Sie können den ganzen Text, genauso wie einzelne Kapitel als PDF herunterladen und drucken. Das Setzen von Lesezeichen ist ebenso möglich, wie die Suche nach Stichwörtern im gesamten Dokument. Außerdem lässt sich das Format auch auf Smartphones und Tablets herunterladen und speichern bzw. öffnen. Auch wenn das Dokument zum Download zur Verfügung steht, empfehlen wie Ihnen die IZA trotzdem möglichst über http://www.bzaek.de/fuer- zahnaerzte/arzneimittelkommission/information-zahnaerztliche-arzneimittel-iza.html zu nutzen. So können Sie sicherstellen, dass Ihnen immer die, aktuellste Ausgabe verwenden. Inhaltlich hat sich seit der letzten Ausgabe einiges geändert. Neben der Aktualisierung einzelner Inhalte wurde die IZA um neue Kapitel zum Thema Überempfindlichkeiten und Allergien auf Arzneimittel erweitert. Ein ganz besonderer Dank geht an die Autoren und Mitglieder der Arneimittelkommission Zahnärzte (AKZ), die nicht nur regelmäßig viel Zeit und Mühe in die Aktualisierung der IZA investieren sondern mit Antwortschreiben auf Fragen aus der Kollegenschaft immer wieder mit Rat und Tat zur Seite stehen. Bezüglich einer kontinuierlichen Überarbeitung sind die Mitglieder der Arzneimittelkommission-Zahnärzte für jeden Hinweis, für Wünsche und Anregungen und selbstverständlich auch für Kritik dankbar . Gleichzeitig möchten wir an die Kolleginnen und Kollegen die dringende Bitte richten, durch ihre Mitarbeit und eine konsequente Meldetätigkeit weiterhin zum Gelingen der Arbeit der Arzneimittelkommission und dem gemeinsamen Ziel der Qualitätssicherung beizutragen. Dr. Peter Engel Dr. Wolfgang Eßer Präsident der Vorsitzender des Vorstandes der Bundeszahnärztekammer Kassenzahnärztlichen Bundesvereinigung 2 Mitglieder der Arzneimittelkommission Zahnärzte (AK-Z) der Bundeszahnärztekammer und der Kassenzahnärztlichen Bundesvereinigung - Pharmakovigilanzzentrum - Vorsitzender Dr. Helmut Pfeffer Hamburg Mitglieder Prof. Dr. Reiner Biffar Greifswald Prof. Dr. Dr. Monika Daubländer Mainz Dr. Carsten Hünecke Magdeburg Univ.-Prof. Dr. Klaus Ott Münster Prof. Dr. med. Christoph Schindler Hannover Prof. Dr. Ralf Stahlmann Berlin Prof. Dr. Dr. Michael Stiller Berlin Geschäftsstelle/Verwaltung Dr. Jens Nagaba Bundeszahnärztekammer Dr. Juliane Gösling MPH Sekretariat M. Rahn 3 Inhaltsverzeichnis Repetitorium Rezeptieren .......................................................................................................................................... 10 Repetitorium Betäubungsmittelrezept ................................................................................................................... 10 1. ZAHNERHALTUNG ..................................................................................................................................................... 11 KARIESPROPHYLAXE ................................................................................................................................................ 12 Fluoride ......................................................................................................................................................................... 12 ORALE VERABREICHUNG .......................................................................................................................................... 13 Örtliche Anwendung ................................................................................................................................................ 15 FLUORID-LACKE .......................................................................................................................................................... 16 FLUORID-GELE ............................................................................................................................................................. 17 (KONZENTRIERTE) LÖSUNGEN .................................................................................................................................. 18 MUNDSPÜLLÖSUNGEN ............................................................................................................................................... 19 ZAHNPASTEN................................................................................................................................................................ 20 DIAGNOSTIK, KARIESENTFERNUNG ....................................................................................................................... 22 Speichel-Untersuchungen ....................................................................................................................................... 22 Karies-Anfärbung ...................................................................................................................................................... 23 KAVITÄTENVERSORGUNG ...................................................................................................................................... 23 KAVITÄTENREINIGUNG .............................................................................................................................................. 23 DENTINHAFTVERMITTLER ............................................................................................................................................ 23 LINER UND LACKE ....................................................................................................................................................... 24 VITALITÄTSPRÜFUNG ................................................................................................................................................ 25 ERHALTUNG DER VITALEN PULPA ........................................................................................................................... 26 INDIREKTE ÜBERKAPPUNG (CARIES-PROFUNDA-THERAPIE) .............................................................................. 26 SCHMERZBESEITIGUNG BEI ENTZÜNDETER PULPA ................................................................................................ 30 WURZELKANALBEHANDLUNG– ENDODONTIE ...................................................................................................... 31 DEVITALISATION DER PULPA ..................................................................................................................................... 31 AUFBEREITUNG UND DESINFEKTION DES INFIZIERTEN WURZELKANALS ........................................................... 32 2. PARODONTITIS .......................................................................................................................................................... 41 MITTEL ZUR DARSTELLUNG VON BELÄGEN ............................................................................................................ 41 REDUKTION DER PLAQUE......................................................................................................................................... 43 ZAHNPASTEN ............................................................................................................................................................ 48 ANTIBIOTIKA ............................................................................................................................................................. 48 PARODONTALVERBÄNDE ........................................................................................................................................ 51 4 3. WUNDVERSORGUNG .......................................................................................................................................... 52 VERSORGUNG INFIZIERTER EXTRAKTIONSWUNDEN ............................................................................................. 52 BLUTSTILLUNG ........................................................................................................................................................... 53 Resorbierbare Tamponaden .................................................................................................................................. 53 Gewebekleber ........................................................................................................................................................... 55 Blutstillung an der Gingiva ...................................................................................................................................... 55 4. FÜLLUNGSMATERIALIEN ...................................................................................................................................... 58 5. BEHANDLUNG VON ENTZÜNDUNGEN ............................................................................................................. 61 GLUCOCORTICOIDE ................................................................................................................................................ 61 Corticoide ................................................................................................................................................................ 62 Therapeutisches Risiko ............................................................................................................................................. 62 NICHTSTEROIDALE ANTIPHLOGISTIKA ..................................................................................................................
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