The top 5 emergency drugs used in 2020 in dental practice; A systemic review

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Monzir Salim Alzareef
Mussab Aboubakr Abdallah
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Napata College
Introduction: Although medical emergencies in dental practice is a rather uncommon occurrence in routine dental practice, however, life-threatening emergencies can and do occur at any moment. Certain drugs are used in such conditions. With that being said, the practicing dentist should be familiar with their indications, dosages, routes of administration and the side (adverse) effects. Methodology: This is an analytical, quantitative systematic review study (known to some as a review article) that was conducted in the Republic of the Sudan by students at the school of dentistry at Napata College. This review is meant to discuss the top 5 emergency drugs used in dental practice and their indications, dosages, routes of administration as well as their side effects. To write this paper, we inserted a plethora of keywords associated with the topic at hand. A number of researches were excluded as they were inaccessible to us, unrelated to the topic or because they were relatively anachronistic. Following this, we were left with a total of 9 papers, the findings of which are illustrated hereabouts. Results: the 5 most common recommended drugs are: Nitroglycerin (6), Salbutamol (6), Epinephrine (Adrenaline) (5), Oxygen (4), Aspirin (4), Oral glucose (4). The justification as to why more than 5 drug are listed is available in the full thesis. Conclusion: In conclusion, our research has indicated an alarming lack of training in dealing with emergencies, an alarming lack of preparedness for emergencies when and if they manifest themselves as well as a lack of availability of drugs that would aid in the management of these emergencies. Recommendation: 1) Introduction of emergency courses in higher education institutes teaching dentistry. 2) Introduction of legislation which requires dentists to possess, at the very minimum, the 5 aforementioned drugs in their practices as well as knowledge of how to use them. 3) Introduction of legislation which would require dentists see to it that the drugs they possess are not expired. 4) Introduction of legislature that would require dentists attend ‘emergency 101’ courses at least once every 5 years. 5) Introduction of an evaluation test in which dentists’ abilities to handle emergencies are evaluated. This test is to be taken whenever a dentist graduates and is about to practice and henceforth at least once every half a decade. 6) Requiring every conference of dentistry worldwide to have, at the very minimum, at least one poster discussing emergencies.