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Does the topical use of epinephrine for sinus floor augmentation affect systemic hemodynamics?
Kagan Degerliyurt1, Senem Denizci
1Department of Oral and Maxillofacial Surgery, Dentistanbul Dental Hospital, Istanbul, Turkey. kdegerliyurt@hotmail.com
Implant Dentistry
|May 8, 2013
Summary
Topical epinephrine used during sinus augmentation is safe. This study found no significant changes in heart rate or blood pressure, indicating its safety for dental procedures.
Area of Science:
- Oral surgery
- Anesthesiology
- Periodontology
Background:
- Epinephrine is a common vasoconstrictor in dental local anesthesia.
- Systemic effects of topical epinephrine in sinus augmentation are not well-documented.
Purpose of the Study:
- To evaluate the safety of topical epinephrine as a vasoconstrictor during sinus augmentation.
- To determine the impact of topical epinephrine on systemic hemodynamics in this context.
Main Methods:
- Forty-three patients undergoing sinus floor augmentation were divided into two groups.
- One group received epinephrine-soaked cottonoids, the other saline-soaked cottonoids.
- Heart rate and blood pressure were monitored before, during, and after the procedure.
Main Results:
- Minor changes in heart rate, systolic, and diastolic blood pressures were observed.
- No statistically significant differences were found in these hemodynamic parameters between groups (P > 0.05).
Conclusions:
- Topical 1/100,000 epinephrine is effective for sinus membrane elevation during augmentation.
- Its use maintains systemic hemodynamics within safe limits, supporting its safety in these procedures.
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