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Variation in Hemodynamic Characteristics during Periodontal Crown-Lengthening Surgical Procedure: An Uncontrolled
Abdullah Saad Alqahtani1, Rajashekhara Bhari Sharanesha1, Khalid Gufran1
1Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj 11942, Saudi Arabia.
Healthcare (Basel, Switzerland)
|May 28, 2022
Summary
Crown lengthening surgery in healthy patients caused temporary increases in heart rate and blood pressure, with a significant decrease in oxygen saturation (SpO2). Further research is needed for precise hemodynamic analysis.
Area of Science:
- Dental Surgery
- Cardiovascular Physiology
Background:
- Crown lengthening is a common dental procedure.
- Understanding its impact on patient physiology is crucial.
Purpose of the Study:
- To assess hemodynamic changes during crown lengthening.
- To evaluate alterations in oxygen saturation during the procedure.
Main Methods:
- Prospective study of 44 systemically healthy patients undergoing crown lengthening.
- Monitored heart rate (HR), blood pressure (BP), and oxygen saturation (SpO2) at three intervals: pre-anesthesia (T1), post-anesthesia (T2), and post-procedure (T3).
- Statistical analysis included descriptive statistics, ANOVA.
Main Results:
- Hemodynamic parameters (HR, BP) increased at T2 and decreased at T3.
- Oxygen saturation (SpO2) significantly decreased at T2 and T3 compared to T1 (p=0.013).
- No significant differences were found in hemodynamic variables, but SpO2 showed a significant change.
Conclusions:
- Crown lengthening surgery induces transient hemodynamic alterations.
- A significant decrease in SpO2 was observed during and after the procedure.
- Larger sample sizes are recommended for detailed hemodynamic analysis.

