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Hemodynamic Fluctuations During Tooth Extraction Under Local Anesthesia.
Sommya Kumari1, Mukesh Kumar2, Kumari Sneha3
1Department of Dentistry, AIIMS, Deoghar, Jharkhand, India.
Routine dental extractions with lignocaine and adrenaline caused temporary increases in blood pressure, particularly in females. Heart rate decreased post-extraction, while oxygen saturation remained stable, highlighting the need for managing patient anxiety during dental procedures.
Area of Science:
- Dental Surgery
- Anesthesiology
- Cardiovascular Physiology
Background:
- Effective pain management is vital in dental practices.
- Anesthetic agents and vasoconstrictors can cause hemodynamic changes during dental procedures.
Purpose of the Study:
- To observe hemodynamic changes during routine dental extractions performed with lignocaine and adrenaline.
Main Methods:
- A prospective, observational study involved 50 dental extraction patients (age 18-65).
- Systolic blood pressure, diastolic blood pressure, heart rate, and oxygen saturation were monitored before, during, and after extraction.
- Data analysis was conducted using SPSS software.
Main Results:
- Systolic and diastolic blood pressure increased during anesthesia and extraction, decreasing postoperatively.
- Blood pressure increases were more pronounced in females.
- Heart rate decreased post-extraction, with no significant gender difference.
- Peripheral oxygen saturation showed minimal fluctuations.
Conclusions:
- Tooth extraction under local anesthesia with adrenaline causes transient hemodynamic changes.
- Anxious and hypertensive patients may benefit from pre-procedure anxiety management, such as meditation or anxiolytic medication.
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