Thursday, December 09, 2010

Glucose levels and hemodynamic changes in patients submitted to routine dental treatment with and without local anesthesia

Clinics

version ISSN 1807-5932

Clinics vol.65 no.10 São Paulo  2010

doi: 10.1590/S1807-59322010001000009 


Marcelo Carlos Bortoluzzi; Rafael Manfro; Anderson Nardi
Faculdade de Odontologia, Oral and Maxillofacial Surgery (FUNOESC), Joaçaba, Santa Catarina, Brazil



ABSTRACT
OBJECTIVE: The aim of this study was to (1) observe the extent to which hemodynamic and glucose measurements change in patients submitted to a dental procedure with and without a local anesthetic and a vasoconstrictor (LAVA; 2% mepivacaine with adrenaline 1100,000) and (2) correlate those parameters with the patients' anxiety levels.
METHOD: This was an unblinded, random, prospective, and observational study with paired groups. Patients were evaluated during two different consultations during which they either did or did not receive a local anesthetic/vasoconstrictor.
RESULTS: Thirty-seven patients ranging in age from 18 to 45 years (mean 30.4 ± 5.5 years) were evaluated. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, heart rate, and glucose levels, did not change significantly in healthy patients, regardless of whether a LAVA was administered during the dental treatment.
CONCLUSION: The patients' anxiety statuses neither varied significantly nor showed any correlation with the studied hemodynamic parameters and glucose levels, regardless of whether local anesthetics were used.

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