Changes in blood pressure and pulse rate of patients without systemic diseases following the injection of 2% lidocaine plus epinephrine 1:80000 in an inferior alveolar nerve block - A prospective study

Aliabadi, Ehsan; Divanpour, Vahid; Mardani, Mohsen

doi:10.4103/ams.ams_187_19

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Whether local anesthesia with adrenaline caused a change in blood pressure and heart rate during oral surgery, or whether it was the result of psychological stress due to oral surgery, was the subject of discussion by many authors 33,34 . A usual dose of epinephrine leads to a single increase in serum epinephrine concentration [33][34][35][36] . Furthermore, pain caused by the application of the injection was associated with an increase in the cardiovascular response 37 .…”

Section: Discussionmentioning

confidence: 99%

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Selimović,

Bajrić

2024

Balkan J Dent Med

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Background/Aim: Dental fear and anxiety (DFA) are psychological phenomena normally arising and developed in the dental office during various kinds of dental procedures and interventions. The most usual stressors for the DFA appearance are those related to dental pain, no matter if the pain has already been caused, or potentially will be committed. There are a few main dental pain-provoking factors related to endangering body integrity in the oral cavity, and tooth extraction is the strongest one. The research aimed to observe, notify, and analyze physiological parameters of DFA in adults related to oral surgical therapy procedures of removing impacted third permanent molars. Material and Methods: After inclusive selection 500 patients entered into the study. The study protocol included preoperative assessment of DFA presence with Corah's Dental Anxiety Scale (CDAS) on examination day, preoperative assessment of physiological parameters on examination day and operative day before the treatment, as well as their postoperative assessment followed by evaluation of postoperative pain, on the day after the treatment. Results: The results of our research indicated that an increase in DFA led to increased values of the measured physiological parameters for all preoperative measurement days. The postoperative decrease in the physiological parameters values could be explained by the fact that the oral-surgical procedure was completed, so the psychological burden of the patients was also less. Conclusions: Patients with higher values of the DFA presence have also declared more postoperative pain.

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Section: Discussionmentioning

confidence: 99%

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Selimović,

Bajrić

2024

Balkan J Dent Med

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“…A recent study comparing 0.5% and 0.75% ropivacaine for inferior alveolar nerve block in lower third molar surgery showed that 0.75% ropivacaine was more efficacious and desirable [ 5 ]. A 2% lignocaine hydrochloride with adrenaline (1:80,000) is safe for hemodynamically healthy patients [ 6 ]. In addition, 2% lignocaine with 1:80000 adrenaline is a commonly used anesthetic solution in dentistry.…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

Kakade

Joshi

Naik

et al. 2021

J Dent Anesth Pain Med

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Background Lignocaine with adrenaline is routinely used as a local anesthetic for dental procedures. Adrenaline was added to increase the duration of anesthesia. However, epinephrine containing a local anesthetic solution is not recommended in conditions such as advanced cardiovascular diseases and hyperthyroidism. Recently, ropivacaine has gained popularity as a long-acting anesthetic with superior outcomes. The goal of this study was to assess and compare the effectiveness of 0.75% ropivacaine alone and 2% lignocaine with adrenaline (1:80,000) in the removal of bilateral maxillary wisdom teeth using the posterior superior alveolar nerve block technique. Methods This was a single-blind, randomized, split-mouth, prospective study assessing 15 systemically sound outpatients who needed bilateral removal of maxillary third molars. We randomly allocated the sides and sequences of ropivacaine and lignocaine with adrenaline administration. We evaluated the efficacy of both anesthetics with regard to the onset of anesthesia, intensity of pain, variation in heart rate, and blood pressure. Results The onset of anesthesia was faster with lignocaine (138 s) than with ropivacaine (168 s), with insignificant differences (p = 0.001). There was no need for additional local anesthetics in the ropivacaine group, while in the lignocaine with adrenaline group, 2 (13.3%) patients required additional anesthesia. Adequate intraoperative anesthesia was provided by ropivacaine and lignocaine solutions. No significant difference was observed in the perioperative variation in blood pressure and heart rate. Conclusion Ropivacaine (0.75%) is a safe and an adrenaline-free local anesthetic option for posterior superior alveolar nerve block, which provides adequate intraoperative anesthesia and a stable hemodynamic profile for the removal of the maxillary third molar.

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Changes in blood pressure and pulse rate of patients without systemic diseases following the injection of 2% lidocaine plus epinephrine 1:80000 in an inferior alveolar nerve block - A prospective study

Cited by 2 publications

References 21 publications

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Physiological parameters of dental fear and anxiety in adults related to surgical extraction of impacted third molars

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

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