Effect of 2% Lidocaine and 1:80000 Epinephrine on Heart Rate and Blood Oxygen Saturation During Inferior Alveolar Nerve Block and
Gow-Gates Block:A Clinical Trial

Vatanpour, Mehdi; Roghanizad, Nasrin; Bineshmarvasti, Delaram; Hosseini, Reihaneh; Mohebbi, P

doi:10.29252/jrdms.2.4.9

Cited by 1 publication

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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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