Functional cardiovascular assessment in dentists performing local anesthesia in out-patient settings

Abstract

The article presents the results of the cardiovascular changes assessment using electrocardiography (ECG) monitoring during local anesthesia in GP dentists. Selective ECG monitoring was carried out in 60 dentists aged 25-55 years (1 group - 25-34 y.o.; 2 group - 35-44 y.o.; 3 group - 45-55 y.o.) by means of portable «Valens» system. The study of stress index or the index of regulatory systems tension (IT) was conducted for 6 hours in the first day half within 1 working day. IT from 50 to 150 relative units was considered normal. In the first group IT peak was observed at the time of expectation of clinically relevant anesthesia in upper and lower jaw, while in the second and third groups it was associated with pain reaction in the course of treatment despite of clinical signs of anesthesia in the maxilla (IT=20±5.3 and 231±1.4, correspondingly) and mandible (IT=213±2.7 and 223±2.6, correspondingly). In all groups greater IT correlated more with mandible anesthesia events.

Cross-Sectional Study on the Comparative Assessment of Mandibular Anesthesia (Inferior Alveolar Nerve Blockage) Manual Skills Shaping among Dentists on Plastic and Biomaterial Models

“…In previously performed studies by Vasil’ev Yu. et al, 2020, and Rabinovich S.A. et al, 2017, it was mentioned that there are decreasing tachycardia and saturation as the cause of IANB failure [ 5 , 6 ]. One of the ways for reducing doctors’ stress and improving their manual-skills shaping is training programs in virtual reality (VR), which have been developed in recent years [ 7 , 8 , 9 ].…”