Local Anesthetics in Patients With Cardiovascular Diseases

Daskalov, Hristo; Dinkova, Atanaska; Drangov, Martin

doi:10.5272/jimab.2015211.728

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Moreover, local anesthetics without vasoconstrictors do not provide satisfactory hemostasis or anesthesia during dental procedures. 25 However, it is recommended not to exceed 0.04 mg of adrenaline, which corresponds to 2 1.8-cc cartridges of an anesthetic with adrenaline at a dilution of 1:100,000. 14 If it is necessary to administer more anesthesia, subsequent portions should be administered without a vasoconstrictor.…”

Section: Local Anesthesia In Post-myocardial Infarction Patientsmentioning

confidence: 99%

Dental treatment of post-myocardial infarction patients: A review of the literature

Samulak-Zielińska

Dembowska

Lizakowski³

2019

Dent. Med. Probl.

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Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life, but also negatively affects the course of ischemic heart disease. Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special consideration with regard to the timing and form of dental treatment as well as to the precautions required. Patients at risk of cardiac complications that are greater than the benefits of dental treatment should be identified and only the most urgent conditions should be treated. The aim of this study was to present the latest guidelines for dental treatment in patients who have suffered myocardial infarction. We reviewed the available literature explaining when dental treatment can be undertaken, whether antibiotic prophylaxis is required, whether the patient can be anesthetized locally, and how to provide the maximum safety during the visit. The principles of the surgical treatment of patients receiving drugs that affect hemostasis were also reviewed.

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Section: Local Anesthesia In Post-myocardial Infarction Patientsmentioning

confidence: 99%

Dental treatment of post-myocardial infarction patients: A review of the literature

Samulak-Zielińska

Dembowska

Lizakowski³

2019

Dent. Med. Probl.

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“…3 4 The concern of systemic toxicity is especially relevant in patient with medical comorbid conditions such as cardiovascular diseases, hypertension, hyperthyroidism and epilepsy, where tolerance to the sudden high concentration of components of local anesthesia is reduced and the risk of toxicity is increased. [5][6][7][8][9] Intravascular injection of local anesthetic happens more often than realized. In fact, for inferior alveolar nerve block, which is most commonly administered nerve block in dentistry, 20% nerve block attempts may actually lead to intravascular injection.…”

Section: Introductionmentioning

confidence: 99%

The Usage and Attitude Towards Aspirating Dental Syringe, A Cross Sectional Study of Dental Practitioners in Khyber Pukhtunkhwa

Din¹,

Jehan²,

Haya³

et al. 2022

PJMHS

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Objective: The aim of the study was to determine the usage and attitude toward aspirating dental syringes among dental practitioners in Khyber Pakhtunkhwa province of Pakistan. Study design: Descriptive, cross sectional Place and Duration: Rural Health Centre Koghuzi, February 2021 to May 2022. Methodology: A cross sectional conducted on dental practitioners in Khyber Pakhtunkhwa. A purpose developed, self-administered questionnaire was used to collect data. It included both open and close ended questions. SPSS version 23 was used and data were analyzed using Chi-square test. Results: 40.7% of respondents were qualified as specialist and the 59.3% were general practitioners. Only 31.6% of the dental practitioners have dedicated aspirating syringe available to them. Overall only 6.9% of the dental practitioners practice aspiration in all injection types. Most respondents agree that use of aspirating syringes contributes to safety of local anesthesia but only few think they had complication in their practice resulting from use of non-aspirating syringes. Most respondents think the might consider using aspirating syringes in the future. Conclusion: Despite the generally positive attitude towards aspirating syringes, few dental practitioners have dedicated aspirating syringe available to them and even few actually practice aspiration during local anesthesia. Keywords: Attitude, Local anesthesia, Aspiration, Aspirating dental syringes,

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Local Anesthetics in Patients With Cardiovascular Diseases

Cited by 2 publications

References 13 publications

Dental treatment of post-myocardial infarction patients: A review of the literature

Dental treatment of post-myocardial infarction patients: A review of the literature

The Usage and Attitude Towards Aspirating Dental Syringe, A Cross Sectional Study of Dental Practitioners in Khyber Pukhtunkhwa

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