Vital signs changes during different dental procedures: A prospective longitudinal cross-over clinical trial

Salma, Ra’ed Ghaleb; Abu-Naim, Horiyah; Ahmad, Osama; Akelah, Doa'a; Salem, Yasmin; Midoun, Essma

doi:10.1016/j.oooo.2018.08.002

Cited by 11 publications

(23 citation statements)

References 33 publications

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“…The authors would like to thank the journal for the opportunity to reply to the letter to the editor regarding the recently published article by Salma et al 1 entitled "Vital signs changes during different dental procedures: a prospective longitudinal crossover clinical trial. "…”

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confidence: 99%

Letter regarding Salma et al. “Vital signs changes during different dental procedures: A prospective longitudinal crossover clinical trial”

Miller

2019

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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To the Editor: I read the article by Salma et al. 1 entitled "Vital signs changes during different dental procedures: a prospective longitudinal crossover clinical trial" published in the January 2019 issue of OOOO with both interest and disappointment. The article provides evidence for the well known practice that routine dental procedures combined with local anesthesia is safe for patients classified as ASA I (American Society of Anesthesiology physical status classification). This study demonstrated that the administration of up to 3.6 mL of 2% lidocaine with epinephrine (1:80,000) in the context of supragingival scaling, restorative treatment, or routine exodontia is associated with very minor changes in temperature, heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and oxygen saturation in healthy patients. The recordings at 3 time points (baseline, anesthesia, and intraoperative) add scientific rigor to the study. What is disappointing is the lack of acknowledgment, in the introduction of the article, of key studies that previously examined cardiovascular responses induced by local anesthesia and dental treatment. 2-6 The introduction also lacks a rationale, based on the current state of the field, 7 and a hypothesis for the study. Finally, there is no lack of information on whether anxiety was measured, whether patients experienced discomfort during the procedure, whether anxiety or discomfort was associated with tachycardia, and whether the procedures were delivered to patients in the recumbent or upright position. 8,9 Inclusion of these details 10 could benefit the publication.

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confidence: 99%

Letter regarding Salma et al. “Vital signs changes during different dental procedures: A prospective longitudinal crossover clinical trial”

Miller

2019

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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“…Blood pressure increases due to the increase in heart rate due to the stimulation of the sympathetic nervous system by some psychological factors such as pain or anxiety. In addition, some narcotic analgesics can cause low blood pressure (4)(5)(6). Blood pressure is measured with different blood pressure devices (mercury, mechanical and electronic) called sphygmomanometers.…”

Section: Introductionmentioning

confidence: 99%

“…The emotional stress that the patient is exposed to before or during dental treatment is called dental anxiety. These types of stress and anxiety cause changes in vital signs, especially cardiovascular and respiratory systems (6,7). The patient's age, gender, personality, expectations, previous treatment experiences and fear of local anesthesia are factors affecting the anxiety level.…”

Section: Introductionmentioning

confidence: 99%

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The effect of restorative dentistry practices on the vital signs of healthy individuals

Bakir

Bakır

Uysal

2021

Journal of Health Sciences and Medicine

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Aim: Clinical applications of dentistry, the tools and drugs used increase the effects of anxiety and stress factors that we encounter before the treatment, but also cause changes in the life symptoms of the patients. In this study, it is aimed to evaluate the effects of Restorative Dentistry applications on vital signs parameters such as blood pressure, heart rate, body temperature and oxygen saturation of healthy individuals before and after the interventional procedure. Material and Method: In the study, blood pressure, pulse rate, body temperature and oxygen saturation values of 100 patients without any systemic disease were measured before clinical applications. Following the treatment intervention, the same parameters were measured again and evaluated by comparing the previous and next values. Result: In the patients who were not applied local anesthesia, the post-treatment measurement values of the body temperature parameter were significantly higher than the initial measurement values (p<0.05). There was no statistically significant difference between the first and last measurement values of other parameters (p>0.05). In patients who were applied local anesthesia, the last measurement values of body temperature and systolic blood pressure were significantly lower than the initial measurement values (p<0.05). There was no statistically significant difference between the first and last measurement values of diastolic blood pressure and other parameters (p>0.05). Conclusion:We think that measures such as a relationship based on mutual trust, approaching expectations with understanding, informing about interventional procedures and operating consent processes will prevent patients from anxiety during the session and keep vital parameter values at a normal level.

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“…Blood pressure (BP) and heart rate (HR) are some of the evaluable vital signs under dental clinical conditions (1,2). Monitoring of changes in these parameters is important, especially in terms of prevention of complications.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Hypertension and/or Diabetes on Blood Pressure and Heart Rate Changes in Patients Undergoing Oral Surgeries

Ciğerim¹,

Kaplan²

2019

Eastern J Med

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The aim of this study was to evaluate the effect of hypertension and/or diabetes on systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) changes of individuals during oral surgeries. This randomized observational study was conducted on patients undergone oral surgical procedures. The individuals were divided into 3 systemic disease groups. The group 1 consisted of only individuals with hypertension, the group 2 included individuals with hypertension and diabetes, and the group 3 consisted of only individuals with diabetes. Initial and final SBP, DBP and HR measurements according to age, gender and body mass index (BMI) between groups were analy zed statistically. The statistical significance level was set at p<0.05. Of the 414 patients aged 18-82 years included in the study, 38.2% were male and 61.8% were female. Outcomes of 271 patients undergone surgical procedures; the DBP change of the patien ts in the group 3 were significantly lower than that of those in the group 1 (p<0.01). The HR change of the patients in the group 1 was significantly higher than that of the patients in the groups 2 and 3 (p<0.05). The increase in the SBP of the patients i n the group 2 was higher than that of the patients in the group 3 in patients under the age of 50 years (p<0.05). In the literature, there was no study that evaluated the change in blood pressure and heart rate during surgery in diabetic patients. Hypertension, diabetes, individual factors like BMI and age were effective in SBP, DBP and HR changes.

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Vital signs changes during different dental procedures: A prospective longitudinal cross-over clinical trial

Cited by 11 publications

References 33 publications

Letter regarding Salma et al. “Vital signs changes during different dental procedures: A prospective longitudinal crossover clinical trial”

Letter regarding Salma et al. “Vital signs changes during different dental procedures: A prospective longitudinal crossover clinical trial”

The effect of restorative dentistry practices on the vital signs of healthy individuals

The Effect of Hypertension and/or Diabetes on Blood Pressure and Heart Rate Changes in Patients Undergoing Oral Surgeries

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