2013, Number 1
<< Back Next >>
Rev ADM 2013; 70 (1)
The effect of endodontic treatment on blood pressure readings in hypertensive patients
Macías AD, Oliver PR, Luna LCA, Guerrero ÁF, Cornejo PMA
Language: Spanish
References: 13
Page: 30-34
PDF size: 73.88 Kb.
ABSTRACT
Introduction: Arterial hypertension is a disease that represents a risk in endodontic treatment due to its tendency to trigger high levels of stress.
Objective: To identify which stages of endodontic treatment are associated with significant changes in systolic blood pressure, diastolic blood pressure, and pulse rate in normotensive and hypertensive patients.
Materials and Methods: Cohort study to determine the effect of endodontic treatment, at different stages, on blood pressure and pulse rate in normotensive and hypertensive subjects. Readings were taken using a BP3AC1-1PC Microlife® digital sphygmomanometer (Microlife Corporation, Switzerland).
Results: No statistically significant differences (p›.05) were found in any of the cardiovascular readings of normotensive patients. However, in the group of hypertensive patients, significant differences in systolic blood pressure were found compared to baseline systolic pressure and that obtained in the normotensive group (p? .05).
Conclusions: Endodontic treatment can alter systolic blood pressure levels in hypertensive patients. No significant variation was found in diastolic blood pressure or pulse rate in either group or stage of endodontic treatment.
REFERENCES
Castellanos Suárez JL, Díaz Guzmán LM, Gay Zárate O. Medicina en Odontología. Manejo dental de pacientes con enfermedades sistémicas. 2° ed. México: El Manual Moderno; 2002.
Doerr PA., Lang WP, Nyquist LV, RonisDL. Factors associated with dental anxiety. J Am Dent Asocc, 1998; 129 (8):111-9.
Brand HS, Abraham-Inpijn L. Cardiovascular responses induced by dental treatment. Eur J Oral Sci. 1996;104(3):245-52.
Matsumura K, Miura K, Takata Y, Abe I, Fujishima M: Changes in blood pressure and autonomic nervous system in dental treatment with use of local anesthesia. Cardiovasc Rev Rep 2000; 21: 35-39.
Dionne RA, Goldstein DS, Wirdzek PR. Effects of diazepam premedication and epinephrine-containing local anesthetic on cardiovascular and plasma catecholamine responses to oral surgery. Anesth Analg. 1984;63:640-6.
Silvestre FJ, Salvador-MartínezI, Bautista D, Silvestre-RangilJ. Clinical study of hemodynamic changes during extraction in controlled hypertensive patients. Med Oral Patol Oral Cir Bucal. 2011;16 (3):354-8. Tsuchihashi T.
Takata Y, Kurokawa H, Miura K, Maruoka Y, Kajiyama M, Fujishima M. Blood pressure response during dental surgery. Hypertens Res. 1996; 19(3):189-94.
Brown RS. Local anesthetics. Dent Clin N Am 1994; 38:619-32.
Matsumura K, Miura K, Takata Y, et al: Changes in blood pressure and heart rate variability during dental surgery. Am J Hypertens 1998; 11: 1376-80.
Nakamura Y, Matsumura K, Miura K, Kurokawa H, Abe I, Takata Y. Cardiovascular and sympathetic responses to dental surgery with local anesthesia. Hypertens Res. 2001; 24(3):209-14.
Topouchian JA, El Assaad MA, Orobinskaia LV, El Feghali RN, Asmar RG. Validation of two devices for self-measurement of brachial blood pressure according to the International Protocol of the European Society of Hypertension: the SEINEX SE-9400 and the Microlife BP 3AC1-1. Blood Press Monit. 2005;10(6):325-31.
Vernale C. Cardiovascular response to local dental anesthesia with epinephrine in normotensive and hypertensive subjects. Oral Surg. Oral Med. Oral Pathol, 1960;13:942-52.
Díaz Guzmán LM, Castellanos Suárez JL, Gay Zárate O. Selección de los anestésicos locales adecuados para los pacientes hipertensos. Rev ADM 2003;60(2):76-8.