Entrar/Registro  
HOME SPANISH
 
Revista de la Asociación Dental Mexicana
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Revista de la Asociación Dental Mexicana >Year 2014, Issue 4


Oliva OKI, Cenoz UE, Ensaldo CE, Núñez MJM, Osorno EC, Alfaro MP
Effect of stress on vital signs in pediatric patients treated with dental anesthesia.
Rev ADM 2014; 71 (4)

Language: Español
References: 17
Page: 183-187
PDF: 212.56 Kb.


Full text




ABSTRACT

Background: Numerous studies have recognized the effect of epinephrine-containing lidocaine on a patient’s vital signs. However, the influence of stress on these in the pediatric population has been largely ignored. Objective: To determine the effect of stress on the vital signs of pediatric patients undergoing short dental rehabilitation procedures involving infiltration of epinephrine-containing lidocaine. Material and methods: A prolective, descriptive, longitudinal study of apparently healthy pediatric patients attending dental clinics at the Autonomous Metropolitan University’s Xochimilco Unit to receive dental treatment in the lower jaw. The vital signs of each patient were taken twice: first prior to anesthesia infiltration and then 10 minutes after. Before anesthetic infiltration, the patient’s stress level was assessed according to a perceived stress scale (PSS) consisting of four levels: none, mild, moderate, and severe. Results: 57.1% of the patients were girls and 42.9% boys (age = 8.71 ± 0.78 years). Of these, 31.43% displayed a mild level of stress; 31.43% moderate; 22.86% severe, and 14.28% none. A Student’s t-test for paired samples showed statistically significant differences between the first and second measurements of heart rate (p = 0.0001), respiratory rate (p = 0.0001), systolic blood pressure (p = 0.0001), and diastolic blood pressure (p = 0.0003). An ANOVA test found significant differences between stress level and initial heart rate (p = 0.0001), initial respiratory rate (p = 0.0001), and baseline systolic blood pressure (p = 0.006). Similarly, the ANOVA identified significant differences between the quantitative changes in the initial and final respiratory rate with respect to the levels of stress (p = 0.02). Conclusions: Infiltration of epinephrine-containing lidocaine in children generally did not increase their vital signs; however, these were influenced by the presence of different levels of stress.


Key words: Stress, epinephrine-containing lidocaine, vital signs, pediatric dentistry.


REFERENCIAS

  1. 3a ed. Bilbao:. Editorial Mensajero; 1987. p. 534.

  2. Benenzon R. Manual de musicoterapia. 3a ed. Barcelona: Paidos; 1995. p. 269.

  3. Whittaker J, Whitaker S. Psicología. Trad. José Pecina Hernández. 4a ed. México: Interamericana; 1987. p. 461-501.

  4. Smith R, Sarason I, Sarason B. Psicología, fronteras de la conducta. Trad. José Carmen Pecina. 2a ed. México: Harla; 1984. pp. 576-599.

  5. Campbell D. El efecto Mozart. Barcelona: Urbano; 1997. p. 467.

  6. Merino Soto C. Visión introductoria al estrés infantil. 1999 [Documento en línea] [Consultado en: octubre de 2013]. Disponible en: http://www.psicopedagogia.com/articulos/?articulo=177.

  7. Tolas AG, Pflug AE, Halter JB. Arterial plasma epinephrine concentrations and hemodynamic responses after dental injection of local anesthetic with epinephrine. J Am Dent Assoc. 1982; 104 (1): 41-43.

  8. Forssell H, Scheinin M. Local dental anesthesia with lidocaine and adrenaline: effects on plasma catecholamines, heart rate and blood pressure. Int J Oral Maxillofac Surg. 1988; 17 (16): 392-394.

  9. Malamed SF. Manual de anestesia local. 5a ed. Madrid, España: Elsevier Mosby; 2006. pp. 45-63.

  10. Gortzak RA, Oosting J. Blood pressure response to routine restorative dental treatment with and without local anesthesia. Oral Surg Oral Med Oral Pathol. 1992; 73: 677-681.

  11. Kohli K, Ngan P et al. A survey of local and topical anesthesia use by pediatric dentist in the United States. Pediatr Dent. 2001; 23 (3): 265-269.

  12. Meechan JG, Cole B, Welbury RR. The influence of two different dental local anesthetic solutions on the haemo-dynamic responses of children undergoing restorative dentistry: a randomised, single-blind, split-mouth study. Br Dent J. 2001; 190 (9): 502-504.

  13. Neves RS, Giorgi DM et al. Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arq Bras Cardiol. 2007; 88: 545-551.

  14. Vernale CA. Cardiovascular responses to local dental anesthesia with epinephrine in normotensive and hypertensive subjects. Oral Surg Oral Med Oral Pathol. 1960; 13 (8): 942-952.

  15. Castillo F, Cortés E et al. Frecuencia cardiaca y tensión arterial previa y posterior a la infiltración del anestésico local en el paciente odontopediátrico. Rev Odonto Mex. 2008; 12 (3): 126-130.

  16. Aboites MA, Linares SB et al. Efecto de la lidocaína con epinefrina en la tensión arterial de una población infantil. Rev Med Inst Mex Seguro Soc. 2008; 46 (3): 323-327.

  17. Sosa C, Silva J et al. Variaciones de los signos vitales como indicadores de estrés en niños que asisten a la consulta odontopediátrica de la Facultad de Odontología. ODUS Científica. 2007; 3 (1): 29-34.






>Journals >Revista de la Asociación Dental Mexicana >Year 2014, Issue 4
 

· Journal Index 
· Links 






       
Copyright 2019