Revista de la Asociación Dental Mexicana

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>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


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.


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

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