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Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction.

ABSTRACT: Aim of the Study:The present study evaluated the cardiovascular changes related to anxiety of the patient undergoing local anesthesia injection for extraction in Indian population. Methodology:In total, 100 Indian male patients were enrolled in the prospective study. Anxiety was measured at 15 min before local anesthetic delivery using Corah's Dental Anxiety Scale (DAS). Cardiovascular response data including blood pressure, heart rate, oxygen saturation and electrocardiographic changes were measured at five time points from 5 min before to 15 min after the administration of anesthetic. Results:The mean anxiety scale score before administration of anesthetic was 8.24 (± 3.55) with a range from 4 to 20. Younger age was associated with a higher anxiety scale score. Severe preoperative anxiety (DAS > 12) was associated with significantly increased heart rate and blood pressure during administration of anesthetic. Significant ECG change was present at the time and 5 min after local anesthesia administration. Pain on injection was also associated with increased heart rate and blood pressure during anesthetic administration. Conclusion:The present study shows that significant cardiovascular changes do occur due to dental anxiety at the time of local anesthesia administration for tooth extraction in Indian population.

SUBMITTER: Sharma A

PROVIDER: S-EPMC6328816 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction.

Sharma Ashish A Pant Rudraksh R Priyadarshi Sameer S Agarwal Nimish N Tripathi Siddhi S Chaudhary Manoj M

Journal of maxillofacial and oral surgery 20180124 1

<h4>Aim of the study</h4>The present study evaluated the cardiovascular changes related to anxiety of the patient undergoing local anesthesia injection for extraction in Indian population.<h4>Methodology</h4>In total, 100 Indian male patients were enrolled in the prospective study. Anxiety was measured at 15 min before local anesthetic delivery using Corah's Dental Anxiety Scale (DAS). Cardiovascular response data including blood pressure, heart rate, oxygen saturation and electrocardiographic c ...[more]

PMID: 30728697

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Project description:BackgroundThe ''gate control" theory suggests pain can be reduced by simultaneous activation of larger diameter nerve fibers using appropriate coldness, warmth, rubbing, pressure, or vibration. This study investigated the efficacy of a device combining cold and vibration, for needle-related procedural pain in children. Methodology. A total of 51 children aged 5-12 years participated in this randomized controlled clinical trial. Half of the children were in the control group and received maxillary buccal infiltration, by injecting 1.8?ml of 2% lidocaine with 1?:?100,000 adrenaline using topical anesthesia 20% benzocaine gel for 15 seconds, while the other half were in the test group and received the same anesthesia using a commercially available external cold and a vibrating device. A face version of Visual Analogue Scale (VAS) was used as a subjective measure to assess the child's pain experience. The parents were requested to evaluate the child's ability to tolerate pain using a behavioral/observational pain scale. Sound, Eyes, and Motor (SEM) scale and Faces, Legs, Activity, Cry, and Consolability (FLACC) scale were used to record the child's pain as perceived by the external evaluator. T-test or Mann-Whitney U-test was used for scale variables, paired sample T-test or Wilcoxon rank t-test was used for before and after data, and chi-square was used for categorical variable, based on the results of normality test.ResultsThe results showed a statistically significant reduction in pain after the injection for the test group compared with control using VAS scale (mean?=?6.68 (1.09) and 8.42 (0.50); p=0.001) and FLACC scale (mean?=?5.92 (1.05) and 8.16 (0.54); p=0.002), but not when using SEM scale (mean 3.22 (0.42) and 4.24 (2.74);p=0.08).ConclusionsCombined external cold and vibrating devices can be an effective alternative in reducing experienced pain and fear in children undergoing infiltration dental anesthesia. This study was registered with clinical trial registry of the United States National Institutes of Health (NIH) at ClinicalTrials.gov (NCT03953001).

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Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction.

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Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction.

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