The Impact of Dental Treatments on Blood Pressure Variations
Journal Title: Cumhuriyet Dental Journal - Year 2019, Vol 22, Issue 1
Abstract
Objectives: The aim was to determine whether there are alterations in the fluctuations of systolic and diastolic blood pressure or the heart rate of normotensive versus hypertensive participants undergoing antihypertensive treatment during surgical and non-surgical dental treatments, regarding whether or not anaesthetics were used with a vasoconstrictor.Materials and methods: A prospective, observational, epidemiological study was conducted in a sample of 200 participants older than 65 years (100 normotensive and 100 hypertensive participants on antihypertensive treatment). Five periods for evaluation were established. Demographic information was obtained regarding whether or not anaesthetics were used (with or without a vasoconstrictor) and whether or not the participants underwent surgical treatment. The statistical analysis consisted of a doubly multivariate analysis of repeated measures for multiple dependent variables.Results: Significant differences were observed in the evolution of systolic blood pressure, with an initial increase in participants undergoing surgical treatment and those without a vasoconstrictor. On the other hand, systolic blood pressure decreased with non-surgical treatments, but it remained stable with the use of a vasoconstrictor. Diastolic blood pressure showed no interaction effect in participants undergoing surgical or non-surgical treatments; with the use of a vasoconstrictor, it initially decreased, while in the absence of a vasoconstrictor, it increased. Heart rate initially decreased in participants undergoing surgical and non-surgical treatments and was analogous whether or not a vasoconstrictor was used.Conclusions: During blood pressure monitoring, blood pressure variations occur, but there is no clinical repercussion in participants because once the treatment is completed, the initial values are recovered. Arterial hypertension is a pathology of high prevalence that tends to increase with age. The blood pressure response to surgical and non-surgical dental treatments and the effect of local anaesthetics is important because follow-up and blood pressure control in older patient cohorts can improve dental and clinical management.
Authors and Affiliations
Belisa Olmo González, Miguel Ángel González-Martín, José Manuel Olmo-Villaseca, Anna Mañes-Medina, Manuel Ribera-Uribe
Keywords
Related Articles
- EP ID EP481398
- DOI 10.7126/cumudj.475503
- Views 92
- Downloads 0
Effect of Coronal Barrier Thickness on Fracture Strength of Immature Teeth
Objectives: Secondary trauma is one of the main causes of root fracture in regenerative endodontic cases. The aim of this study was to compare the influence of placing Biodentine as a barrier material at different thickn...
Effects of Speed Sintering on Multilayered Monolithic Zirconia
Objective:In dentistry, different products are being developed in order to shorten the chairside but the interactions between these materials needs further investigations. This study aims to investigate the two different...
Efficacy of XP-Endo Finisher and Passive Ultrasonic Irrigation on Modified Triple Antibiotic Paste Removal
Objectives: The aim of this study was to compare conventional needle irrigation (CNI), passive ultrasonic irrigation (PUI), and XP-endo Finisher (XPF) techniques in terms of modified triple antibiotic paste (mTAP) remova...
Accuracy of digital panoramic radiographs on the vertical measurements of dental implants
Objectives: Panoramic radiography (PR) is the most commonly used technique to evaluate the dental and associated structures. The aim of this study was to determine the accuracy of panoramic radiographs (PRDs) in planning...
Clinical and Radiological Evaluation of Elongated Styloid Process in Patients with Temporomandibular Joint Disorder
Objectives: Clinical findings of elongated styloid process (SP) can easily be confused with clinical symptoms associated with temporomandibular joint disorders (TMD). This study aims to investigate the presence of elonga...