Ashish Sharma1, Rudraksh Pant2, Sameer Priyadarshi3, Nimish Agarwal1, Siddhi Tripathi4, Manoj Chaudhary1. 1. 1Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh India. 2. Jag Prakash Hospital, New Delhi, India. 3. 3Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh India. 4. 4Department of Prosthodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh India.
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.
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.
Entities:
Keywords:
Anxiety; Cardiovascular changes; Local anesthetic
Authors: M O Ogunlewe; O James; J N A Ajuluchukwu; A L Ladeinde; W L Adeyemo; O M Gbotolorun Journal: West Indian Med J Date: 2011-01 Impact factor: 0.171