Cardiovascular effect of dental anesthesia with articaine (40 mg with epinefrine 0,5 mg % and 40 mg with epinefrine 1 mg%) versus mepivacaine (30 mg and 20 mg with epinefrine 1 mg%) in medically compromised cardiac patients : a cross-over, randomized, single blinded study.
NAGIOS: RODERIC FUNCIONANDO

Cardiovascular effect of dental anesthesia with articaine (40 mg with epinefrine 0,5 mg % and 40 mg with epinefrine 1 mg%) versus mepivacaine (30 mg and 20 mg with epinefrine 1 mg%) in medically compromised cardiac patients : a cross-over, randomized, single blinded study.

DSpace Repository

Cardiovascular effect of dental anesthesia with articaine (40 mg with epinefrine 0,5 mg % and 40 mg with epinefrine 1 mg%) versus mepivacaine (30 mg and 20 mg with epinefrine 1 mg%) in medically compromised cardiac patients : a cross-over, randomized, single blinded study.

Show simple item record

dc.contributor.author Torres-Lagares, Daniel es
dc.contributor.author Serrera Figallo, María Angeles es
dc.contributor.author Machuca Portillo, Guillermo es
dc.contributor.author Corcuera Flores, José Ramón es
dc.contributor.author Machuca-Portillo, María-Carmen es
dc.contributor.author Castillo de Oyagüe, Raquel es
dc.contributor.author Gutiérrez Pérez, José Luis es
dc.date.accessioned 2017-07-24T12:12:44Z
dc.date.available 2017-07-24T12:12:44Z
dc.date.issued 2012 es
dc.identifier.uri http://hdl.handle.net/10550/59925
dc.description.abstract Objectives: The aim of the present study is to compare cardiovascular safety profiles of two dental anesthetics: articaine versus two standard mepivacaine solutions used during etiological periodontal treatment in cardiovascular patients. Study Design: Using a cross-over study design, ten cardiovascular patients were randomly assigned to dental treatment with 1.8mL of a local anesthetic injected on each quadrant of the mouth: Articaine (40mg with Epinephrine 0.5mg % and 40mg with Epinephrine 1mg %) or Mepivacaine (30mg and 20mg with Epinephrine 1mg %). A computer programme enabled continuous longitudinal data collection: O2 saturation, blood pressure (BP) and heart rate (HR). Results: No severe clinical side effects were observed. During the treatment period, we observed statistically significant differences as regards HR between injections with and without adrenalin (p< 0.039) and as regards systolic (p< 0.046) and diastolic (p < 0.046) blood pressure during the stabilization period. In both cases, the parameters under study increase. Age, gender, jaw treated, treatment duration and the rest of cardiovascular variables did not affect the results. None of the patients underwent ischemic alterations or any other complication derived from the treatment or the anesthesia. Conclusions: According to the results of our study, dental anesthetics with standard concentrations of Epinephrine seem to alter HR and BP. Although no cardiac ischemic alterations or any other cardiovascular complications have been observed, we must be cautious with the administration of anesthetics containing vasoconstrictors in patients with cardiovascular diseases es
dc.source Torres-Lagares, Daniel ; Serrera Figallo, María Angeles ; Machuca-Portillo , Guillermo ; Corcuera Flores, José Ramón ; Machuca-Portillo , María-Carmen ; Castillo de Oyagüe, Raquel ; Gutiérrez Pérez, José Luis. Cardiovascular effect of dental anesthesia with articaine (40 mg with epinefrine 0,5 mg % and 40 mg with epinefrine 1 mg%) versus mepivacaine (30 mg and 20 mg with epinefrine 1 mg%) in medically compromised cardiac patients : a cross-over, randomized, single blinded study.. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 17 4 2012: 30- es
dc.title Cardiovascular effect of dental anesthesia with articaine (40 mg with epinefrine 0,5 mg % and 40 mg with epinefrine 1 mg%) versus mepivacaine (30 mg and 20 mg with epinefrine 1 mg%) in medically compromised cardiac patients : a cross-over, randomized, single blinded study. es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.17892 es

View       (383.0Kb)

This item appears in the following Collection(s)

Show simple item record

Search DSpace

Advanced Search

Browse

Statistics