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Clinics ; 65(10): 975-978, 2010. ilus, tab
Article in English | LILACS | ID: lil-565980

ABSTRACT

OBJECTIVE: The aim of this study was to (1) observe the extent to which hemodynamic and glucose measurements change in patients submitted to a dental procedure with and without a local anesthetic and a vasoconstrictor (LAVA; 2 percent mepivacaine with adrenaline 1100,000) and (2) correlate those parameters with the patients' anxiety levels. METHOD: This was an unblinded, random, prospective, and observational study with paired groups. Patients were evaluated during two different consultations during which they either did or did not receive a local anesthetic/vasoconstrictor. RESULTS: Thirty-seven patients ranging in age from 18 to 45 years (mean 30.4 ± 5.5 years) were evaluated. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, heart rate, and glucose levels, did not change significantly in healthy patients, regardless of whether a LAVA was administered during the dental treatment. CONCLUSION: The patients' anxiety statuses neither varied significantly nor showed any correlation with the studied hemodynamic parameters and glucose levels, regardless of whether local anesthetics were used.


Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Anesthesia, Dental/adverse effects , Anesthesia, Local/adverse effects , Blood Glucose/analysis , Blood Pressure/drug effects , Dental Anxiety/metabolism , Vasoconstrictor Agents/adverse effects , Blood Pressure/physiology , Epinephrine/adverse effects , Hemodynamics/drug effects , Hemodynamics/physiology , Mepivacaine/adverse effects
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