An influence of adrenaline (1:80,000) containing local anesthesia (2% Xylocaine) on glycemic level of patients undergoing tooth extraction in Riyadh

Khawaja, Naveed A.; Khalil, Hesham; Parveen, Kauser; Alghamdi, Ahmad M.; Alzahrani, Raed A.M.; Alherbi, Sa’ad M.

doi:10.1016/j.jsps.2014.02.006

Cited by 8 publications

(7 citation statements)

References 15 publications

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“…Besides that there was no statistically significant difference in blood glucose levels of patients undergoing both treatments suggesting the clinical feasibility of epinephrine or felypressin administration for patients with this profile. The results of this study corroborate with Haji et al 14 and Khawaja et al 17 showing that the use of lidocaine associated to epinephrine does not present significant difference in the blood glucose alterations for compensated diabetic patients. In addition, Santos-Paul et al 18 conducted a study and demonstrated that epinephrine associated to lidocaine did not lead to hyperglycemia significant changes either in hemodynamics or in anxiety parameters in type 2 diabetic and coronary disease patients.…”

Section: Resultssupporting

confidence: 91%

“…The use of adrenergic vasoconstrictor as epinephrine regarding local anesthesia in diabetic patients has been treated in the literature [17][18] effect of epinephrine in cellular glycogen breakdown is observed, leading to hyperglycemia Moreover, few studies have compared the effects of epinephrine and felypressin in blood glucose in diabetic patients, leading to this research.…”

Section: Resultsmentioning

confidence: 99%

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Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors

Mello

Ramacciato

Peruzzo

et al. 2016

RGO, Rev. Gaúch. Odontol.

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ObjectiveIn the dental clinic, the use of local anesthetics containing vasoconstrictors in diabetic patients are still controversial raising some doubts. Thus, the objective of this randomized crossover clinical trial was to evaluate blood glucose, pulse oximetry and heart rate of type 2 diabetic patients when submitted to local anesthesia using prilocaine 3% associated to felypressin 0,03UI / ml (G1) and 2% lidocaine associated to epinephrine 1: 100,000 (G2). Methods The sample consisted of 20 compensated type 2 diabetic patients (both genders) who were taking oral hypoglycemic drugs. The volunteers underwent two periodontal sessions (scaling) and one of the solutions tested was used in each visit. The cited parameters were evaluated at three different times: before the procedure (T1), 10 minutes after anesthesia (T2) and after 20 minutes (T3). Results Regarding the blood glucose levels, no statistically significant difference was found in different times between G1 and G2 (p> 0.05). Similarly, regarding pulse oximetry and heart rate, no statistically significant differences were observed in intervals assessed between groups (p> 0.05), presenting values within normal limits. Conclusion RESUMOObjetivo Na clínica odontológica, o uso de soluções anestésicas locais contendo vasoconstritores em pacientes diabéticos ainda sucita algumas dúvidas. Desta forma, o objetivo deste ensaio clínico cruzado e randomizado foi avaliar de forma comparativa a glicemia, oximetria de pulso e frequência cardíaca de pacientes portadores de diabetes tipo II quando submetidos à anestesia local com prilocaína 3% com felipressina 0,03UI/ml (G1) e lidocaína a 2% com epinefrina 1:100.000 (G2). MétodosForam selecionados 20 indivíduos diabéticos do tipo II, compensados, sem distinção de gênero, que faziam uso de hipoglicemiantes orais. Os voluntários foram submetidos a duas sessões de instrumentação periodontal, sendo administrada uma das soluções testadas em cada consulta. Os parâmetros citados foram avaliados em três momentos distintos: antes do procedimento (T1), 10 minutos após a anestesia (T2) e após 20 minutos (T3). ResultadosPara os valores de glicemia não houve diferença estatisticamente significante nos diferentes tempos entre G1 e G2 (p>0,05). Da mesma forma, em relação à oximetria de pulso e frequência cardíaca, não foram observadas diferenças estatisticamente significativas nos intervalos avaliados entre os grupos (p>0,05), com valores dentro da normalidade. ConclusãoConsiderando a concentração dos vasoconstritores e o volume das soluções anestésicas empregadas, os resultados sugerem que os vasoconstritores avaliados não alteram de forma significativa a glicemia, oximetria de pulso e frequência cardíca de adultos portadores de diabetes tipo II compensados.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors

Mello

Ramacciato

Peruzzo

et al. 2016

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

show abstract

“…The study conducted by Corbati I. et al in the United Kingdom reported that 20% of dentists used anesthesia without vasoconstrictors for uncontrolled diabetic patients. Another study conducted by A. Vander Auwera et al showed that only 25.3% of participants choosed anesthesia without vasoconstrictors among this type of patient [14] [15].…”

Section: Discussionmentioning

confidence: 93%

Evaluation of Dental Student’s Knowledge among Diabetes: A Cross Sectional Study

Rouijel¹,

Azaroual²,

Sakout³

2022

OJN

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Patients with uncontrolled diabetes are at greater risk for several oral health complications, particularly periodontal disease. Moreover, there is evidence to support a bidirectional relationship between diabetes and periodontal disease. As the prevalence of diabetes continues to rise, it is expected that dental practitioners will be seeing and treating greater numbers of diabetic patients. The aim of this study was to evaluate the knowledge, attitudes and practice of dental students towards diabetic patients. A cross-sectional study was conducted by means of a questionnaire among dental students in a private dental university in Morocco. Qualitative variables were described in terms of numbers and percentages and were compared using a Chi-square test. A p-value of less than 0.005 was considered significant. A total of 268 students participated in the assessment, corresponding to a response rate of 83.7%. The results showed that 80.6% of the students believed that knowing the type of diabetes was important. 14.2% knew the risks that the diabetic patient incurred in dental treatments. For analytical results, 3 groups corresponding to the final 3 years of their 6-year dental curriculum were compared. When asking about the knowledge of the risks incurred by the diabetic patient, there was a statistically significant difference (p < 0.001) between the 3 groups. On the other hand, a statistically significant difference (p < 0.001) was observed between students in 4th, 5th and 6th year concerning the prescription of antibiotics for endodontic procedures if HbA1c < 7. There was a statistically significant difference (p < 0.001) between the 3 groups concerning the knowledge of antibiotics and analgesics prescribed in odontology for diabetic patients. To overcome the lack of knowledge relevant to dental students, it is essential that clinical internship of students must consider the management of patients with diabetes. Finally, continuing educational programs should be followed by dentists to improve their knowledge of the management of diabetic patients.

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“…Khawaja et al concluded that the use of epinephrine in local anesthesia is safe in healthy and diabetic patients under hypoglycemic medications. 22 Alves dos Santos-Paul et al observed that the use of epinephrine (1:100,000) does not interfere with BGLs on pharmacologically controlled type 2 diabetes patients. 23 …”

Section: Discussionmentioning

confidence: 99%

Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Balanced Diabetic Children

Nassif

Noueiri

2021

International Journal of Clinical Pediatric Dentistry

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A bstract Introduction Pediatric dentists, while treating diabetic patients, have a major concern about the occurrence of hypo- or hyperglycemia complications. So far, no dental care protocol is elaborated to help practitioners in creating a safe environment for their patients. This study aims to evaluate the blood glucose level (BGL) fluctuation in type 1 diabetic children according to the type of the delivered treatment and its duration, to outline guidance for predicting the occurrence of a hypo- or hyperglycemia complication. Materials and methods A cross-sectional approach was conducted on 70 balanced diabetic children aged between 7 years and 12 years old (32 females and 38 males) in the Department of Pediatric Dentistry at the Lebanese University in Beirut. Only the patients having a BGL between 70 mg/dL and 300 mg/dL could undergo dental treatment. The gender, the duration of the dental session (≤30 or >30 minutes), the BGLs at the baseline and the end of the session were noted. The types of the performed dental treatment were classified as simple, and unpleasant acts. Results For the female group, only eight sessions lasted ≤30 minutes. The results of simple and unpleasant interventions >30 minutes showed that BGLs before and after treatment were almost identical ( p > 0.05). In the male group, for the simple acts >30 minutes, the BGL showed a significant fluctuation ( p = 0.02). Conclusion Dentists must be aware of signs of discomfort in balanced type 1 diabetic children to avoid severe complications. This study highlights a new range of BGLs (70–300 mg/dL) that allows safe dental treatment. How to cite this article Nassif N, Noueiri B. Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Balanced Diabetic Children. Int J Clin Pediatr Dent 2021;14(2):212–216.

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An influence of adrenaline (1:80,000) containing local anesthesia (2% Xylocaine) on glycemic level of patients undergoing tooth extraction in Riyadh

Cited by 8 publications

References 15 publications

Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors

Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors

Evaluation of Dental Student’s Knowledge among Diabetes: A Cross Sectional Study

Dental Treatment Effect on Blood Glucose Level Fluctuation in Type 1 Balanced Diabetic Children

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