Cardiovascular Responses Induced By Dental Treatment

Brand, H.S.

doi:10.1111/j.1747-4477.1997.tb00587.x

Cited by 23 publications

(42 citation statements)

References 22 publications

(44 reference statements)

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“…This is partially due to the endogenous epinephrine release owing to emotional stress. 28 The increase in the pulse rate in the intervention group could be due to the increase in the respiratory activity during the relaxation exercise. The children belonging to the intervention group were breathing out more forcefully during the administration of anaesthetic.…”

Section: Discussionmentioning

confidence: 98%

Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: Randomized clinical trial

Sridhar

Suprabha

Shenoy

et al. 2019

Int J Paed Dentistry

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Background Cognitive behavioural techniques can decrease procedural pain and anxiety in children. Bubble breath exercise, a play therapy technique, may be used as a relaxation strategy to manage anxiety and pain. The objective of the study was to evaluate the effect of bubble breath exercise on dental anxiety, dental behaviour, and pain intensity during buccal infiltration of local anaesthetic in children. Study Design This randomized controlled trial involved 66 children aged 7‐11 years, randomly allocated to two groups: Group 1 (control) and Group 2 (intervention group). Group 2 was trained in bubble breath exercise. The reaction during buccal infiltration anaesthesia was recorded in terms of behaviour (Frankl's behaviour rating scale), anxiety (Facial Image Scale and pulse rate), and pain perception (Wong‐Baker FACES pain rating scale and the Faces, Leg, Activity, Cry, and Consolability scale). Results The bubble breath exercise significantly reduced the pain perceived, as measured by both the Wong‐Baker FACES pain rating scale (P < 0.001) and the FLACC scale (P < 0.001). There was no statistically significant difference in dental anxiety and behaviour among the groups. Conclusion Use of bubble breath exercise may be beneficial in decreasing the pain perceived during maxillary buccal infiltration anaesthesia in 7‐ to 11‐year‐old children.

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Section: Discussionmentioning

confidence: 98%

Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: Randomized clinical trial

Sridhar

Suprabha

Shenoy

et al. 2019

Int J Paed Dentistry

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“…Some studies reported an increased heart rate before, 13,22 during, 23 or after local anesthesia. 14,16 According to Brand and Abraham-Inpijn, 24 the heart rate increases found during an injection of local anesthesia may be related to the use of vasoconstrictors and, in some cases, heart rate may decrease when local anesthesia is not used.…”

Section: Discussionmentioning

confidence: 99%

Behavioral and physiological changes in children with Down syndrome using mechanical and chemomechanical (Carisolv™) caries removal methods

Guaré

Ciamponi

Romano

2008

Special Care in Dentistry

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This study compared behavioral and physiological changes during caries removal in children with Down syndrome when using a chemomechanical caries removal technique (Carisolv) and a conventional method of caries removal. Twenty children (ASA class 1) between 5 and 12 years of age participated in the study; 10 subjects had Down syndrome and 10 were healthy controls. The behavioral and physiological assessments were carried out during five stages of dental treatment: (1) 5 minutes before local anesthesia; (2) during local anesthesia; (3) during caries removal; (4) immediately after restoration; and (5) 5 minutes after the end of the treatment. The caries removal step resulted in the greatest behavioral and physiological changes. Except for oxygen saturation, statistically significant differences in heart rate (p<0.05) were recorded between children with Down syndrome and the control children.

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“…Procedimentos odontológicos, particularmente a extração de terceiros molares retidos, podem se tornar extremamente incômodos e dolorosos, gerando ansiedade, medo e até terror. Embora técnicas eficientes de anestesia local sejam utilizadas rotineiramente pelos cirurgiões dentistas, não é raro encontrarmos pacientes com fobia ao tratamento odontológico, sendo este sentimento causa de importantes alterações autonômicas (BRAND et al, 1995;BRAND;ABRAHAM-INPIJN, 1996).…”

Section: Introductionunclassified

“…Particularmente, está indicada durante a extração cirúrgica de molares, em procedimentos traumáticos, ou com o objetivo de proporcionar maior segurança em pacientes emocionalmente comprometidos. Além de aumentar a margem de segurança do paciente durante a cirurgia, permite ao cirurgião dentista identificar imediatamente situações de risco aumentado, estabelecer precocemente um diagnóstico e prevenir possíveis complicações (BRAND et al, 1995;BRAND;ABRAHAM-INPIJN, 1996;ARRIGONI;LAMBRECTH;FILIPPI, 2005).…”

Section: Introductionunclassified

Extração de terceiros molares retidos sob anestesia local. Avaliação de ansiedade, dor, alterações hemodinâmicas e respiratórias

Braga¹,

D’Ottaviano

Braga³

et al. 2010

R. Fac. Odontol. Porto Alegre

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A transversal, descriptive study with an analytical component was conducted, aimed at evaluating anxiety during the period preceding the procedure, as well as hemodynamic and respiratory alterations and pain during the intraoperative period in patients undergoing the extraction of retained third molars under local anesthesia. Forty-two healthy male subjects, ranging in age from 18 to 34 years were included in the study. Anesthesia was performed with lidocaine hydrochloride 2% with epinephrine 1:50.000, at a dose ranging from 72 to 144mg. A non-invasive multiparametric monitor was used to monitor the following parameters: mean arterial blood pressure, heart rate, peripheral O2 saturation, respiratory rate; level of anxiety (anxiety scale for dental surgery) and pain (visual analog scale). Statistical analysis was performed with a paired Student's t and Wilcoxon's test. The significance level was set at 5%. In this study, twenty patients had some level of anxiety. Severe pain was reported in seven patients who required supplementation with local anesthesia during osteotomy, tooth sectioning and luxation. Individual analysis of hemodynamic and respiratory parameters showed alterations that were considered significant. The results of this study enabled us to conclude that hemodynamic and respiratory alterations may occur during the extraction of retained third molars. Monitoring is important for the detection and thus prevention of these complications. Furthermore, it is particularly useful in patients in whom these repercussions must be avoided.

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Cardiovascular Responses Induced By Dental Treatment

Cited by 23 publications

References 22 publications

Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: Randomized clinical trial

Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: Randomized clinical trial

Behavioral and physiological changes in children with Down syndrome using mechanical and chemomechanical (Carisolv™) caries removal methods

Extração de terceiros molares retidos sob anestesia local. Avaliação de ansiedade, dor, alterações hemodinâmicas e respiratórias

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