Research Article
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Year 2019, Volume: 22 Issue: 1, 74 - 82, 13.03.2019

Belisa Olmo González , Miguel ángel González-martín José Manuel Olmo-villaseca Anna Mañes-medina Manuel Ribera-uribe

https://doi.org/10.7126/cumudj.475503
Cited By: 1

Abstract

References

  • Nichols C. Dentistry and hypertension. J Am Dent Assoc. 1997;128(11):1557-62.
  • Longo DL. Harrison's principles of internal medicine. 18th ed. New York: McGraw-Hill; 2012.
  • Pyle MA, Sawyer DR, Jasinevicius TR, Ballard R. Blood pressure measurement by community dentists. Spec Care Dentist. 1999;19(5):230-4.
  • Muzyka BC, Glick M. The hypertensive dental patient. J Am Dent Assoc. 1997;128(8):1109-20.
  • Lambrecht JT, Filippi A, Arrigoni J. Cardiovascular monitoring and its consequences in oral surgery. Ann Maxillofac Surg. 2011;1(2):102-6.
  • Bavitz JB. Dental management of patients with hypertension. Dent Clin North Am. 2006;50(4):547-62, vi.
  • Tsuchihashi T, Takata Y, Kurokawa H, et al. Blood pressure response during dental surgery. Hypertens Res. 1996;19(3):189-94.
  • Young SL, Karp NV, Karp WB. Dentists' and physicians' attitudes on the role of the dental health care team in a cardiovascular risk factor reduction program. J Public Health Dent. 1990;50(1):38-41.
  • Palatini P, Palomba D, Bertolo O, et al. The white-coat effect is unrelated to the difference between clinic and daytime blood pressure and is associated with greater reactivity to public speaking. J Hypertens. 2003;21(3):545-53.
  • O'Brien E, Asmar R, Beilin L, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens. 2003;21(5):821-48.
  • Altunkan S, Iliman N, Altunkan E. Validation of the Omron M6 (HEM-7001-E) upper arm blood pressure measuring device according to the International Protocol in elderly patients. Blood Press Monit. 2008;13(2):117-22.
  • Lu P, Gong Y, Chen Y, Cai W, Sheng J. Safety analysis of tooth extraction in elderly patients with cardiovascular diseases. Med Sci Monit. 2014;20:782-8.
  • Meiller TF, Overholser CD, Kutcher MJ, Bennett R. Blood pressure fluctuations in hypertensive patients during oral surgery. J Oral Maxillofac Surg. 1983;41(11):715-8.
  • Gortzak RA, Abraham-Inpijn L, Oosting J. Blood pressure response to dental checkup: a continuous, noninvasive registration. Gen Dent. 1991;39(5):339-42.
  • Agani ZB, Benedetti A, Krasniqi VH, et al. Cortisol level and hemodynamic changes during tooth extraction at hypertensive and normotensive patients. Med Arch. 2015;69(2):117-22.
  • Abraham-Inpijn L, Borgmeijer-Hoelen A, Gortzak RA. Changes in blood pressure, heart rate, and electrocardiogram during dental treatment with use of local anesthesia. J Am Dent Assoc. 1988;116(4):531-6.
  • Uzeda MJ, Moura B, Louro RS, da Silva LE, Calasans-Maia MD. A randomized controlled clinical trial to evaluate blood pressure changes in patients undergoing extraction under local anesthesia with vasopressor use. J Craniofac Surg. 2014;25(3):1108-10.
  • Silvestre FJ, Salvador-Martinez I, Bautista D, Silvestre-Rangil J. Clinical study of hemodynamic changes during extraction in controlled hypertensive patients. Med Oral Patol Oral Cir Bucal. 2011;16(3):e354-8.
  • Chaudhry S, Iqbal HA, Izhar F, et al. Effect on blood pressure and pulse rate after administration of an epinephrine containing dental local anaesthetic in hypertensive patients. J Pak Med Assoc. 2011;61(11):1088-91.
  • Kiyomitsu Y, Sugiyama K, Hirota Y, et al. Blood pressure and heart rate of patients in dental clinics. Anesth Prog. 1989;36(4-5):237-8.
  • Abu-Mostafa N, Aldawssary A, Assari A, Alnujaidy S, Almutlaq A. A prospective randomized clinical trial compared the effect of various types of local anesthetics cartridges on hypertensive patients during dental extraction. J Clin Exp Dent. 2015;7(1):e84-8.
  • Abu-Mostafa N, Al-Showaikhat F, Al-Shubbar F, Al-Zawad K, Al-Zawad F. Hemodynamic changes following injection of local anesthetics with different concentrations of epinephrine during simple tooth extraction: A prospective randomized clinical trial. J Clin Exp Dent. 2015;7(4):e471-6.
  • Ogunlewe MO, James O, Ajuluchukwu JN, Ladeinde AL, Adeyemo WL, Gbotolorun OM. Evaluation of haemodynamic changes in hypertensive patients during tooth extraction under local anaesthesia. West Indian Med J. 2011;60(1):91-5.
  • Hashemi SH, Ladez SR, Moghadam SA. Comparative Assessment of the Effects of Three Local Anesthetics: Lidocaine, Prilocaine, and Mepivacaine on Blood Pressure Changes in Patients with Controlled Hypertension. Glob J Health Sci. 2016;8(10):54157.
  • Bader JD, Bonito AJ, Shugars DA. A systematic review of cardiovascular effects of epinephrine on hypertensive dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(6):647-53.
  • Trenkwalder P. Automated blood pressure measurement (ABPM) in the elderly. Z Kardiol. 1996;85 Suppl 3:85-91.
  • Santos CF, Modena KC, Giglio FP, et al. Epinephrine concentration (1:100,000 or 1:200,000) does not affect the clinical efficacy of 4% articaine for lower third molar removal: a double-blind, randomized, crossover study. J Oral Maxillofac Surg. 2007;65(12):2445-52.
  • Holm SW, Cunningham LL, Jr., Bensadoun E, Madsen MJ. Hypertension: classification, pathophysiology, and management during outpatient sedation and local anesthesia. J Oral Maxillofac Surg. 2006;64(1):111-21.
  • Aubertin MA. The hypertensive patient in dental practice: updated recommendations for classification, prevention, monitoring, and dental management. Gen Dent. 2004;52(6):544-52; quiz 53, 27-8.
  • Gungormus M, Buyukkurt MC. The evaluation of the changes in blood pressure and pulse rate of hypertensive patients during tooth extraction. Acta Med Austriaca. 2003;30(5):127-9.
  • Perusse R, Goulet JP, Turcotte JY. Contraindications to vasoconstrictors in dentistry: Part II. Hyperthyroidism, diabetes, sulfite sensitivity, cortico-dependent asthma, and pheochromocytoma. Oral Surg Oral Med Oral Pathol. 1992;74(5):687-91.
  • Brand HS, Gortzak RA, Abraham-Inpijn L. Anxiety and heart rate correlation prior to dental checkup. Int Dent J. 1995;45(6):347-51.
  • Wada M, Miwa S, Mameno T, Suganami T, Ikebe K, Maeda Y. A prospective study of the relationship between patient character and blood pressure in dental implant surgery. Int J Implant Dent. 2016;2(1):21.
  • Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-52.
  • Winter KH, Tuttle LA, Viera AJ. Hypertension. Prim Care. 2013;40(1):179-94.
  • Arnett DK, Claas SA. Preventing and controlling hypertension in the era of genomic innovation and environmental transformation. JAMA. 2012;308(17):1745-6.
  • Pilgrim JA. Psychological aspects of high and low blood pressure. Psychol Med. 1994;24(1):9-14.
  • Bader JD, Bonito AJ, Shugars DA. Cardiovascular effects of epinephrine in hypertensive dental patients. Evid Rep Technol Assess (Summ). 2002(48):1-3.
  • Jastak JT, Yagiela JA. Vasoconstrictors and local anesthesia: a review and rationale for use. J Am Dent Assoc. 1983;107(4):623-30.
  • Malamed SF. Handbook of local anesthesia. 5th ed. St. Louis, Mo.: Elsevier/Mosby; 2004. xiii, 399 p. p.
  • Nakamura Y, Matsumura K, Miura K, Kurokawa H, Abe I, Takata Y. Cardiovascular and sympathetic responses to dental surgery with local anesthesia. Hypertens Res. 2001;24(3):209-14.
  • Knoll-Kohler E, Fortsch G. Pulpal anesthesia dependent on epinephrine dose in 2% lidocaine. A randomized controlled double-blind crossover study. Oral Surg Oral Med Oral Pathol. 1992;73(5):537-40.
  • Knoll-Kohler E, Knoller M, Brandt K, Becker J. Cardiohemodynamic and serum catecholamine response to surgical removal of impacted mandibular third molars under local anesthesia: a randomized double-blind parallel group and crossover study. J Oral Maxillofac Surg. 1991;49(9):957-62.

The Impact of Dental Treatments on Blood Pressure Variations

Year 2019, Volume: 22 Issue: 1, 74 - 82, 13.03.2019

Belisa Olmo González , Miguel ángel González-martín José Manuel Olmo-villaseca Anna Mañes-medina Manuel Ribera-uribe

https://doi.org/10.7126/cumudj.475503
Cited By: 1

Abstract

Objectives: The aim was to determine whether there are alterations in the fluctuations of systolic and diastolic blood pressure or the heart rate of normotensive versus hypertensive participants undergoing antihypertensive treatment during surgical and non-surgical dental treatments, regarding whether or not anaesthetics were used with a vasoconstrictor.

Materials and methods: A prospective, observational, epidemiological study was conducted in a sample of 200 participants older than 65 years (100 normotensive and 100 hypertensive participants on antihypertensive treatment). Five periods for evaluation were established. Demographic information was obtained regarding whether or not anaesthetics were used (with or without a vasoconstrictor) and whether or not the participants underwent surgical treatment. The statistical analysis consisted of a doubly multivariate analysis of repeated measures for multiple dependent variables.

Results: Significant differences were observed in the evolution of systolic blood pressure, with an initial increase in participants undergoing surgical treatment and those without a vasoconstrictor. On the other hand, systolic blood pressure decreased with non-surgical treatments, but it remained stable with the use of a vasoconstrictor. Diastolic blood pressure showed no interaction effect in participants undergoing surgical or non-surgical treatments; with the use of a vasoconstrictor, it initially decreased, while in the absence of a vasoconstrictor, it increased. Heart rate initially decreased in participants undergoing surgical and non-surgical treatments and was analogous whether or not a vasoconstrictor was used.

Conclusions: During blood pressure monitoring, blood pressure variations occur, but there is no clinical repercussion in participants because once the treatment is completed, the initial values are recovered. Arterial hypertension is a pathology of high prevalence that tends to increase with age. The blood pressure response to surgical and non-surgical dental treatments and the effect of local anaesthetics is important because follow-up and blood pressure control in older patient cohorts can improve dental and clinical management.

Keywords

blood pressure hypertension diastolic pressure systolic pressure

References

  • Nichols C. Dentistry and hypertension. J Am Dent Assoc. 1997;128(11):1557-62.
  • Longo DL. Harrison's principles of internal medicine. 18th ed. New York: McGraw-Hill; 2012.
  • Pyle MA, Sawyer DR, Jasinevicius TR, Ballard R. Blood pressure measurement by community dentists. Spec Care Dentist. 1999;19(5):230-4.
  • Muzyka BC, Glick M. The hypertensive dental patient. J Am Dent Assoc. 1997;128(8):1109-20.
  • Lambrecht JT, Filippi A, Arrigoni J. Cardiovascular monitoring and its consequences in oral surgery. Ann Maxillofac Surg. 2011;1(2):102-6.
  • Bavitz JB. Dental management of patients with hypertension. Dent Clin North Am. 2006;50(4):547-62, vi.
  • Tsuchihashi T, Takata Y, Kurokawa H, et al. Blood pressure response during dental surgery. Hypertens Res. 1996;19(3):189-94.
  • Young SL, Karp NV, Karp WB. Dentists' and physicians' attitudes on the role of the dental health care team in a cardiovascular risk factor reduction program. J Public Health Dent. 1990;50(1):38-41.
  • Palatini P, Palomba D, Bertolo O, et al. The white-coat effect is unrelated to the difference between clinic and daytime blood pressure and is associated with greater reactivity to public speaking. J Hypertens. 2003;21(3):545-53.
  • O'Brien E, Asmar R, Beilin L, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens. 2003;21(5):821-48.
  • Altunkan S, Iliman N, Altunkan E. Validation of the Omron M6 (HEM-7001-E) upper arm blood pressure measuring device according to the International Protocol in elderly patients. Blood Press Monit. 2008;13(2):117-22.
  • Lu P, Gong Y, Chen Y, Cai W, Sheng J. Safety analysis of tooth extraction in elderly patients with cardiovascular diseases. Med Sci Monit. 2014;20:782-8.
  • Meiller TF, Overholser CD, Kutcher MJ, Bennett R. Blood pressure fluctuations in hypertensive patients during oral surgery. J Oral Maxillofac Surg. 1983;41(11):715-8.
  • Gortzak RA, Abraham-Inpijn L, Oosting J. Blood pressure response to dental checkup: a continuous, noninvasive registration. Gen Dent. 1991;39(5):339-42.
  • Agani ZB, Benedetti A, Krasniqi VH, et al. Cortisol level and hemodynamic changes during tooth extraction at hypertensive and normotensive patients. Med Arch. 2015;69(2):117-22.
  • Abraham-Inpijn L, Borgmeijer-Hoelen A, Gortzak RA. Changes in blood pressure, heart rate, and electrocardiogram during dental treatment with use of local anesthesia. J Am Dent Assoc. 1988;116(4):531-6.
  • Uzeda MJ, Moura B, Louro RS, da Silva LE, Calasans-Maia MD. A randomized controlled clinical trial to evaluate blood pressure changes in patients undergoing extraction under local anesthesia with vasopressor use. J Craniofac Surg. 2014;25(3):1108-10.
  • Silvestre FJ, Salvador-Martinez I, Bautista D, Silvestre-Rangil J. Clinical study of hemodynamic changes during extraction in controlled hypertensive patients. Med Oral Patol Oral Cir Bucal. 2011;16(3):e354-8.
  • Chaudhry S, Iqbal HA, Izhar F, et al. Effect on blood pressure and pulse rate after administration of an epinephrine containing dental local anaesthetic in hypertensive patients. J Pak Med Assoc. 2011;61(11):1088-91.
  • Kiyomitsu Y, Sugiyama K, Hirota Y, et al. Blood pressure and heart rate of patients in dental clinics. Anesth Prog. 1989;36(4-5):237-8.
  • Abu-Mostafa N, Aldawssary A, Assari A, Alnujaidy S, Almutlaq A. A prospective randomized clinical trial compared the effect of various types of local anesthetics cartridges on hypertensive patients during dental extraction. J Clin Exp Dent. 2015;7(1):e84-8.
  • Abu-Mostafa N, Al-Showaikhat F, Al-Shubbar F, Al-Zawad K, Al-Zawad F. Hemodynamic changes following injection of local anesthetics with different concentrations of epinephrine during simple tooth extraction: A prospective randomized clinical trial. J Clin Exp Dent. 2015;7(4):e471-6.
  • Ogunlewe MO, James O, Ajuluchukwu JN, Ladeinde AL, Adeyemo WL, Gbotolorun OM. Evaluation of haemodynamic changes in hypertensive patients during tooth extraction under local anaesthesia. West Indian Med J. 2011;60(1):91-5.
  • Hashemi SH, Ladez SR, Moghadam SA. Comparative Assessment of the Effects of Three Local Anesthetics: Lidocaine, Prilocaine, and Mepivacaine on Blood Pressure Changes in Patients with Controlled Hypertension. Glob J Health Sci. 2016;8(10):54157.
  • Bader JD, Bonito AJ, Shugars DA. A systematic review of cardiovascular effects of epinephrine on hypertensive dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(6):647-53.
  • Trenkwalder P. Automated blood pressure measurement (ABPM) in the elderly. Z Kardiol. 1996;85 Suppl 3:85-91.
  • Santos CF, Modena KC, Giglio FP, et al. Epinephrine concentration (1:100,000 or 1:200,000) does not affect the clinical efficacy of 4% articaine for lower third molar removal: a double-blind, randomized, crossover study. J Oral Maxillofac Surg. 2007;65(12):2445-52.
  • Holm SW, Cunningham LL, Jr., Bensadoun E, Madsen MJ. Hypertension: classification, pathophysiology, and management during outpatient sedation and local anesthesia. J Oral Maxillofac Surg. 2006;64(1):111-21.
  • Aubertin MA. The hypertensive patient in dental practice: updated recommendations for classification, prevention, monitoring, and dental management. Gen Dent. 2004;52(6):544-52; quiz 53, 27-8.
  • Gungormus M, Buyukkurt MC. The evaluation of the changes in blood pressure and pulse rate of hypertensive patients during tooth extraction. Acta Med Austriaca. 2003;30(5):127-9.
  • Perusse R, Goulet JP, Turcotte JY. Contraindications to vasoconstrictors in dentistry: Part II. Hyperthyroidism, diabetes, sulfite sensitivity, cortico-dependent asthma, and pheochromocytoma. Oral Surg Oral Med Oral Pathol. 1992;74(5):687-91.
  • Brand HS, Gortzak RA, Abraham-Inpijn L. Anxiety and heart rate correlation prior to dental checkup. Int Dent J. 1995;45(6):347-51.
  • Wada M, Miwa S, Mameno T, Suganami T, Ikebe K, Maeda Y. A prospective study of the relationship between patient character and blood pressure in dental implant surgery. Int J Implant Dent. 2016;2(1):21.
  • Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-52.
  • Winter KH, Tuttle LA, Viera AJ. Hypertension. Prim Care. 2013;40(1):179-94.
  • Arnett DK, Claas SA. Preventing and controlling hypertension in the era of genomic innovation and environmental transformation. JAMA. 2012;308(17):1745-6.
  • Pilgrim JA. Psychological aspects of high and low blood pressure. Psychol Med. 1994;24(1):9-14.
  • Bader JD, Bonito AJ, Shugars DA. Cardiovascular effects of epinephrine in hypertensive dental patients. Evid Rep Technol Assess (Summ). 2002(48):1-3.
  • Jastak JT, Yagiela JA. Vasoconstrictors and local anesthesia: a review and rationale for use. J Am Dent Assoc. 1983;107(4):623-30.
  • Malamed SF. Handbook of local anesthesia. 5th ed. St. Louis, Mo.: Elsevier/Mosby; 2004. xiii, 399 p. p.
  • Nakamura Y, Matsumura K, Miura K, Kurokawa H, Abe I, Takata Y. Cardiovascular and sympathetic responses to dental surgery with local anesthesia. Hypertens Res. 2001;24(3):209-14.
  • Knoll-Kohler E, Fortsch G. Pulpal anesthesia dependent on epinephrine dose in 2% lidocaine. A randomized controlled double-blind crossover study. Oral Surg Oral Med Oral Pathol. 1992;73(5):537-40.
  • Knoll-Kohler E, Knoller M, Brandt K, Becker J. Cardiohemodynamic and serum catecholamine response to surgical removal of impacted mandibular third molars under local anesthesia: a randomized double-blind parallel group and crossover study. J Oral Maxillofac Surg. 1991;49(9):957-62.
There are 43 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Belisa Olmo González 0000-0002-3074-7987

Miguel ángel González-martín 0000-0001-5256-878X

José Manuel Olmo-villaseca 0000-0003-3460-9036

Anna Mañes-medina 0000-0002-8970-077X

Manuel Ribera-uribe 0000-0002-9919-3281

Publication Date March 13, 2019
Submission Date October 28, 2018
Published in Issue Year 2019Volume: 22 Issue: 1

Cite

EndNote Olmo González B, González-martín Má, Olmo-villaseca JM, Mañes-medina A, Ribera-uribe M (March 1, 2019) The Impact of Dental Treatments on Blood Pressure Variations. Cumhuriyet Dental Journal 22 1 74–82.

Cited By

Assessment of Clinical Parameters of Dental Anxiety during Noninvasive Treatments in Dentistry
International Journal of Environmental Research and Public Health
https://doi.org/10.3390/ijerph191711141
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