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Doctoral Thesis
DOI
10.11606/T.23.2007.tde-11042008-103055
Document
Author
Full name
Carina Gisele Costa
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2007
Supervisor
Committee
Tortamano, Isabel Peixoto (President)
Borsatti, Maria Aparecida
Camargo, Washington Rodrigues
Francischone, Carlos Eduardo
Oliveira, Denise Tostes
Title in Portuguese
Efeitos cardiovasculares da infiltração maxilar da articaína e lidocaína associadas à epinefrina em procedimentos restauradores
Keywords in Portuguese
Anestesia
Articaína
Epinefrina
Freqüência cardíaca
Lidocaína
Pressão arterial
Abstract in Portuguese
O objetivo deste estudo foi avaliar os efeitos cardiovasculares da infiltração maxilar usando lidocaína 2% associada à epinefrina 1:100.000, articaína 4% associada à epinefrina 1:100.000 e 1:200.000 em diferentes etapas da consulta odontológica para realização de procedimento restaurador. Vinte voluntários receberam, aleatoriamente, 1,8 ml dos três anestésicos locais. A pressão arterial sistólica, diastólica e média e a freqüência cardíaca foram avaliadas pelos métodos oscilométrico e fotopletismográfico em sete etapas da consulta odontológica. A análise estatística dos parâmetros cardiovasculares através dos testes ANOVA e Tukey não mostrou diferenças significativas entre as três soluções anestésicas. Houve diferença estatisticamente significante para os parâmetros cardiovasculares entre as diferentes etapas clínicas da consulta odontológica. A variação dos parâmetros cardiovasculares é semelhante para as soluções de articaína e lidocaína associadas à epinefrina e é influenciada pelas etapas da consulta odontológica.
Title in English
Cardiovascular effects of maxillary infiltration of articaine and lidocaine with epinephrine in restorative procedures
Keywords in English
Anesthesia
Articaine
Blood pressure
Epinephrine
Heart rate
Lidocaine
Abstract in English
The aim of this study was to evaluate cardiovascular effects by maxillary infiltration using 2% lidocaine with 1:100.000 epinephrine, 4% articaine with 1:100.000 and 1:200.000 epinephrine in different stages of dental appointment for restorative procedures. Twenty healthy patients randomly received 1,8 ml of the three local anesthetics. Systolic blood pressure, average blood pressure, diastolic blood pressure and heart rate were evaluated by the oscillometric and photoplethysmograph methods in seven stages of the appointment. Statistical analysis by ANOVA and Tukey tests of cardiovascular parameters did not show significant differences between the anesthetic associations. There were significant differences for the parameters among different clinical stages of the dental appointment. The variation of cardiovascular parameters is similar for articaine and lidocaine solutions and it is influenced by the stages of the dental appointment.
 
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CarinaGiseleCosta.pdf (271.26 Kbytes)
Publishing Date
2008-06-09
 
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