Document Detail

Cardiovascular responses induced by dental treatment.
MedLine Citation:
PMID:  8831058     Owner:  NLM     Status:  MEDLINE    
Changes in mean heart rate and mean systolic and diastolic blood pressure are induced in both the patient's anticipation of scheduled treatment and the actual dental treatment itself. Significant changes have been observed before application of a local anesthetic, during restorative treatment, during extractions, and when epinephrine-impregnated retraction cords were used. These cardiovascular responses may vary according to the local anesthetic used and the choice of vasoconstrictor. The individual changes in heart rate and blood pressure are affected by pain and such individual factors as age, gender, hypertension, dental experience, and psychological responses. Although for the most part the cardiovascular changes induced by dental treatment are limited and within the normal physiological variation, this review stresses the importance of eliminating pain and minimizing patient anxiety.
H S Brand; L Abraham-Inpijn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of oral sciences     Volume:  104     ISSN:  0909-8836     ISO Abbreviation:  Eur. J. Oral Sci.     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-12-10     Completed Date:  1996-12-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9504563     Medline TA:  Eur J Oral Sci     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  245-52     Citation Subset:  D; IM    
Department of General Pathology and Internal Medicine, Academic Centre for Dentistry Amsterdam (ACTA), The Netherlands.
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MeSH Terms
Age Factors
Anesthetics, Local / pharmacology
Attitude to Health
Blood Pressure*
Dental Anxiety / physiopathology,  psychology
Dental Care* / psychology
Dental Restoration, Permanent
Epinephrine / pharmacology
Gingiva / drug effects
Heart Rate*
Hypertension / physiopathology
Pain / physiopathology
Sex Factors
Tooth Extraction
Vasoconstrictor Agents / pharmacology
Reg. No./Substance:
0/Anesthetics, Local; 0/Vasoconstrictor Agents; 51-43-4/Epinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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