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International journal of odontostomatology

versión On-line ISSN 0718-381X

Resumen

STELLA, Paulo Eduardo Melo; FALCI, Saulo Gabriel Moreira; COELHO, Valéria Silveira  y  DOS-SANTOS, Cássio Roberto Rocha. Hemodynamic Behavior in Third Molar Surgeries Using Lidocaine or Articaine. Int. J. Odontostomat. [online]. 2018, vol.12, n.1, pp.76-85. ISSN 0718-381X.  http://dx.doi.org/10.4067/S0718-381X2018000100076.

The aim of this research was to assess the hemodynamic variations during the extraction of impacted lower third molars using lidocaine 2 % or articaine 4 %, as local anesthetics. Fourteen patients with a mean age of 22.4 (SD=3.25), were submitted to the bilateral extraction of lower third molars, with an interval of three to four weeks between the two extractions. Systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate and oxygen saturation in the blood were assessed at seven specific time points: baseline; anesthetic puncture; two minutes after anesthesia; osteotomy; suture and five minutes after the procedure had been completed. The statistical analysis involved descriptive analysis, the Shapiro-Wilk test, the Mann-Whitney test, the t-test and the repeated measurements test. No significant differences were found for any of the hemodynamic behavior variables when comparing lidocaine 2 % and articaine 4 %. Significant differences were found between the time points assessed within each group, particularly in relation to the variable heart rate. In the articaine group, systolic blood pressure exhibited a significant decrease five minutes after the procedure. There were no significant variations in hemodynamic behavior between the two different anesthetic groups (articaine 4 % and lidocaine 2 %).

Palabras clave : oral surgery; third molars; lidocaine; articaine; blood pressure..

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