Assistant Professor, Department of Oral and Maxillofacial Surgery, Riyadh Elm University, Riyadh, Saudi Arabia.
Teaching Assistant, Arab American University, Jenin, State of Palestine.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Jan;127(1):30-39. doi: 10.1016/j.oooo.2018.08.002. Epub 2018 Aug 18.
The purpose of this study was to evaluate the magnitude of vital signs changes during 3 different dental treatments.
A prospective longitudinal multiarm cross-over clinical trial was conducted. Three dental procedures were performed on each participant: supragingival scaling, dental restoration under local anesthesia (LA), and exodontia under LA. The following parameters were recorded for in each dental procedure: body temperature (BT), respiratory rate (RR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), and peripheral oxygen saturation (SpO). Three repeated measurements of each parameter were recorded at 3 phases of each procedure.
A total of 150 dental interventions were performed on 50 patients. Scaling caused a statistically significant rise in BT, RR, and SpO, and a reduction in HR. Restorative treatment caused a statistically significant rise in SpO during LA. Exodontia caused a statistically significant rise in BT, RR, SBP (during the procedure), and SpO (during LA).
Scaling and restorative treatment did not significantly impact heart rate. The respiratory rate may temporarily rise during LA injection and some dental procedures, especially exodontia. Increase in systolic blood pressure and heart rate during exodontia was tolerated by healthy patients.
本研究旨在评估 3 种不同牙科治疗过程中生命体征变化的幅度。
进行了一项前瞻性纵向多臂交叉临床试验。每位参与者接受 3 种牙科程序：龈上洁治术、局部麻醉下的牙修复术和局部麻醉下的拔牙术。在每个牙科程序中记录以下参数：体温（BT）、呼吸频率（RR）、收缩压（SBP）、舒张压（DBP）、平均动脉压（MAP）、心率（HR）和外周血氧饱和度（SpO2）。在每个程序的 3 个阶段记录每个参数的 3 次重复测量。
对 50 名患者的 150 次牙科干预进行了评估。洁治术导致 BT、RR 和 SpO2 统计学显著升高，HR 统计学显著降低。在局部麻醉下进行修复治疗时，SpO2 统计学显著升高。拔牙术导致 BT、RR、SBP（在手术过程中）和 SpO2（在局部麻醉下）统计学显著升高。
洁治术和修复治疗对心率无显著影响。在局部麻醉注射和某些牙科程序期间，呼吸率可能会暂时升高，尤其是拔牙术。健康患者可耐受拔牙术中收缩压和心率的升高。
