Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE INFLUENCES OF EPINEPHRINE AND PAIN ON THE CHANGES OF SYSTOLIC BLOOD PRESSURE AND PULSE RATES IN MANDIBULAR 3RD MOLAR EXTRACTION

제3대구치 발치 시 epinephrine과 동통이 수축기 혈압과 맥박에 미치는 영향

  • Yoon, Hyun-Joong (Div. of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Div. of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, The Catholic University of Korea) ;
  • Song, Hyun-Chul (Div. of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, The Catholic University of Korea)
  • 윤현중 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 이상화 (가톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 송현철 (가톨릭대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2001.12.30
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Abstract

The aim of the present study was to evaluate the influences of epinephrine and pain on the changes of blood pressure and pulse rates in mandibular 3rd molar extraction. A total of 80 patients(aged between 10 and 30) without systemically compromised conditions were selected and divided into two groups(I, II). 2% lidocaine with 1:100,000 epinephrine was administered in group I (male 20, female 20), and 2% lidocaine without epinephrine was administered in group II (male 20, female 20). Systolic blood pressure and pulse rates were checked by a digital monitor during the pre-local anesthesia state(stage 1), 5 minute later in the post-local anesthesia state(stage 2), the extraction state(during odontectomy, stage 3), and during the post-suture state(stage 4). The measurement of pain perceived by patients was made using a three-point visual analog scale. The results suggest that local anesthetic with epinephrine is better at decreasing pain preventing the severe elevation of systolic blood pressure than local anesthetic without epinephrine. However, these results should be confirmed by additional studies on cardiac patients.

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