Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588017417f8c9d0a098b4635
Revista de Odontologia da UNESP
Original Article

Influência da nor-adrenalina contida nos anestésicos odontológicos sobre a pressão arterial de pacientes normotensos. Estudo clínico

Influence of the nor-epinephrine present in odontological anesthetics in the blood pressure of normotensive patients. Clinical study

Tucci, C.J.; Sposto, M.R.; Mendes, A.J.D.

Downloads: 0
Views: 919

Resumo

Os autores mostram neste experimento que ao lado do trabalho técnico, o dentista não deve desprezar os conhecimentos de ordem sistêmica, que, em certas ocasiões, assumem importante papel na interpretação e definição dos fenômenos que possam aparecer durante os procedimentos odontológicos.

Palavras-chave

Anestesia local, nor-adrenalina, pressão arterial

Abstract

The authors studied clinical changes in 20 patients with normal blood pressure. After injection of an anesthetic solution with nor-epinephrine in two different volumes of 1.8 ml and 7.2 ml respectively. There were no alterations in the arterial blood pressure of the patients while they were in the waiting room or in the operating room. An injection of 1.8 ml or 7.2 ml of anesthetic solution altered the arterial blood pressure. The application of four infiltrated injections (7.2 ml), due to the actual act of injection, caused a liberation of endogenous adrenaline which consequently raised the blood pressure.

Keywords

Local anesthesia, nor-epinephrine, blood pressure

References



1. BURKET, L.W. - Interralaciones entre enfermedades bucales y sistémicas. Odont. Clin..N. Am., 2: 15, 1960.

2. CLARK, H.B. - Practica de la cirurgia oral. Buenos Aires, Ed. Bibl. Argentina, 1957. p. 39-40.

3. DICK, S.P. - Clínical toxicity of epinephrine anesthesis. OraISurg., 6: 724-8,1953.

4. FREEDMAN, G.L. & HOOLEY, J.R. - Medical contra indication to the extraction of teeth. Dent. Clin. N. Am., 13: 939-60, 1969.

5. GRAZIANI, I.M. - Cirurgia buco-maxi/ar. 4. ed. Rio de Janeiro, Científica, 1958. v.1, p. 237.

6. HARMS, B.H. - Anesthetics and their side aCliúns in oral conditions. J. amo den1. Ass., 22: 943- 52, 1935.

7. HICKEY, M.J. - Local anesthesia in oral surgery. J. amo dent. Ass., 33: 1532-40,1946.

8. JENSEN, J. - The adrenalin test in hypertension. Am. HeartJ., 5: 763-80, 1930.

9. JORGENSEN, N.B. & HAYDEN JR., J. - Complicaciones de la anestesia local. Odont. Clin. N. Am., 9: 69- 79, 1979.

10. KAIND, L. & KOHN, P. - Cardiovascular accidents in dental practice. 355-62, 1971. Oes1. Z. Stoma1., 68:

11. MARTINEZ GARZA P., JR. - Influência de la anestesia local com novocaina - adrenalina y novocaina - corbasil en enfermos cardiovasculares. Sintesis. Rev. Asoc. dent. MexilJ., 10: 219-24, 1953.

12. NEVIN, M. & PUTERBAUGH, P.A. - Anestesia dentf4ria. 4. ed. Rio de Janeiro, Científica, 1955. p. 279-81.

13. NEW YORK HEART ASSOCIATION - Use of epinephrine in connection with procaine in dental procedures. J. amo dent. Ass., 50: 108, 1955.

14. ROMEIRO, V. - Semiologia médica. 9. ed. Rio de Janeiro, Científica, 1954. v.1, p. 294.

15. SHIRA, R.B. - Dental care for patients with cardiovascular disease. Dent. Stud. Mag., 46: 25-32, 83- 85, 1967.

16. STEGELSKE, R.F. & GRILLI, W.R. - Reações à anestesia local. Sel.odont., 12: 48-53, 1957.

17. VERNALE, C.A. - Cardiovascular response to local dental anesthesia with epinephrine in normotensive and hipertensive subjects. OraISurg., 13: 942-52,1960.

18. VIANA, D.R. - Anestesia em odontologia. Sel.odont., 12: 17-26, 1957.

19. WALLACE, D.A.; SADOVE, M.S.; SPENCE, J.M. & GARETH, G. - Systemic effects of dental local anesthetic solutions. Oral Surg., 9: 1297-303, 1956.
588017417f8c9d0a098b4635 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections