Abstract
BACKGROUND: Effective management of intraoperative and perioperative pain is crucial for the success of dental practices. The use of anesthetic agents and vasoconstrictors can lead to hemodynamic alterations during surgical procedures. AIMS AND OBJECTIVE: To observe hemodynamic changes during routine dental extraction done under lignocaine with adrenaline. MATERIALS AND METHODS: This prospective, observational study was done on OPD patients requiring dental extraction. Fifty subjects in the age range of 18-65 years were evaluated for systolic blood pressure, diastolic blood pressure (DBP), heart rate (HR), and peripheral oxygen saturation before, during, and after tooth extraction. Data was evaluated using SPSS software. RESULTS: Both systolic and DBP increased during anesthetic administration and extraction but decreased during postoperative period. This increase was noted more among females compared to males. HR decreased below preoperative values after extraction. This finding was similar among genders. SPO2 values did not fluctuate much during and/or after the procedure. CONCLUSION: The current findings of increased blood pressure and HR during tooth extraction warrant the use of meditation or anxiolytic drugs in anxious and hypertensive patients.