Vital signs changes during different dental procedures: A prospective longitudinal cross-over clinical trial

Ra'ed Ghaleb Salma; Horiyah Abu-Naim; Osama Ahmad; Doa'a Akelah; Yasmin Salem; Essma Midoun

doi:10.1016/j.oooo.2018.08.002

Vital signs changes during different dental procedures: A prospective longitudinal cross-over clinical trial

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.

Authors

Ra'ed Ghaleb Salma¹, Horiyah Abu-Naim², Osama Ahmad³, Doa'a Akelah⁴, Yasmin Salem⁴, Essma Midoun⁴

Affiliations

¹ Assistant Professor, Department of Oral and Maxillofacial Surgery, Riyadh Elm University, Riyadh, Saudi Arabia. Electronic address: rsalma@yahoo.com.
² Teaching Assistant, Arab American University, Jenin, State of Palestine.
³ General practice, New You Medical Center, Riyadh, Saudi Arabia.
⁴ General practice, Riyadh Elm University, Riyadh, Saudi Arabia.

PMID: 30219249
DOI: 10.1016/j.oooo.2018.08.002

Abstract

Objectives: The purpose of this study was to evaluate the magnitude of vital signs changes during 3 different dental treatments.

Study design: 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 (SpO₂). Three repeated measurements of each parameter were recorded at 3 phases of each procedure.

Results: A total of 150 dental interventions were performed on 50 patients. Scaling caused a statistically significant rise in BT, RR, and SpO₂, and a reduction in HR. Restorative treatment caused a statistically significant rise in SpO₂ during LA. Exodontia caused a statistically significant rise in BT, RR, SBP (during the procedure), and SpO₂ (during LA).

Conclusions: 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.

Publication types

Clinical Trial

MeSH terms

Blood Pressure
Cross-Over Studies
Dental Restoration, Permanent*
Dental Scaling*
Heart Rate
Humans
Prospective Studies
Surgery, Oral*
Vital Signs*