Blood Pressure Changes on Tooth Extraction Using Local Anesthesia Contains 1:80,000 Epinephrine at Jatinangor Primary Health Care
AbstractHypertension is a systemic disorder which included as one of the disease with highest prevalence in the world, particularly in Indonesia. One problem that is commonly faced by hypertension patients is administration of local anesthetic containing epinephrine 1:80.000 that needs to be given before undergoing tooth extraction procedure in primary health care setting. Administration of anesthetics is risky because it can cause sudden blood pressure increase that may cause complications. This study aims to observe the increased of blood pressure after being given local anesthetic containing epinephrine 1:80.000. This is a descriptive quantitative study conducted in April-August 2017 in Puskesmas Jatinangor. Blood pressure data is primary data, acquired from normotension and prehypertension patients aged 18-50 year who undergoes tooth extraction procedure. Blood pressure were measured before and after given local anesthetic. Result showed that there were increase in mean systolic blood pressure as much as 3.43 mmHg. Increase in systolic blood pressure occurs from the effect of epinephrine that causes constriction of the blood vessels. It is concluded that administration of local anesthetic containing epinephrine 1:80.000 before tooth extraction procedure is relatively safe and can be considered to be used in pre-hypertension patients, but not in higher hypertension stages.
Chaudhry S, Iqbal HA, Izhar F, Mirza KM. Effect on blood pressure and pulse rate after administration of an epinephrine containing dental local anaesthetic in hypertensive patients. JPMA-Journal Pakistan Med Assoc. 2011;61(11):1088.
World Health Organization. Blood Pressure Prevalence [Internet]. 2014 [cited 2016 Oct 22]. Available from: http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence/en/
Badan Penelitian dan Pengembangan Kesehatan Kemeterian Kesehatan RI. RISET KESEHATAN DASAR. 2013. Laporan Nasional 2013;1-268.
World Health Organization. Hypertension [Internet]. 2015 [cited 2016 Oct 15]. Available from: http://www.who.int/features/qa/82/en/
Abu-mostafa N, Aldawssary A, Assari A, Alnujaidy S, Almutlaq A. A prospective randomized clinical trial compared the effect of various types of local anesthetics cartridges on hypertensive patients during dental extraction. J Clin Exp Dent. 2015;7(1):e84.
Piepoli MF, Hoes A, Agewall S. European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2016;37(29):2315â€“81.
Abu-mostafa N, Al-showaikhat F, Al-shubbar F, Al-zawad K, Al- F. Hemodynamic changes following injection of local anesthetics with different concentrations of epinephrine during simple tooth extraction : A prospective randomized clinical trial. J Clin Exp Dent. 2015;7(4):e471.
Henrique H, Morais A De, Holanda J. Clinical study of hemodynamic changes comparing 4 % articaine hydrochloride with 1 : 100 , 000 and 1 : 200 , 000 epinephrine. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(1):e14â€“22.
Elad S, Admon D, Kedmi M, Naveh E. The cardiovascular effect of local anesthesia with articaine plus 1 : 200 , 000 adrenalin versus lidocaine plus 1 : 100 , 000 adrenalin in medically compromised cardiac patients : a prospective , randomized , double blinded study. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2008;105(6):725â€“30.
Malamed SF. Handbook of Local Anesthesia. 6th ed. Los Angeles: Elsevier; 2011. 428 p.
Becker DE, Reed KL. Local Anesthetics : Review of Pharmacological Considerations. Anesth Prog. 2012;59(2):90â€“102.
Goodman LS, Gilman A. The Pharmacological Basis of Therapeutics. 12th ed. Brunton LL, editor. New York: Mc Graw-Hill Medical; 2011.
Sherwood L. Human Physiology: From Cells to Systems. 7th ed. Belmont: Yolanda Cossio; 2010.
Akinmoladun VI, Okoje VN, Akinosun OM, Adisa AO, Uchendu OC. Evaluation of the Haemodynamic and Metabolic Effects of Local Anaesthetic Agent in Routine Dental Extractions. J Maxillofac Oral Surg. 2013;12(4):424â€“8.
Copyright (c) 2018 Journal of Medicine & Health
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.