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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2015, vol. 21, issue 1
Subject Area: Dental Medicine
Pages: 728-731
DOI: 10.5272/jimab.2015211.728
Published online: 19 March 2015
J of IMAB 2015 Jan-Mar;21(1):728-731
LOCAL ANESTHETICS IN PATIENTS WITH CARDIOVASCULAR DISEASES.
Hristo Daskalov
, Atanaska Dinkova, Martin Drangov.
Department of Oral Surgery, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.
ABSTRACT:
A significant problem in the dental medicine is pain alleviation. Many studies in the dental anesthesiology result in the production of new agents for locoregional anesthesia.
Objective: This article aim to present the results of the last studies on the effect of the local anesthetics used in the oral surgery on patients with cardiovascular diseases.
Material: A general review of the existing literature on the effect of the adrenaline, included as vasoconstrictor in the local anesthetics, used in patients with cardiovascular diseases is made. The benefits of vasoconstrictors for the quality of the anesthetic effect are proven.
Conclusion: A small amount of adrenaline in the anesthetic solution does not result in complications development in patients with controlled cardiovascular diseases. Articaine is recommended agent of first choice for local anesthesia in the oral surgery.
Key words: locoregional anesthesia, adrenaline, cardiovascular diseases, Articaine,
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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Daskalov H, Dinkova A, Drangov M. LOCAL ANESTHETICs IN PATIENTS WITH CARDIOVASCULAR DISEASES. J of IMAB. 2015 Jan-Mar;21(1):728-731. doi: http://dx.doi.org/10.5272/jimab.2015211.728
Correspondence to: Hristo Daskalov, DMD, DDS, PhD. Oral Surgery Department, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria; 11, Opalchenska Str., 4000 Plovdiv, Bulgaria; E-mail: hdaskalov@hotmail.com
REFERENCES:
1. Migliau G. [Dental management of patients with cardiovascular disease]. Minerva Stomatol. 2002 Jan-Feb;51(1-2):49-63. [in Italian]. [PubMed]
2. Amado-Cuesta S, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Complications of ambulatory oral surgery in patients over 65 years of age. Med Oral. 2004 May-Jul;9(3):253-62. [PubMed]
3. Butterworth JF. Models and mechanisms of local anesthetic cardiac toxicity: a review. Reg Anesth Pain Med. 2010 Mar-Apr;35(2):167-76. [PubMed] [CrossRef]
4. Davis B. What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure? J Can Dent Assoc. 2010; 76: a36
5. Bourne E, Wright C, Royse C. A review of local anesthetic cardiotoxicity and treatment with lipid emulsion. Local Reg Anesth. 2010; 3:11-19. [PubMed]
6. Frabetti L, Checchi L, Finelli K. Cardiovascular effects of local anesthesia with epinephrine in periodontal treatment. Quintessence Int. 1992 Jan; 23(1):19-24. [PubMed]
7. Davenport RE, Porcelli RJ, Iacono VJ, Bonura CF, Mallis GI, Baer PN. Effects of anesthetics containing epinephrine on catecholamine levels during periodontal surgery. J Periodontol. 1990 Sep;61(9):553-8. [PubMed] [CrossRef]
8. Knoll-Köhler E, Knöller M, Brandt K, Becker J. Cardiohemodynamic and serum catecholamine response to surgical removal of impacted mandibular third molars under local anesthesia: a randomized double-blind parallel group and crossover study. J Oral Maxillofac Surg. 1991 Sep;49(9):957-62. [PubMed] [CrossRef]
9. Lipp M, Dick W, Daubländer M, Fuder H, Stanton-Hicks M. Exogenous and endogenous plasma levels of epinephrine during dental treatment under local anesthesia. Reg Anesth. 1993 Jan-Feb;18(1):6-12. [PubMed]
10. Daublaender M, Mueller R, Lipp M. The incidence of complications associated with local anesthesia in dentistry. Anesth Prog. 1997 Fall;44(4):132–141. [PubMed]
11. Hirota Y, Sugiyama K, Joh S, Kiyomitsu Y. An echocardiographic study of patients with cardiovascular disease during dental treatment using local anesthesia. J Oral Maxillofac Surg. 1986 Feb; 44(2):116-21. [PubMed] [CrossRef]
12. Leviner E, Tzukert AA, Mosseri M, Fisher D, Yossipovitch O, Pisanty S, et al. Perioperative hemodynamic changes in ischemic heart disease patients undergoing dental treatment. Spec Care Dentist. 1992 Mar-Apr;12(2):84-8. [PubMed]
13. Cintron G, Medina R, Reyes AA, Lyman G. Cardiovascular effects and safety of dental anesthesia and dental interventions in patients with recent uncomplicated myocardial infarction. Arch Intern Med. 1986 Nov;146(11):2203-4. [PubMed] [CrossRef]
14. Efimov Y, Muhaev H. New methods for blocking the conductivity of inferior alveolar nerve. Stomatologia (Moscow). 2009; (3): 72. [in Russian]
15. Lalabonova Hr, Indzhov St, Garov St. Complications in intraligamentary anesthesia. Postgraduate qualification and constant improving in dental medicine. 2005; 4(1): 150-151. [in Bulgarian]
16. Dobreva D, Lalabonova Hr, Kirova D. Electroacupuncture analgesia in oral surgery. J of IMAB. 2005; 11(2):20-21. [PDF]
17. Dobreva D, Kirova D, Lalabonova Hr. Application of the electroacupuncture analgesia /EAA/ for surgical treatment of allergic predisposed patients. J of IMAB. 2005; 11(2):17-19. [PDF]
18. Viana AM, Campos AC, Morlin MT, Chin VK. Plasma cateholamine concentrations and hemodynamic responses to vasoconstrictor during conventional or Gow-Gates mandibular anesthesia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Oct;100(4):415-9. [PubMed] [CrossRef]
19. Becker DE, Reed KL. Local Anesthetics: Review of Pharmacological Considerations. Anesth Prog. 2012 Summer;59(2):90–102. [PubMed] [CrossRef]
20. Kirova D, Lalabonova Hr, Dobreva D. A survey of local anesthetic agents used by Bulgarian dental practitioners. J of IMAB. 2005; 11(2):7-8. [PDF]
21. Ketabi M, Shamami MS, Alaie M,Shamami MS. Influence of local anesthetics with or without epinephrine 1/80000 on blood pressure and heart rate: A randomized double-blind experimental clinical trial. Dent Res J (Isfahan). 2012 Jul-Aug; 9(4): 437–440.
22. Malamed SF, Gagnon S, Leblanc D. Efficacy of articaine: new amide local anesthetic. J Am Dent Assoc. 2000 May;131(5):635-42. [PubMed]
23. Anisimova En, Zoryan Ev, Shugaylov IA. Effect of local anesthetic cartridges and their combination with vasoconstrictors. Stomatologia (M). 1998; 77(2): 19-22. [in Russian]
24. Neves RS, Neves IL, Giorgi DM, Grupi CJ, César LA, Hueb W, et al. Effects of epinephrine in local dental anesthesia in patients with coronary artery disease. Arq Bras Cardiol. 2007 May;88(5):545-51. [PubMed] [CrossRef]
25. Sanatkar M, Sadeghi M, Esmaeili N, Naseri MH, Sadrossadat H, Shoroughi M, et al. The Evaluation of Perioperative Safety of Local Anesthesia with Lidocaine Containing Epinephrine in Patients with Ischemic Heart Disease. Acta Medica Iranica. 2013; 51(8):537-542.
26. Sumer M, Misir F, Celebi N, Muğlali M. A comparison of injection pain with articaine with adrenaline, prilocaine with phenylpressin and lidocaine with adrenaline. Med Oral Patol Oral Cir Bucal. 2008 Jul 1;13(7):E427-30. [PubMed]
27. Lalabonova Hr, Kirova D. Infraorbital anesthesia in the general dental practice. J of IMAB. 2004; 10(2):70-71. [in Bulgarian] [PDF]
28. Lalabonova Hr, Kirova D, Dobreva D. Intraligamentary anesthesia in general dental practice. J of IMAB. 2005; 11(2):22-24. [PDF]
29. Lambrecht TJ, Filippi A, Arrigoni J. Cardiovascular monitoring and its consequences in oral surgery. Ann Maxillofac Surg. 2011 Jul-Dec;1(2):102–106. [PubMed] [CrossRef]
30. Popescu MS, Scrieciu M, Mercut V, Tuculina M, Dascălu I. Hypertensive Patients and Their Management in Dentistry. ISRN Hypert. 2013; vol.2013;Art ID410740, 8 pages. [CrossRef]
31. Renton T, Woolcombe S, Taylor T, Hill CM. Oral surgery: part 1. Introduction and the management of the medically compromised patient. British Dental Journal. 2013 Sep;215(5):213-223. [PubMed] [CrossRef].
Received: 16 January 2015
Published online: 19 March 2015