Joaquín Vázquez; Alfio Secchi; Hilda Moris; Nicolas Reyne; Felipe Rivera; Felipe Astorga; Jorge Moreno & Pablo Amorin
Summary
Emergency dental care develops in a context of stress that affects the cardiovascular behavior of patients, expressed as changes in heart rate and blood pressure. After care, these parameters are expected to vary as the clinical picture is controlled or complications occur. A retrospective observational study compiled the heart rate and blood pressure records of patients seen in the dental emergency of the Barros Luco Care Complex on two occasions, the second consultation being linked to the first admission, as well as post-treatment control or derived complications . Data was recorded in Microsoft Excel ™ and analyzed in SciStat ™. 466 patients consulted on two occasions, concentrated between the third and fifth decade. Higher Blood Pressure records were reported in post-care controls for Pericoronitis, infections of facial anatomical spaces and in post-treatment complications due to Pulpitis, ADD and Infection of facial anatomical spaces. In second consultations for control of Pulpitis, Alveolitis, ADT, facial fractures and post-extraction hemorrhages there was a decrease. Heart rate was the parameter with the greatest variation, with a decrease in controls and complications between consultations. The exact role of pain in the cardiovascular response is not well defined, the interpretation of the research aimed at studying this is difficult, since nociceptive stimuli are only one of the activators of the systemic response to stress. In the postoperative period, pain plays an important role, studied at 48 hours, but not in the medium and long term. There are statistically significant variations in some parameters studied which may present clinical significance to be considered in hypertensive or heart disease patients. Studies are needed on the particular incidence that dental procedures have on the expression of other markers of the systemic state.
KEY WORDS: Cardiovascular agents; Maxillofacial injuries; Blood pressure; Heart Rate.
How to cite this article
VÁZQUEZ, J.; SECCHI, A.; MORIS, H.; REYNE, N.; RIVERA, F.; ASTORGA, F.; MORENO, J. & AMORIN, P. Cardiovascular parameters and their variation after emergency dental care. Int. J. Morphol., 39(6):1019-1025, 2021.