Prospective Comparative Study To Determine The Risk Of Syncope In A Dental Chair In Supine Position During Administration Of Local Anesthesia
Keywords:
Vasodepressor syncope, Dental chair position, Local anesthesia, Complications of local anesthesia.
Abstract
This study compared how often patients fainted (syncope) when getting local anesthesia. It looked at two body positions: lying flat (supine position) versus partly sitting up (semi-supine position). This happened during dental surgery for tooth extractions among local people.
Materials and Methods
Fifteen patients needing tooth extraction were in this study. Patients were put into two groups. Group A patients received local anesthesia while lying flat. In this position, the patient's head and heart were at the same level. Group B patients received local anesthesia while partly sitting up.
Results
One hundred patients needed tooth extraction with local anesthesia. A few patients (15%) treated lying flat showed signs of almost fainting (presyncope). Most patients (75%) in the semi-supine position (Group A) had signs of presyncope. The difference was significant in the statistics. No patient lost consciousness in the supine position (Group B) in this study.
Conclusion
It was concluded that fainting was easy to stop. This happened if all patients were placed lying flat beforehand.
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8. Tiwana KK, Mortan T, Tiwana PS. Aspiration and ingestion in dental practice. J Am Dent Assoc 2004;35:1287-91. Back to cited text no. 6
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11. Johansson SG, Hourihane JO, Bousquet J, Bruijnzeel-Koomen C, Dreborg S, Haahtela T, et al. A revised nomenclature for allergy. an EAACI position statement from the EAACI nomenclature task force.
12. Allergy 2001;56:813-24. Back to cited text no. 9 [PUBMED]
13. Thyssen JP, Menné T, Elberling J, Plaschke P, Johansen JD. Hypersensitivity to local anaesthetics update and proposal of evaluation algorithm. Contact Dermatitis 2008;59:69-78. Back to cited text no. 10
14. Roedig JJ, Shah J, Elayi CS, Miller CS. Interference of cardiac pacemaker and implantable cardioverter-defibrillator activity during electronic dental devices use. J Am Dent Assoc 2010;141:521-6.
15. Back to cited text no. 11 [PUBMED]
16. Lamas Pelayo J, Peñarrocha Diago M, Martí Bowen E, Peñarrocha Diago M. Intraoperative complications during oral implantology. Med Oral Patol Oral Cir Bucal 2008;13:E239-43. Back to cited text no. 12
17. Flanagan D. Important arterial supply of the mandible, control of an arterial hemorrhage, and report of a hemorrhagic incident. J Oral Implantol 2003;29:165-73. Back to cited text no. 13
18. [PUBMED]
19. Niamtu J 3 rd . Near fatal airway obstruction after routine implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:597-600. Back to cited text no. 14
20. Kalpidis CD, Setayesh RM. Hemorrhaging associated with endosseous implant placement in the anterior mandible: A review of the literature. J Periodontol 2004;75:631-45. Back to cited text no. 15 [PUBMED]
21. Guarinos J, Peñarrocha M, Donado A. Complicaciones y fracasos. In: Peñarrocha M, editor. Implantología oral. Barcelona: Ars Médica; 2001. p. 245-56. Back to cited text no. 16
22. Kim SG. Implant-related damage to an adjacent tooth: A case report. Implant Dent 2000;9:278-80. Back to cited text no. 17
23. Tehemar SH. Factors affecting heat generation during implant site preparation: A review of biologic observations and future considerations. Int J Oral Maxillofac Implants 1999;14:127-36. Back to cited text no. 18
24. Guisado B. Complicaciones y fracasos en implantología. In: Bascones A, editor. Tratado de odontología. Tomo IV. Madrid: Smithkline Beecham; 1998. p. 3877-86. Back to cited text no. 19
25. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-32. Back to cited text no. 20
26. Available from: http://firstaid.about.com/od/cpr/qt/09_2010_CPR_Guidelines.htm [Last accessed on 12.12.2011]. Back to cited text no. 21
27. ADA Council on Scientific Affairs. Office emergencies and emergency kits. J Am Dent Assoc 2002;133:364-5. Back to cited text no. 22
How to Cite
Aleena Alex, Dr. Sneha Pendem, Dr. Kathiravan Selvarasu, & Dr. Murugesan Krishnan. (1). Prospective Comparative Study To Determine The Risk Of Syncope In A Dental Chair In Supine Position During Administration Of Local Anesthesia. Revista Electronica De Veterinaria, 25(1S), 2035-2040. https://doi.org/10.69980/redvet.v25i1S.2030
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