Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors

ABSTRACT Objective: In the dental clinic, the use of local anesthetics containing vasoconstrictors in diabetic patients are still controversial raising some doubts. Thus, the objective of this randomized crossover clinical trial was to evaluate blood glucose, pulse oximetry and heart rate of type 2 diabetic patients when submitted to local anesthesia using prilocaine 3% associated to felypressin 0,03UI / ml (G1) and 2% lidocaine associated to epinephrine 1: 100,000 (G2). Methods: The sample consisted of 20 compensated type 2 diabetic patients (both genders) who were taking oral hypoglycemic drugs. The volunteers underwent two periodontal sessions (scaling) and one of the solutions tested was used in each visit. The cited parameters were evaluated at three different times: before the procedure (T1), 10 minutes after anesthesia (T2) and after 20 minutes (T3). Results: Regarding the blood glucose levels, no statistically significant difference was found in different times between G1 and G2 (p> 0.05). Similarly, regarding pulse oximetry and heart rate, no statistically significant differences were observed in intervals assessed between groups (p> 0.05), presenting values within normal limits. Conclusion: Considering the vasoconstrictors and the volume of anesthetic solution used, the results suggest that the evaluated vasoconstrictors do not alter significantly blood glucose, pulse oximetry and heart rate in compensated type 2 diabetic patients.

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Main Authors: MELLO,Renan Pollettini de, RAMACCIATO,Juliana Cama, PERUZZO,Daiane Cristine, VICENTINI,Carllini Barroso, BERGAMASCHI,Cristiane de Cássia, MOTTA,Rogério Heládio Lopes
Format: Digital revista
Language:English
Published: Faculdade São Leopoldo Mandic 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372016000400425
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spelling oai:scielo:S1981-863720160004004252019-08-06Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictorsMELLO,Renan Pollettini deRAMACCIATO,Juliana CamaPERUZZO,Daiane CristineVICENTINI,Carllini BarrosoBERGAMASCHI,Cristiane de CássiaMOTTA,Rogério Heládio Lopes Diabetes mellitus Local anesthesia Vasoconstrictors ABSTRACT Objective: In the dental clinic, the use of local anesthetics containing vasoconstrictors in diabetic patients are still controversial raising some doubts. Thus, the objective of this randomized crossover clinical trial was to evaluate blood glucose, pulse oximetry and heart rate of type 2 diabetic patients when submitted to local anesthesia using prilocaine 3% associated to felypressin 0,03UI / ml (G1) and 2% lidocaine associated to epinephrine 1: 100,000 (G2). Methods: The sample consisted of 20 compensated type 2 diabetic patients (both genders) who were taking oral hypoglycemic drugs. The volunteers underwent two periodontal sessions (scaling) and one of the solutions tested was used in each visit. The cited parameters were evaluated at three different times: before the procedure (T1), 10 minutes after anesthesia (T2) and after 20 minutes (T3). Results: Regarding the blood glucose levels, no statistically significant difference was found in different times between G1 and G2 (p> 0.05). Similarly, regarding pulse oximetry and heart rate, no statistically significant differences were observed in intervals assessed between groups (p> 0.05), presenting values within normal limits. Conclusion: Considering the vasoconstrictors and the volume of anesthetic solution used, the results suggest that the evaluated vasoconstrictors do not alter significantly blood glucose, pulse oximetry and heart rate in compensated type 2 diabetic patients.info:eu-repo/semantics/openAccessFaculdade São Leopoldo MandicRGO - Revista Gaúcha de Odontologia v.64 n.4 20162016-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372016000400425en10.1590/1981-863720160003000093176
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libraryname SciELO
language English
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author MELLO,Renan Pollettini de
RAMACCIATO,Juliana Cama
PERUZZO,Daiane Cristine
VICENTINI,Carllini Barroso
BERGAMASCHI,Cristiane de Cássia
MOTTA,Rogério Heládio Lopes
spellingShingle MELLO,Renan Pollettini de
RAMACCIATO,Juliana Cama
PERUZZO,Daiane Cristine
VICENTINI,Carllini Barroso
BERGAMASCHI,Cristiane de Cássia
MOTTA,Rogério Heládio Lopes
Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
author_facet MELLO,Renan Pollettini de
RAMACCIATO,Juliana Cama
PERUZZO,Daiane Cristine
VICENTINI,Carllini Barroso
BERGAMASCHI,Cristiane de Cássia
MOTTA,Rogério Heládio Lopes
author_sort MELLO,Renan Pollettini de
title Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
title_short Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
title_full Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
title_fullStr Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
title_full_unstemmed Evaluation of blood glucose in type II diabetic patients submitted to local anesthesia with different vasoconstrictors
title_sort evaluation of blood glucose in type ii diabetic patients submitted to local anesthesia with different vasoconstrictors
description ABSTRACT Objective: In the dental clinic, the use of local anesthetics containing vasoconstrictors in diabetic patients are still controversial raising some doubts. Thus, the objective of this randomized crossover clinical trial was to evaluate blood glucose, pulse oximetry and heart rate of type 2 diabetic patients when submitted to local anesthesia using prilocaine 3% associated to felypressin 0,03UI / ml (G1) and 2% lidocaine associated to epinephrine 1: 100,000 (G2). Methods: The sample consisted of 20 compensated type 2 diabetic patients (both genders) who were taking oral hypoglycemic drugs. The volunteers underwent two periodontal sessions (scaling) and one of the solutions tested was used in each visit. The cited parameters were evaluated at three different times: before the procedure (T1), 10 minutes after anesthesia (T2) and after 20 minutes (T3). Results: Regarding the blood glucose levels, no statistically significant difference was found in different times between G1 and G2 (p> 0.05). Similarly, regarding pulse oximetry and heart rate, no statistically significant differences were observed in intervals assessed between groups (p> 0.05), presenting values within normal limits. Conclusion: Considering the vasoconstrictors and the volume of anesthetic solution used, the results suggest that the evaluated vasoconstrictors do not alter significantly blood glucose, pulse oximetry and heart rate in compensated type 2 diabetic patients.
publisher Faculdade São Leopoldo Mandic
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372016000400425
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