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VOLUME 11 , ISSUE 2 ( May-August, 2023 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of Hemodynamic Changes in Third Molar Surgery: An Observational Study

Dinesh Chand Patidar, Ramesh Ram Fry, Aayush Malhotra, Dinesh Kumar, Deepika Patidar

Keywords : Dental anxiety, Hemodynamic changes, Pain, Surgical procedure

Citation Information : Patidar DC, Fry RR, Malhotra A, Kumar D, Patidar D. Evaluation of Hemodynamic Changes in Third Molar Surgery: An Observational Study. 2023; 11 (2):66-70.

DOI: 10.5005/djas-11014-0016

License: CC BY-NC-ND 4.0

Published Online: 31-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To evaluate the hemodynamic changes during third molar surgery and also to assess whether these changes are associated with anxiety of patients towards the surgery. Materials and methods: A prospective study was done on 40 healthy patients (14 male and 26 female) with a mean age of 28.48 years (Age range 19–48 years) who underwent surgical extraction of the third molar. Patient anxiety and fear were assessed by Corah's dental anxiety scale (DAS) and Kleinknecht's dental fear scale (DFS) while the level of pain was evaluated by a visual analog scale. During a surgical procedure, hemodynamic parameters like systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and oxygen saturation (SpO2) were evaluated on different surgical events. Results: Hemodynamic parameters showed significant changes with different phases of a surgical procedure. The peak value of blood pressure was evident during the ostectomy/tooth sectioning phase while the highest value of heart rate was recorded four minutes after the administration of local anesthesia. Conclusion: Dental anxiety was found to have a significant influence on the hemodynamic parameters of patients who had undergone third molar surgery, however these were within normal limits. Clinical significance: Monitoring the vital signs during surgical procedures enables the surgeon to instantaneously recognize a state of higher risk, evaluate, and prevent emergency situations during surgical procedures. Preoperative information on the recovery process/counseling will result in a significant anxiety reduction in patients.

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