Prevalence of hypertension and selection of local anesthetics in patients seen at a school dental clinic

Authors

DOI:

https://doi.org/10.33448/rsd-v9i12.11225

Keywords:

Hypertension; Local Anesthetics; Vasoconstrictors.

Abstract

Arterial hypertension (AH) is a chronic disease, determined by pressure levels above 140/90 mm/Hg. Data from the Ministry of Health (MS) reveal that more than 30 million Brazilians suffer from diagnosed AH and it is estimated that more than half are unaware of the presence of the disease or do not undergo treatment. The present study aimed to assess the prevalence of hypertensive patients treated by dental clinics at UNIPAR, as well as to review the literature on oral alterations caused by the use of antihypertensive drugs and the use of local anesthetics (LA) with or without vasoconstrictor (VS). Cross-sectional/prevalence study, where the research was carried out at the dental clinics of UNIPAR campus Cascavel, where volunteers were instructed to complete a structured form referring to their systemic condition, novice and hygiene habits, the data obtained were tabulated and submitted to statistical analysis. Of the 854 volunteers, 57.25% (n = 489) had no systemic changes, 42.74% (n = 365) had systemic changes, of which 38.22% (n = 133) individuals had hypertension. It can be concluded that the dental surgeon (CD) within this context has an important role in the diagnosis of patients with this condition, since the vast majority are unaware of having the disease. The prevalence of hypertensive patients seeking dental care is relatively high. In addition, it is important to control the patient's anxiety, whether orally or inhaled, have good anesthetic technique and care in the choice of medications that will be used in the postoperative period.

Author Biography

Giuliana Zardeto-Sabec, Universidade Paranaense

Graduated in General Pharmacy from Universidade Paranaense (UNIPAR), with qualification in Homeopathic Pharmacy from Nutriphós. He is a specialist in Clinical Analysis at Faculdade Ingá de Maringá (UNINGÁ), specialist in Pharmacology and Drug Interactions at Centro Universitário Internacional (UNINTER), specialist in Hospital Pharmacy at Universidade Estácio de Sá (UNESA), specialist in active methodologies at Instituto Brasileiro de Formação of Educators (IBF). He holds a Master's Degree in Pharmaceutical Sciences from the State University of Maringá (UEM) with a concentration in Biologically Active Natural and Synthetic Products and a PhD in Biotechnology applied to Agriculture from the University of Paraná (UNIPAR) with a concentration in Natural Products Development. He has experience in clinical analysis, where he worked for 5 years as technical manager and 2 years experience in manipulation and homeopathy pharmacy and experience with revisions of journals of several scientific journals. Acts as coordinator of lato sensu specializations and teaches courses in the health field at UNIPAR.

References

Andrade, E. D. (2003). Cuidado como uso de medicamentos em diabéticos, hipertensos e cardiopatas. Anais do 15º Conclave Odontológico Internacional de Campinas, 104.

Andrade, E. D. (2006). Terapêutica medicamentosa em odontologia. São Paulo: Artes Médicas.

Andrade, E. D., Groppo, F. C., Volpato, M. C., Rosalen, P. L., Ranali, J. (2013). Farmacologia, anestesiologia e terapêutica em odontologia. São Paulo: Artes Médicas.

Bavitz, J. B. (2006). Dental management of patients with hypertension. Dent. Clin. N. Am., 50(4), 547-562.

Brasil. Ministério da Saúde. Caderno de atenção básica- Hipertensão arterial. Brasília: Ministério da Saúde, 2006.

Gealh, W. C., & Franco, W. P. G. (2006). Atendimento odontológico ao paciente hipertenso protocolo baseado no VII JNC. J. Bras. Clin. Odontol. Int., Ed. Especial, 1-9.

Holm, S. W., Cunningham, L. L., Bensadoun, E., & Madsen, M. J. (2006). Hypertension: Classification, pathophisiology, and management during outpatient sedation and local anesthesia. J. Oral Maxillofac. Surg., 64(1), 111-121.

Indriago, AJAA. (2007). Manejo odontologico del paciente hipertenso. Acta Odontol. Venezoel., 45(1), 1-8.

Oliveira, A. E. M., Simone, J. L., & Ribeiro, R. A. (2010). Pacientes hipertensos e a anestesia na odontologia: devemos utilizar anestésicos locais associados ou não com vasoconstritores? HU Rev., 36(1), 69-75.

Reinert, L. L., Junior, E. A. G., Sbardelotto, B. M., Neto, L. S., & Griza, G. L. (2012). Avaliação da alteração da pressão arterial em pacientes hipertensos controlados, submetidos a cirurgia bucal sob anestesia local com vasoconstritor. Arch Oral Res., 8(2), 97-101.

Ritter, A. V. (2007). Hight blood pressure and oral health. J. Compilation, 19(2), 125-126.

Rodrigues, K. P., Pinheiro, H. H. C., & Araújo, M. V. A. (2015). Percepção de acadêmicos de Odontologia sobre seus conhecimentos para o atendimento odontológico de hipertensos e diabéticos. Revista da ABENO, 15(4), 19-28.

Salles, C. L. F., Martinez, A. C., Pavan, A. J., Daniel, A. N., & Cuman, R. K. N. (1999). Influência de vasoconstritores associados a anestésicos locais sobre a pressão arterial de ratos hipertensos e normotensos. Acta Scientiarum, 21(2), 395-401.

Salomão, J. A. S., & Salomão, J. I. S. (1996). Manual ilustrado de anestesiologia. São Paulo: Rolet Editorial.

Segura-Egea, J. J., Jimenez-Moreno, E., Calvo-Menoroy, C., Rios-Santos, J. V., Velasco-Ortega, E., & Sánchez-Domínguez, B. (2010). Hypertension and dental periapical condition. Clin. Res., 36(11), 1800-1804.

Vital, T. G., Silva, I. O., & Paz, F. A. N. (2020). Hipertensão arterial e os fatores de risco relacionados ao trabalho: Uma revisão de literatura. Research, Society and Devlopment, 9(7), e905975085.

Yagiela, J. A., & Haymore, T. L. (2007). Management of the hypertensive dental patient. CDA J., 35(1), 51-59.

Zago, P. M. J. J., Meottti, J. L., Lukava, L. K., Coradette, C. D. D., Oterio, J., Zardeto-Sabec, G., & Boleta-Ceranto, D. C. G. (2020). Percepção dos pacientes de um consultório de cardiologia acerca da utilização de plantas medicinais no tratamento da hipertensão arterial. Research, Society and Devlopment, 9(11), e78791110312.

Published

29/12/2020

How to Cite

DETONI, J. C. .; GALVÃO, S. A. .; COSTA, I. C. da S. .; LUCIETTO, G. .; RAFAEL JUNIOR, J. C. .; FOSQUIERA, E. C. .; ZAGO, P. M. J. J. .; PERFEITO, H. L. dos S. .; ZARDETO-SABEC, G. .; BOLETA-CERANTO, D. de C. F. . . Prevalence of hypertension and selection of local anesthetics in patients seen at a school dental clinic. Research, Society and Development, [S. l.], v. 9, n. 12, p. e46291211225, 2020. DOI: 10.33448/rsd-v9i12.11225. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11225. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences