COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS
Aim of the study The aim of this study is to compare glycemic variability of 2% plain lidocaine to 4% articaine with epinephrine 1:200,000 during tooth extraction. Material and methods This prospective study was carried out in 60 diabetes melitus patients who presented at the Clinic of Oral and Maxi...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2020-12-01
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| Series: | Romanian Journal of Oral Rehabilitation |
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| Online Access: | http://www.rjor.ro/comparing-glycemic-response-to-regional-block-anesthesia-in-controlled-diabetic-patients/ |
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| author | Alexandra Diaconu Octavian Dinca Cristina Padurariu Mihai Bogdan Bucur Cristina Padurariu Cristian Vladan Alexandru Bucur |
| author_facet | Alexandra Diaconu Octavian Dinca Cristina Padurariu Mihai Bogdan Bucur Cristina Padurariu Cristian Vladan Alexandru Bucur |
| author_sort | Alexandra Diaconu |
| collection | DOAJ |
| description | Aim of the study The aim of this study is to compare glycemic variability of 2% plain lidocaine to 4% articaine with epinephrine 1:200,000 during tooth extraction. Material and methods This prospective study was carried out in 60 diabetes melitus patients who presented at the Clinic of Oral and Maxillofacial Surgery, Carol Davila University, OMFS Hospital, Bucharest, from 2019 to 2020 for tooth extraction. Patients were randomly allocated to two groups (30 patients in each group) according to the type of anaesthetic solution employed. Group 1 had tooth extraction done under 4% articaine with 1:200,000 epinephrine while group 2 had tooth extraction done under plain 2% lidocaine. One tooth was extracted from each patient. Blood glucose level was recorded before surgery, after local anaesthetic injection and one hour after the administration of anesthetic agent. Results There was no statistically significant difference between the glycemic response in the two groups after administration of regional block anaesthesia. However the highest alteration in parameters was observed one hour after procedure in the two groups. Conclusions The glycemic changes induced by injecting 4% articaine with epinephrine in patients with controlled diabetes melitus during tooth extraction is within normal range and is not different from that induced by plain 2% lidocaine. The general preference given to local anesthetics without vasoconstrictor in diabetics is not supported by the present study |
| first_indexed | 2024-04-12T22:13:18Z |
| format | Article |
| id | doaj.art-a79cbbbd31314a3cb45833fc18eace6e |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-04-12T22:13:18Z |
| publishDate | 2020-12-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-a79cbbbd31314a3cb45833fc18eace6e2022-12-22T03:14:39ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612020-12-01124104107COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTSAlexandra Diaconu0Octavian Dinca1Cristina Padurariu2Mihai Bogdan Bucur3Cristina PadurariuCristian Vladan4Alexandru Bucur5PhD student ”Carol Davila" U.M.Ph. - București, Romania, Department of OMF SurgeryCarol Davila" U.M.Ph. - București, Romania, Department of OMF SurgeryCarol Davila" U.M.Ph. - București, Romania, Department of OMF SurgeryResident doctor, Carol Davila" U.M.Ph. - București, Romania, Department of OMF SurgeryCarol Davila" U.M.Ph. - București, Romania, Department of OMF SurgeryCarol Davila" U.M.Ph. - București, Romania, Faculty of Dentistry, Head of Department of OMF SurgeryAim of the study The aim of this study is to compare glycemic variability of 2% plain lidocaine to 4% articaine with epinephrine 1:200,000 during tooth extraction. Material and methods This prospective study was carried out in 60 diabetes melitus patients who presented at the Clinic of Oral and Maxillofacial Surgery, Carol Davila University, OMFS Hospital, Bucharest, from 2019 to 2020 for tooth extraction. Patients were randomly allocated to two groups (30 patients in each group) according to the type of anaesthetic solution employed. Group 1 had tooth extraction done under 4% articaine with 1:200,000 epinephrine while group 2 had tooth extraction done under plain 2% lidocaine. One tooth was extracted from each patient. Blood glucose level was recorded before surgery, after local anaesthetic injection and one hour after the administration of anesthetic agent. Results There was no statistically significant difference between the glycemic response in the two groups after administration of regional block anaesthesia. However the highest alteration in parameters was observed one hour after procedure in the two groups. Conclusions The glycemic changes induced by injecting 4% articaine with epinephrine in patients with controlled diabetes melitus during tooth extraction is within normal range and is not different from that induced by plain 2% lidocaine. The general preference given to local anesthetics without vasoconstrictor in diabetics is not supported by the present studyhttp://www.rjor.ro/comparing-glycemic-response-to-regional-block-anesthesia-in-controlled-diabetic-patients/diabetes melituslocal anesthetics |
| spellingShingle | Alexandra Diaconu Octavian Dinca Cristina Padurariu Mihai Bogdan Bucur Cristina Padurariu Cristian Vladan Alexandru Bucur COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS Romanian Journal of Oral Rehabilitation diabetes melitus local anesthetics |
| title | COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS |
| title_full | COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS |
| title_fullStr | COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS |
| title_full_unstemmed | COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS |
| title_short | COMPARING GLYCEMIC RESPONSE TO REGIONAL BLOCK ANESTHESIA IN CONTROLLED DIABETIC PATIENTS |
| title_sort | comparing glycemic response to regional block anesthesia in controlled diabetic patients |
| topic | diabetes melitus local anesthetics |
| url | http://www.rjor.ro/comparing-glycemic-response-to-regional-block-anesthesia-in-controlled-diabetic-patients/ |
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