https://scholars.lib.ntu.edu.tw/handle/123456789/630610
標題: | Blood pressure reduction in patients with irreversible pulpitis teeth treated by non-surgical root canal treatment | 作者: | Huang, James I.Sheng HAO-HUENG CHANG Liao, Wan Chuen Lin, Chun Pei Kao, Chia Tze Huang, Tsui Hsien |
關鍵字: | blood pressure | hypotension | irreversible pulpitis teeth | non-surgical root canal treatment | parasympathetic effect | vital pulpal extirpation | 公開日期: | 1-十二月-2017 | 出版社: | ELSEVIER TAIWAN | 卷: | 12 | 期: | 4 | 起(迄)頁: | 382 | 來源出版物: | Journal of Dental Sciences | 摘要: | Background/purpose The hypotension in patients during non-surgical root canal treatment (NSRCT) has not yet investigated. This study aimed to assess the mean systolic blood pressure (MSBP), mean diastolic blood pressure (MDBP), and mean arterial blood pressure (MABP) reduction percentages in patients with irreversible pulpitis teeth treated by NSRCT. Materials and methods We prospectively recruited 111 patients with a total of 138 irreversible pulpitis teeth. All patients underwent two NSRCT sessions. The first NSRCT session involved mainly the removal of vital pulp tissue with the direct stimulation of the dental branches of the trigeminal nerve, and the second NSRCT session included the root canal debridement and enlargement with minimal disturbance to the dental nerves. The blood pressure of each patient was recorded before and during both NSRCT sessions. Results There were significantly higher reduction percentages of MSBP, MDBP, and MABP in the first NSRCT session than in the second NSRCT session for all treated patients (all the P-values < 0.001). If the patients were divided into 2 or more groups according to the clinical variables including the patients' gender, age, tooth type, and anesthesia type, we also found significantly higher reduction percentages of MSBP, MDBP, and MABP in the first NSRCT session than in the second NSRCT session for all treated patients except for patients below 40 years of age and for patients with lower anterior teeth treated (all the P-values < 0.05). Conclusion The decrease in blood pressure in patients receiving vital pulpal extirpation is a relatively common phenomenon. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/630610 | ISSN: | 19917902 | DOI: | 10.1016/j.jds.2017.05.001 |
顯示於: | 牙醫學系 |
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