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Clinical Oral Investigations

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01-11-2023 | Local Anesthesia in Dentistry | Research

Evaluation of hemodynamic changes and patient-reported outcome measures in surgical therapy with or without intravenous sedation: a prospective controlled clinical study

Authors: Jordi Gargallo-Albiol, Ebrahim Dastouri, Hamoun Sabri, Larissa Steigmann, Silvia Pérez-García, Hom-Lay Wang

Published in: Clinical Oral Investigations | Issue 12/2023

Abstract

Objectives

To determine whether intravenous (IV) sedation would contribute to the stabilization of patients’ hemodynamics during periodontal and oral surgical procedures, and to evaluate the patient-reported outcome measures (PROMs).

Materials and methods

Periodontal or oral surgery patients were recruited and distributed into two groups: (1) sedation group (SG): intravenous sedation plus local anesthesia; (2) control group (CG): local anesthesia only. Systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), and oxygen saturation (SaO2), were monitored at 15-min intervals from sitting in the dental chair (baseline) until the end of the treatment. In addition, a subjective assessment of PROMs was obtained through a post-operative questionnaire.

Results

Forty-nine patients (25 in SG and 24 in CG) were included. The highest SBP and DBP were significantly higher in CG compared to the SG (141.1 ± 18.4 and 133.6 ± 15.1, respectively in SBP; and 85.5 ± 11.0 and 82.9 ± 10.1, respectively in DBP), but no mean significant differences were found between groups (P value of 0.85 and 0.72 for systolic and diastolic BP, respectively). HR and SaO₂ did not show statistical intra- and inter-group differences. The overall patient satisfaction score was significantly higher in the SG group compared to CG.

Conclusions

Intravenous moderate sedation seems to contribute to the stabilization of patient’s hemodynamics, especially the systolic blood pressure, although small differences have been found.

Clinical relevance

Intravenous sedation seems to contribute to stabilize the hemodynamic values, and enhances the patient satisfaction after periodontal and oral surgical treatment in the dental office.

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^%IBM® SPSS Statistics® 24.0.0 (Chicago, IL)

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Title: Evaluation of hemodynamic changes and patient-reported outcome measures in surgical therapy with or without intravenous sedation: a prospective controlled clinical study
Authors: Jordi Gargallo-Albiol
Ebrahim Dastouri
Hamoun Sabri
Larissa Steigmann
Silvia Pérez-García
Hom-Lay Wang
Publication date: 01-11-2023
Publisher: Springer Berlin Heidelberg
Keywords: Local Anesthesia in Dentistry
Anxiety
Published in: Clinical Oral Investigations / Issue 12/2023
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05358-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluation of hemodynamic changes and patient-reported outcome measures in surgical therapy with or without intravenous sedation: a prospective controlled clinical study

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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