Evaluation of blood pressure and pulse rate during tooth extraction in patients attending polyclinic Kulliyyah of Dentistry IIUM Kuantan
Tooth extraction is one of the common dental treatments and it is one of the most fearful treatments undergone by patients in dental clinics. During a tooth extraction procedure, a normal person will be overwhelmed by psychological stress. Upon the stress, the body systems will respond in two pat...
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Main Authors: | , , , , |
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Format: | Book Chapter |
Language: | English English |
Published: |
Kulliyyah of Dentistry International Islamic University Malaysia (IIUM)
2022
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Subjects: | |
Online Access: | http://irep.iium.edu.my/103753/2/103753_EVALUATION%20OF%20BLOOD%20PRESSURE%20AND_edited.pdf http://irep.iium.edu.my/103753/1/Compendium%20of%20Dental%20Sciences%20Research.pdf http://irep.iium.edu.my/103753/ |
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Institution: | Universiti Islam Antarabangsa Malaysia |
Language: | English English |
Summary: | Tooth extraction is one of the common dental treatments and it is one of the most
fearful treatments undergone by patients in dental clinics. During a tooth extraction
procedure, a normal person will be overwhelmed by psychological stress. Upon the
stress, the body systems will respond in two pathways, which are the sympathetic
nervous system and hypothalamus pituitary adrenocortical axis. Through the
sympathetic pathways, Sinoatrial (SA) nodes in the heart will increase firing thus will
increase heart rate. Increasing heart rate will finally increase blood pressure. On the
other hand, the hypothalamus pituitary adrenocortical axis reacts by releasing stress
hormones such as adrenocorticotropic hormones (ACTH) that stimulate the secretion
of cortisol. Cortisol will give the effect of protein breakdown and gluconeogenesis in
the liver. It is known that stress emotionally and psychologically affects the blood
pressure level and pulse rate. The release of stress hormones such as catecholamines
(epinephrine and norepinephrine) will narrow the blood vessels and the heart will
beat faster and give rise to blood pressure levels. This study aimed to measure and
compare the blood pressure and pulse rate variabilities of patients before injection,
after injection, and after extractions. Based on this research, it has been demonstrated
that stress and anxiety do not significantly cause changes in blood pressure and pulse
rate measurement before and after tooth extraction. |
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