The application of single tooth anesthesia in the tooth extraction of the elderly patients with periodontal disease
YANG Xia
HOU Rui
SHANG Lei
XU Guang-jie
XUE Peng
Abstract：Objective:To compare the effect of single tooth anesthesia and the traditional hand-push cartridge on the blood pressure, heart rate, pain level, facial expression, cooperation and tolerance of the elderly patients during local anesthesia and tooth extraction.Methods:Fifty-two patients had their bilateral loose teeth removed through a random, double-blind, self-controlled clinical trial in two visits. On one side single tooth anesthesia (experimental group) was used for the periodontal ligament injection. On the other side, hand-push cartridge (control group) was used the same way. Blood pressure, heart rate, Visual Analogue Scale(VAS), Kuttner facial expressions, Frankl Behavior Rating Score and Houpt Behavior Rating Scale were assessed during local anesthesia and tooth extraction. The data were collected and the statistical analyses were performed.Results:Compared with the hand-push cartridge,single tooth anesthesia could statistically lower systolic blood pressure, reduce VAS and Kuttner rating score, and increase Frankl and Houpt rating score when giving anesthesia to the elderly patients(P<0.05). However, no statistically significant differences were found during the tooth extraction (P>0.05).Conclusion:The usage of the single tooth anesthesia could lower the blood pressure, reduce pain, release the facial expression, and thus increase the degree of cooperation and improve tolerance when giving anesthesia to the elderly patients.
Keywords：the elderly patientperiodontal diseasetooth extractionsingle tooth anesthesia
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 88-91 )