Arham Nawaz Chohan, Atallah Al Johani, Lanre Bello.
Effect of extraction on blood pressure in 6-12 years old Saudi children: An invivo preliminary study.
Pak Oral Dental J Jan ;22(1):9-14.

The aims of this study were to: 1) investigate the changes that occured in blood pressure during the exodontias procedure, 2) observe the presence of any clinically significant changes over time and 3) correlate the changes with age, sex, past experience and jaw. The blood pressure prior to, during local anesthesia administration, during extraction procedure and 10 minutes after exodontia were recorded on 18 healthy Saudi children with age ranging from 6-12 years, using Electronic vital sign monitor. The overall result showed an increase in blood pressure during extraction procedure. When compared with gender, males showed a mean increase of 10-90 (± 2.58mm Hg) in systolic whereas females showed (5.55 ± 0.55 mm Hg). Alteration in diastolic blood pressure was also observed in both sexes. The increase in systolic blood pressure was more in the upper jaw than in the lower jaw. However, the increase was not statistically significant. The mean increase in blood pressure was also observed in both age group (6-8 and 9-12 years) whereas children with no past experience showed high score of mean increase in blood pressure. Furthermore, the results also indicated the effect of stress and fear of injection in children. Therefore, it is concluded that exodontias procedure has an effect on the cardiovascular system, which suggested that extraction was the most stressful part of the procedure.

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