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ALT ÇENE GÖMÜLÜ 3. MOLAR DİŞ CERRAHİSİNDE VAZOKONSTRİKTÖR İÇERMEYEN LOKAL ANESTEZİK MADDELERE BAĞLI OLUŞAN HEMODİNAMİK DEĞİŞİKLİKLER1

HEMODYNAMIC CHANGES INDUCED BY LOCAL ANESTHETICS WITHOUT VASOCONSTRICTOR IN THE SURGICAL REMOVAL OF IMPACTED LOWER THIRD MOLARS

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Abstract (2. Language): 
The aim of the study was to observe the hemodynamic changes induced by four local anesthetic solutions without vasoconstrictor. Fifty-two healthy adult patients were included in the study and were subjected to surgical removal of an impacted lower third molar under local anesthesia at Cumhuriyet University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery. Four groups were established (n = 13) according to the anesthetic solution administered (2% articaine, 0.5% bupivacaine, 2% lidocaine and 2% prilocaine). Systolic and diastolic blood pressures, respiration rate, heart rate, and oxygen saturation were recorded at different times; before, during and at the end of surgery. The study variables were found to be stable with all solutions and the four studied solutions caused no significant hemodynamic changes with respect to the basal values.
Abstract (Original Language): 
Bu çalışmada, vazokonstriktör içermeyen dört farklı lokal anestezik maddeye bağlı oluşan hemodinamik değişikliklerin incelenmesi amaçlanmıştır. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş Çene Hastalıkları ve Cerrahisi AD. kliniğinde alt çene gömülü 3. molar diş çekim endikasyonu bulunan 52 sağlıklı erişkin hastaya lokal anestezi altında cerrahi operasyon uygulanmıştır. 13'er kişilik 4 gruba ayrılan hastalara %2'lik artikain, %0,5'lik bupivakain, %2'lik lidokain ve %2'lik prilokain içeren lokal anestezik maddeler verilmiştir. Hastaların sistolik ve diastolik tansiyonları, solunum, nabız ve oksijen saturasyonu değerleri operasyon öncesinde, operasyon sırasında ve sonrasında monitörize edilerek kaydedilmiştir. Hemodinamik değişiklikler açısından incelenen dört farklı solüsyon için bazal değerlere göre önemli bir değişiklik olmadığı ve bu değişkenlerin stabil kaldığı görülmüştür.
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Atatürk Üniv. Diş Hek.Fak.Derg
Cilt: 15, Sayı:1, Sayfa:40-47, 2005
AY, KÖŞGER, ÖZTÜRK,
YÜKSEL, YILMAZ
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