Journal: Drug Invention Today

Article Id: JPRS-P col-00003553
Title: Cardiovascular risk of epinephrine use in hypertensive dental patient
Category: Pharmacology
Section: Research Article
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    Epinephrine is widely used as an additive in local anesthetics (typically in concentrations of 1:100,000) to improve the depth and duration of the anesthesia, as well as to reduce bleeding in the operative field. Epinephrine counteracts the anesthetic’s localized vasodilator effects in subcutaneous and submucosal vessels, thereby reducing the risk of anesthetic toxicity by decreasing the rate of systemic absorption from the site of injection. Epinephrine is also impregnated in the cotton cord that is inserted into the sulcus between a tooth and the surrounding gingiva, as a gingival retraction cord improving access for tooth preparation and allowing dental impression material to more readily flow into the sulcus to record details of teeth prepared for crowns. The epinephrine likewise tightens the blood supply to contiguous tissue, in this manner allowing the impression to be secured without contamination by bleeding. Hypertension affects nearly 50 million people in the United States and underlies most cardiovascular disease; its diagnosis and control should be of concerned to all health-care providers. Many people have undetected hypertension, and current levels of detection and control need to be improved. Clinical implications: All health-care providers, including dentists and members of the dental team, need to be involved in the detection and management of this important public health problem. The dentist can play an important role in the detection and management of hypertension.

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    Author(s) Name:

    T. Naveen1 , Dhanraj Ganapathy1 *, R. M. Visalakshi 2

    Affiliation(s) Name:

    1 Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,

    2 Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India

    *Corresponding author: Dhanraj Ganapathy, Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600 077, Tamil Nadu, India.

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    Author:

    T. Naveen1 , Dhanraj Ganapathy1 *, R. M. Visalakshi 2

    Title:Cardiovascular risk of epinephrine use in hypertensive dental patient
    Journal:Drug Invention Today
    Vol(issue):12 (May)
    Year:2019
    Page No: (1036-1039)
  • Experimental Methods Keywords

    Methodology: Cardiovascular disease, Hemodynamic changes, Hypertensive patient
    Research Materials:Epinephrine

Keywords

Cardiovascular disease Epinephrine Extraction Hemodynamic changes Hypertensive patient

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