Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions

Background: Vasoconstrictors with local anesthetics provide a bloodless as well as toxicity-free area for effortless extraction tooth. This study was conducted to evaluate the effect of local anesthesia (LA) with adrenaline and without adrenaline on blood glycemic levels in patients undergoing tooth...

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Main Authors: Sujata Kumari, Chandandeep Singh, Riya Jaitly, Suresh B. Kondaveeti, Mohamed S. M. Morsy, Ahtesham A. Qurishi, Akshaya Ojha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_805_24
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author Sujata Kumari
Chandandeep Singh
Riya Jaitly
Suresh B. Kondaveeti
Mohamed S. M. Morsy
Ahtesham A. Qurishi
Akshaya Ojha
author_facet Sujata Kumari
Chandandeep Singh
Riya Jaitly
Suresh B. Kondaveeti
Mohamed S. M. Morsy
Ahtesham A. Qurishi
Akshaya Ojha
author_sort Sujata Kumari
collection DOAJ
description Background: Vasoconstrictors with local anesthetics provide a bloodless as well as toxicity-free area for effortless extraction tooth. This study was conducted to evaluate the effect of local anesthesia (LA) with adrenaline and without adrenaline on blood glycemic levels in patients undergoing tooth extraction. Material and Method: A total of 120 patients who require multiple extractions consisting of 60 healthy and 60 diabetic patients in need of multiple extractions were selected for this study. Subjects were given plain lignocaine on their 1st visit and tooth extraction was performed. After seven days lignocaine with 1:80,000 adrenaline was administered to the same patient for a similar procedure. Blood glycemic levels were estimated at regular intervals that is before and right away after the administration of LA) 10 and 20 min on both occasions. Results: Comparing the glucose level at 10 min and 20 min showed a statistically significant distinction (P < 0.001) in healthy subjects. Comparing the glucose level at 10 min and 20 min intervals showed highly statistically significant distinction (P < 0.001) in diabetic subjects (P < 0.001). Conclusion: LA with vasoconstrictor leads to an elevation in blood glycemic level in patients with NIDDM.
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issn 0976-4879
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spelling doaj-art-d1302786c56e4313bd036d3a017f04fa2025-01-12T14:19:43ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3329S333110.4103/jpbs.jpbs_805_24Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth ExtractionsSujata KumariChandandeep SinghRiya JaitlySuresh B. KondaveetiMohamed S. M. MorsyAhtesham A. QurishiAkshaya OjhaBackground: Vasoconstrictors with local anesthetics provide a bloodless as well as toxicity-free area for effortless extraction tooth. This study was conducted to evaluate the effect of local anesthesia (LA) with adrenaline and without adrenaline on blood glycemic levels in patients undergoing tooth extraction. Material and Method: A total of 120 patients who require multiple extractions consisting of 60 healthy and 60 diabetic patients in need of multiple extractions were selected for this study. Subjects were given plain lignocaine on their 1st visit and tooth extraction was performed. After seven days lignocaine with 1:80,000 adrenaline was administered to the same patient for a similar procedure. Blood glycemic levels were estimated at regular intervals that is before and right away after the administration of LA) 10 and 20 min on both occasions. Results: Comparing the glucose level at 10 min and 20 min showed a statistically significant distinction (P < 0.001) in healthy subjects. Comparing the glucose level at 10 min and 20 min intervals showed highly statistically significant distinction (P < 0.001) in diabetic subjects (P < 0.001). Conclusion: LA with vasoconstrictor leads to an elevation in blood glycemic level in patients with NIDDM.https://journals.lww.com/10.4103/jpbs.jpbs_805_24adrenalinediabetic patientglycemic levelvasoconstrictor
spellingShingle Sujata Kumari
Chandandeep Singh
Riya Jaitly
Suresh B. Kondaveeti
Mohamed S. M. Morsy
Ahtesham A. Qurishi
Akshaya Ojha
Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
Journal of Pharmacy and Bioallied Sciences
adrenaline
diabetic patient
glycemic level
vasoconstrictor
title Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
title_full Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
title_fullStr Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
title_full_unstemmed Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
title_short Effect of Local Anesthesia with and without the Vasoconstrictor on Blood Glycemic Level in Diabetic Patients Undergoing Tooth Extractions
title_sort effect of local anesthesia with and without the vasoconstrictor on blood glycemic level in diabetic patients undergoing tooth extractions
topic adrenaline
diabetic patient
glycemic level
vasoconstrictor
url https://journals.lww.com/10.4103/jpbs.jpbs_805_24
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