Evaluation of blood pressure and pulse rate during tooth extraction in patients attending polyclinic Kulliyyah of Dentistry IIUM Kuantan

Mustafa, Nazih Shaban and Al-Zerje, Muayad Salim Rahma and Shabudin, Nurliyana and Zakaria, Zaiton and Mustafa Al-Ahmad, Basma Ezzat (2022) Evaluation of blood pressure and pulse rate during tooth extraction in patients attending polyclinic Kulliyyah of Dentistry IIUM Kuantan. In: Compendium of dental sciences research. Kulliyyah of Dentistry International Islamic University Malaysia (IIUM), pp. 11-24.

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Abstract

Tooth extraction is one of the common dental treatments and it is one of the most fearful treatments undergone by patients in dental clinics. During a tooth extraction procedure, a normal person will be overwhelmed by psychological stress. Upon the stress, the body systems will respond in two pathways, which are the sympathetic nervous system and hypothalamus pituitary adrenocortical axis. Through the sympathetic pathways, Sinoatrial (SA) nodes in the heart will increase firing thus will increase heart rate. Increasing heart rate will finally increase blood pressure. On the other hand, the hypothalamus pituitary adrenocortical axis reacts by releasing stress hormones such as adrenocorticotropic hormones (ACTH) that stimulate the secretion of cortisol. Cortisol will give the effect of protein breakdown and gluconeogenesis in the liver. It is known that stress emotionally and psychologically affects the blood pressure level and pulse rate. The release of stress hormones such as catecholamines (epinephrine and norepinephrine) will narrow the blood vessels and the heart will beat faster and give rise to blood pressure levels. This study aimed to measure and compare the blood pressure and pulse rate variabilities of patients before injection, after injection, and after extractions. Based on this research, it has been demonstrated that stress and anxiety do not significantly cause changes in blood pressure and pulse rate measurement before and after tooth extraction.

Item Type:	Book Chapter
Uncontrolled Keywords:	od pressure, Kulliyyah of Dentistry, polyclinic, pulse rate, tooth extraction
Subjects:	R Medicine > RK Dentistry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Dentistry
Depositing User:	Dr Basma Al-Ahmad
Date Deposited:	24 Feb 2023 17:53
Last Modified:	24 Feb 2023 17:53
URI:	http://irep.iium.edu.my/id/eprint/103753

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