Online ISSN 2313-1519
Print    ISSN 1812-2892
Abstract - The Effect of Conscious Sedation on Salivary Alpha-Amylase Levels During Third Molar Surgery
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Abdullah Tolga Şitilci, Selin Gaş, Şule Batu, Hümeyra Kocaelli Arıkan, Büşra Bozbay

 

ABSTRACT

Aim: The aim of the present study was to investigate whether salivary alpha-amylase levels could be decreased by conscious sedation in the patients undergoing impacted third molar extraction.

Material and methods: A total of 18 male patients were recruited. All patients were administered the Modified Dental Anxiety Scale test. Patients were divided into a test group (procedures under sedation) and a control group (procedures under local anesthesia). Systolic blood pressure, diastolic blood pressure, oxygen saturation, and heart rate were monitored at different study time-points. Five samples of saliva were taken from each patient: the first time the patient came to the clinic, the patient sat in the chair for extraction, before local anesthesia, immediately after extraction, at 4 h after extraction.

Results: Although no statistically important difference was found for systolic blood pressure (p>0.05) between groups, postoperative diastolic blood pressure level of control group was statistically higher than the test group (p=0.030). Also, a statistically significant decrease was found in the oxygen saturation level in postoperative time compared to preoperative time (p<0.05). 

Conclusion: Even though conscious sedation may be a solution for dental anxiety and phobia, our results indicated that sedation did not affect acute stress levels during oral surgery.

Key words: conscious sedation, dental anxiety, stress biomarkers, salivary alpha-amylase, tooth extraction

 

Corresponding Author: Selin Gaş, DDS, PhD, Assistant Professor, Faculty of Dentistry, Beykent University, Beykent/Istanbul, 34550, Turkey. Tel.: +90 506 428 5734. E-mail: selingas@beykent.edutr, selineren104@gmail.com

 

 

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Volume 2, Number 56 (2020)