Peripheral oxygen saturation, heart rate, and blood pressure during dental treatment of children with cyanotic congenital heart disease

Authors

  • Rosane Menezes Faria Dutra Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Heart Institute (InCor), Pulmonary Division
  • Itamara Lucia Itagiba Neves Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Heart Institute (InCor), Dentistry Division
  • Ricardo Simões Neves Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Heart Institute (InCor), Dentistry Division
  • Edmar Atik Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Heart Institute (InCor), Cardiology Division
  • Ubiratan de Paula Santos Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo; Heart Institute (InCor), Pulmonary Division

DOI:

https://doi.org/10.6061/clinics/2014(05)03

Abstract

OBJECTIVES: In this observational study, we evaluated the peripheral oxygen saturation (SpO2), heart rate, and blood pressure of children with cyanotic congenital heart disease who were undergoing dental extraction. METHODS: Forty-four patients between the ages of 6 and 12 years who underwent upper primary tooth extraction were included in the study. Of these, 20 patients were in the cyanotic congenital heart disease group and 24 were in the control group. RESULTS: Peripheral oxygen saturation, heart rate, and systolic blood pressure in the cyanotic congenital heart disease group varied quite significantly during the treatment protocol (p<0.05), with values of 80.5% (±7.6) to 82.8% (±7.8), 95.3 beats per minute (bpm) (±11.3) to 101.3 bpm (±9.8), and 93.6 mm Hg (±13,3) to 103.8 mm Hg (±12.7), respectively. The variations in the control group during the procedure were also significant. CONCLUSIONS: The changes observed during the study protocol, although statistically significant, were mild and lacked clinical relevance. The results indicate that dental treatment of children with cyanotic heart disease using a standardized protocol in decentralized offices without the support of a surgical center is safe.

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Published

2014-01-01

Issue

Section

Clinical Sciences

How to Cite

Dutra, R. M. F., Neves, I. L. I., Neves, R. S., Atik, E., & Santos, U. de P. (2014). Peripheral oxygen saturation, heart rate, and blood pressure during dental treatment of children with cyanotic congenital heart disease . Clinics, 69(5), 314-318. https://doi.org/10.6061/clinics/2014(05)03