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Vital Signs Changes During Dental Procedures

Not Applicable
Completed
Conditions
Vital Signs Changes During Dental Procedures
Interventions
Procedure: Simple restoration under LA
Procedure: Simple exodontia under LA
Procedure: Scaling without LA
Registration Number
NCT02788890
Lead Sponsor
Riyadh Colleges of Dentistry and Pharmacy
Brief Summary

The study will evaluate the vital signs changes during 3 different dental procedures performed for the same patient by the same dentist. The patients will be selected randomly and should all be healthy adults.

The aim is to look for any significant changes in the major vital signs (heart rate, respiratory rate, blood pressure, peripheral capillary oxygen saturation (SpO2) and body temperature) during specified dental procedures (scaling, simple restoration, and simple exodontia) and compare the changes between the 3 procedures.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • The patients included are the ones planned for the following 3 dental treatments in 3 separate visits to done by the same dentist: supragingival scaling without local anesthesia (LA), simple dental extraction under LA, and simple restoration under LA.
Exclusion Criteria
  • Patients under 18 years old
  • Patients with a known medical history of any systemic disease like hypertension, diabetes, and bleeding disorders
  • Patients with history of cardiac surgery; including pace maker insertion
  • Patients on medications
  • Smokers, alcoholics, and drug abusers
  • Pregnant patients
  • Patients with an acute infection with or without fever
  • Patients with a preoperative pain score of 4 or more on a visual analogue scale out of 10; where 0 = no pain and 10 = worst pain imaginable
  • Patients with 2 or more simultaneous dental procedures per visit
  • Patients with undiagnosed hypertension who are found to be hypertensive according to the World Health Organization (WHO) definition on the base-line preoperative readings

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Test Group 1 (T1)Simple restoration under LAThe simple restoration under LA
Test Group 2 (T2)Simple exodontia under LAThe simple exodontia under LA
Control Group (T0)Scaling without LAThe supragingival scaling without LA
Primary Outcome Measures
NameTimeMethod
Change in Body Temperature (BT) during Periodontal Therapy from the baseline BTBaseline, intraoperative, 5-min postoperative

Body temperature measured in Celsius using infrared non-contact digital thermometer

Change in Respiratory Rate (RR) during Dental Extraction from the baseline RRBaseline, during anesthesia injection, intraoperative, 5-min postoperative

Respiratory rate is measured by observing the chest and/or abdominal movements and count the number of respirations out loud for one full minute. One respiration consists of one complete rise and fall of the chest (inhalation and exhalation of air)

Change in Heart Rate (HR) during Operative Procedure from the baseline HRBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The heart rate will be recorded using a non-invasive infrared pulse oximeter placed on the patient's left index finger attached to an ambulatory digital monitor

Change in Peripheral Oxygen Saturation (SpO2) during Periodontal Therapy from the baseline SpO2Baseline, intraoperative, 5-min postoperative

The SpO2 will be recorded using a non-invasive infrared pulse oximeter placed on the patient's index finger attached to an ambulatory digital monitor

Change in Diastolic Blood Pressure (DBP) during Dental Extraction from the baseline DBPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg

Change in Body Temperature (BT) during Operative Procedure from the baseline BTBaseline, during anesthesia injection, intraoperative, 5-min postoperative

Body temperature measured in Celsius using infrared non-contact digital thermometer

Change from baseline Body Temperature (BT) during Dental Extraction from the baseline BTBaseline, during anesthesia injection, intraoperative, 5-min postoperative

Body temperature measured in Celsius using infrared non-contact digital thermometer

Change in Respiratory Rate (RR) during Periodontal Therapy from the baseline RRBaseline, intraoperative, 5-min postoperative

Respiratory rate is measured by observing the chest and/or abdominal movements and count the number of respirations out loud for one full minute. One respiration consists of one complete rise and fall of the chest (inhalation and exhalation of air)

Change in Respiratory Rate (RR) during Operative Procedure from the baseline RRBaseline, during anesthesia injection, intraoperative, 5-min postoperative

Respiratory rate is measured by observing the chest and/or abdominal movements and count the number of respirations out loud for one full minute. One respiration consists of one complete rise and fall of the chest (inhalation and exhalation of air)

Change in Heart Rate (HR) during Periodontal Therapy from the baseline HRBaseline, intraoperative, 5-min postoperative

The heart rate will be recorded using a non-invasive infrared pulse oximeter placed on the patient's left index finger attached to an ambulatory digital monitor

Change in Heart Rate (HR) during Dental Extraction from the baseline HRBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The heart rate will be recorded using a non-invasive infrared pulse oximeter placed on the patient's left index finger attached to an ambulatory digital monitor

Change in Peripheral Oxygen Saturation (SpO2) during Operative Procedure from the baseline SpO2Baseline, during anesthesia injection, intraoperative, 5-min postoperative

The SpO2 will be recorded using a non-invasive infrared pulse oximeter placed on the patient's index finger attached to an ambulatory digital monitor

Change in Peripheral Oxygen Saturation (SpO2) during Dental Extraction from the baseline SpO2Baseline, during anesthesia injection, intraoperative, 5-min postoperative

The SpO2 will be recorded using a non-invasive infrared pulse oximeter placed on the patient's index finger attached to an ambulatory digital monitor

Change in Systolic Blood Pressure (SBP) during Periodontal Therapy from the baseline SBPBaseline, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg

Change in Systolic Blood Pressure (SBP) during Operative Procedure from the baseline SBPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg

Change in Systolic Blood Pressure (SBP) during Dental Extraction from the baseline SBPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg

Change in Diastolic Blood Pressure (DBP) during Periodontal Therapy from the baseline DBPBaseline, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg MAP= (Systolic BP + 2\*Diastolic BP)/3 And recorded in mmHg

Change in Diastolic Blood Pressure (DBP) during Operative Procedure from the baseline DBPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor and recorded in mmHg

Secondary Outcome Measures
NameTimeMethod
Change in Mean Arterial Pressure (MAP) during Operative Procedure from the baseline MAPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The MAP is then calculated using the following equation:

MAP= (Systolic BP + 2\*Diastolic BP)/3 And recorded in mmHg

Change in Pulse Pressure (PP) during Periodontal Therapy from the baseline PPBaseline, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The PP is then calculated as the systolic and diastolic blood pressure difference and recorded in mmHg

Change in Pulse Pressure (PP) during Operative Procedure from the baseline PPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The PP is then calculated as the systolic and diastolic blood pressure difference and recorded in mmHg

Change in Pulse Pressure (PP) during Dental Extraction from the baseline PPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The PP is then calculated as the systolic and diastolic blood pressure difference and recorded in mmHg

Change in Mean Arterial Pressure (MAP) during Periodontal Therapy from the baseline MAPBaseline, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The MAP is then calculated using the following equation:

MAP= (Systolic BP + 2\*Diastolic BP)/3 And recorded in mmHg

Change in Mean Arterial Pressure (MAP) during Dental Extraction from the baseline MAPBaseline, during anesthesia injection, intraoperative, 5-min postoperative

The blood pressure BP will be measured utilizing the NIBP (noninvasive blood pressure) measurement tool attached to an ambulatory digital monitor. The MAP is then calculated using the following equation:

MAP= (Systolic BP + 2\*Diastolic BP)/3 And recorded in mmHg

Trial Locations

Locations (1)

Riyadh Colleges of Dentistry & Pharmacy

🇸🇦

Riyadh, Saudi Arabia

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