Control de estrés por medio del registro de los signos vitales en pacientes sometidos a exodoncia en la Clínica Odontológica de la UCSG A-2023.

Abstract

INTRODUCTION: During dental care, anxiety about pain after local anesthesia can be the trigger for hypertensive crisis, so it is necessary to measure vital signs before starting care, after local anesthesia, and before the patient leave the dental unit to promptly recognize and treat any postoperative cardiovascular disorder. OBJECTIVE Establish stress control by recording vital signs in patients undergoing extraction at the UCSG A-2023 dental clinic. MATERIALS AND METHODS: A prospective cross-sectional review of the medical records of patients seen at the dental clinic who underwent vital signs before and after local anesthesia was performed, evidencing the changes that could be considered pathological. ANALYSIS OF RESULTS: The alterations that occurred were significantly greater after performing the local anesthesia technique, and in those cases in which the hypertensive crisis occurred before dental care. In these cases, we use Captopril 50 mg sublingually, managing to control the hypertensive crisis. CONCLUSION: To prevent cardiovascular complications that occur during dental care, mainly caused by anxiety and post-anesthetic pain, we must read vital signs to promptly detect cardiovascular changes during and after dental care. Captopril was effectively used to control postextraction hypertensive crisis.