지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 187 - 193 (7page)
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초록· 키워드
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Epinephrine is one of the most widely-used vasoconstrictors in dental treatment including endodontic microsurgery. However, the systemic safety of epinephrine has been in debate for many years because of its potential risk to cause cardiovascular complications. The purpose of this review was to assess the cardiovascular effect of epinephrine use in endodontic microsurgery. Endodontic microsurgery directly applies epinephrine into the bone cavity, and the amount is reported to be much larger than other dental surgeries. Moreover, when considering that systemic potency of intraosseous application is reported to be comparable to intravenous application, the systemic influence of epinephrine could be increased in endodontic microsurgery. Besides, pre-existing cardiovascular complications or drug interactions can enhance its systemic influence, resulting in increased susceptibility to cardiovascular complications. Although clinical studies have not reported significant complications for patients without severe systemic complications, many epinephrine-induced emergency cases are warning the cardiovascular risk related with pre-existing systemic disease or drug interactions. Epinephrine is a dose-sensitive drug, and its hypersensitivity reaction can be fatal to patients when it is related to cardiovascular complications. Therefore, clinicians should recognize the risk, and the usage of pre-operative patient evaluation, dose control and patient monitoring are required to ensure patient's safety during endodontic microsurgery.
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참고문헌 (22)
참고문헌 신청
Abraham-Inpijn L / 1988 / Changes in blood pressure, heart rate, and electrocardiogram during dental treatment with use of local anesthesia / Am Dent Assoc 116 : 531 ~ 536
Bader JD / 2002 / A systematic review of cardiovascular effects of epinephrine on hypertensive dental patients / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93 : 647 ~ 6
Blinder D / 1996 / Electrocardiographic changes in cardiac patients undergoing dental extractions under local anesthesia / J Oral Maxillofac Surg 54 : 162 ~ 165
Blinder D / 1998 / Electrocardiographic changes in cardiac patients having dental extractions under a local anesthetic containing a vasopressor / J Oral Maxillofac Surg 56 :
Cheraskin E / 1958 / Use of epinephrine with local anesthesia in hypertensive patients. III. Effect of epinephrine on blood pressure and pulse rate / J Am Dent Assoc 57 : 50
Bader JD / 2002 / A systematic review of cardiovascular effects of epinephrine on hypertensive dental patients / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93 : 647 ~ 6
Blinder D / 1996 / Electrocardiographic changes in cardiac patients undergoing dental extractions under local anesthesia / J Oral Maxillofac Surg 54 : 162 ~ 165
Blinder D / 1998 / Electrocardiographic changes in cardiac patients having dental extractions under a local anesthetic containing a vasopressor / J Oral Maxillofac Surg 56 :
Cheraskin E / 1958 / Use of epinephrine with local anesthesia in hypertensive patients. III. Effect of epinephrine on blood pressure and pulse rate / J Am Dent Assoc 57 : 50
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