Defense Date

2021

Document Type

Thesis

Degree Name

Master of Science in Dentistry

Department

Dentistry

First Advisor

Elizabeth Bortell

Second Advisor

Patrice Wunsch

Third Advisor

Caroline Carrico

Fourth Advisor

Jeanette Kierce

Abstract

Purpose:

To determine the effect of local anesthesia on post-operative pain and physiologic parameters intraoperatively in patients undergoing dental care under general anesthesia.

Methods:

This study was modeled as a double-blinded randomized control trial. Patients included healthy children under the age of six scheduled for restorative dental treatment under general anesthesia. Patient behavior was evaluated pre and post-operatively using the FLACC score and post-operatively using the Parental Pain Score Measure. Intraoperatively, all participants followed a standardized general anesthesia protocol and were given either local anesthetic infiltration by the dental surgeon performing the surgery or no anesthesia was utilized. Intraoperatively physiologic stability was observed during points of potential stimulation noted by fluctuations in heart rate, and respiratory rate, ETCO2.

Results:

No statistically significant differences in FLACC score and PPPM score were seen between the two treatment groups. Intraoperatively, patients treated with preemptive LA had statistically significant lower heart rates and ETCO2 than those patients who did not receive local anesthesia.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

5-5-2021

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