Journal of Maxillofacial and Oral Surgery

, Volume 18, Issue 1, pp 80–87 | Cite as

Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction

  • Ashish SharmaEmail author
  • Rudraksh Pant
  • Sameer Priyadarshi
  • Nimish Agarwal
  • Siddhi Tripathi
  • Manoj Chaudhary
Original Article


Aim of the Study

The present study evaluated the cardiovascular changes related to anxiety of the patient undergoing local anesthesia injection for extraction in Indian population.


In total, 100 Indian male patients were enrolled in the prospective study. Anxiety was measured at 15 min before local anesthetic delivery using Corah’s Dental Anxiety Scale (DAS). Cardiovascular response data including blood pressure, heart rate, oxygen saturation and electrocardiographic changes were measured at five time points from 5 min before to 15 min after the administration of anesthetic.


The mean anxiety scale score before administration of anesthetic was 8.24 (± 3.55) with a range from 4 to 20. Younger age was associated with a higher anxiety scale score. Severe preoperative anxiety (DAS > 12) was associated with significantly increased heart rate and blood pressure during administration of anesthetic. Significant ECG change was present at the time and 5 min after local anesthesia administration. Pain on injection was also associated with increased heart rate and blood pressure during anesthetic administration.


The present study shows that significant cardiovascular changes do occur due to dental anxiety at the time of local anesthesia administration for tooth extraction in Indian population.


Local anesthetic Cardiovascular changes Anxiety 


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Ashish Sharma
    • 1
    Email author
  • Rudraksh Pant
    • 2
  • Sameer Priyadarshi
    • 3
  • Nimish Agarwal
    • 1
  • Siddhi Tripathi
    • 4
  • Manoj Chaudhary
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryKothiwal Dental College and Research CentreMoradabadIndia
  2. 2.Jag Prakash HospitalNew DelhiIndia
  3. 3.Kothiwal Dental College and Research CentreMoradabadIndia
  4. 4.Department of ProsthodonticsKothiwal Dental College and Research CentreMoradabadIndia

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