Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Effect of Local Anaesthesia with and without Adrenaline on Blood Glucose Concentration in Patients Undergoing Tooth Extractions: A Comparative Study
Karn Singh, Anupama Singh, Ahtasham Anwar and Raman Kant Sinha
Page: 175-178 | Received 29 Apr 2024, Published online: 15 Jul 2024
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Abstract
Local anesthesia is a common practice in dental procedures, including tooth extractions. The addition of adrenaline to local anesthetics can prolong the effect and reduce bleeding. However, there is concern about the impact of adrenaline on blood glucose levels, particularly in diabetic patients. This retrospective study aims to compare the effects of local anesthesia with and without adrenaline on blood glucose concentration in patients undergoing tooth extractions. This retrospective study was conducted at a dental clinic in Darbhanga over a period of one year. A total of 100 patients who underwent tooth extractions were included in the study. The patients were divided into two groups: Group A (50 patients) received local anesthesia with adrenaline and Group B (50 patients) received local anesthesia without adrenaline. Blood glucose levels were measured before and 30 minutes after the administration of anesthesia using a glucometer. The data were analyzed using paired t‐tests to compare the pre‐and post‐extraction blood glucose levels within and between the groups. In Group A, the mean blood glucose level increased from 90 mg/dL pre‐extraction to 100 mg/dL post‐extraction, showing a significant increase (p<0.05). In Group B, the mean blood glucose level increased from 92 mg/dL pre‐extraction to 95 mg/dL post‐extraction, which was not statistically significant (p>0.05). Comparing the two groups, the increase in blood glucose levels was significantly higher in Group A than in Group B (p<0.01). The study indicates that the use of local anesthesia with adrenaline leads to a significant increase in blood glucose levels compared to local anesthesia without adrenaline in patients undergoing tooth extractions. This finding suggests that caution should be exercised when using adrenaline‐containing local anesthetics in diabetic patients.
How to cite this article:
Karn Singh, Anupama Singh, Ahtasham Anwar and Raman Kant Sinha. Effect of Local Anaesthesia with and without Adrenaline on Blood Glucose Concentration in Patients Undergoing Tooth Extractions: A Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.175.178
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.175.178