Non-linear indices of heart rate variability during endodontic treatment

5Citations
Citations of this article
34Readers
Mendeley users who have this article in their library.

Abstract

Dental treatment promotes psychosomatic change that can influence the procedure and compromise the general well-being of the patient. In this context, it highlights the importance of evaluating the function of the autonomic nervous system in individuals undergoing endodontic treatment. Thus, this manuscript aimed to analyse cardiac autonomic modulation, through non-linear indices of heart rate variability (HRV) during endodontic treatment. Analysis of 50 subjects of either sex aged between 18 and 40 years diagnosed with irreversible pulp necrosis of lower molars undergoing endodontic treatment was undertaken. We carried out fractal and symbolic analysis of HRV, which was recorded in the first session of the endodontic treatment at four intervals: T1: 0-10 min before the onset of the treatment session; T2: 0-10 min after the application of anaesthesia; T3: throughout the period of treatment; and T4: 0-30 min after the end of the treatment session. There was reduction of al in T2 compared to T1 and T4 (p < 0.0001). The a2 index also reduced in T2 compared to T3 (p = 0.0035). There was an increase in the a1/a2 ratio in T4 compared to T2 and T3 (p = 0.0003). It was found that 0V% was significantly lower in T2 (p = 0.002), while 2UV% was significantly higher (p < 0.0001) when compared to other points in time. In conclusion, HRV is reduced during endodontic treatment, and after applying local anaesthetic the parasympathetic component of HRV increases. These data indicate that endodontic treatment acutely overcharges the heart, supporting the stress involved in this situation.

Cite

CITATION STYLE

APA

Santana, M. D. R., Pita-Neto, I. C., Martiniano, E. C., Monteiro, L. R. L., Ramos, J. L. S., Garner, D. M., … de Abreu, L. C. (2016). Non-linear indices of heart rate variability during endodontic treatment. Brazilian Oral Research, 30(1). https://doi.org/10.1590/1807-3107BOR-2016.VOL30.0029

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free