Efecto del Anestésico local con Vasoconstrictor sobre la glucemia de pacientes diabéticos bajo terapia periodontal

Abstract

Local anesthetics are used to control pain during dental treatment, generally combined with vasoconstrictors. Despite the advantages of this association, in some patients the vasoconstrictor is contraindicated. Diabetic patients present oral pathologies such as periodontal disease, whose treatment may require local anesthesia. Due to the controversy regarding the effect of vasoconstrictor on blood glucose, it is proposed to evaluate the effect of local anesthetic with vasoconstrictor on blood glucose levels in controlled diabetic patients undergoing periodontal therapy. The sample consisted of 36 patients, 18 systemically healthy, 7 type 1 diabetics (DM1) and 11 type 2 diabetics (DM2). Blood glucose levels were evaluated at the beginning of the appointment, before the application of the 2% lidocaine local anesthetic with epinephrine 1: 80,000 and 20 minutes after injection through a capillary sample using the SUMASENSOR SXT® glucometer. Patients were treated at the Department of Periodontology, Faculty of Dentistry at the University of Los Andes and at the dentistry service of the Mayor’s Office of Merida State. A significant difference was found between the blood glucose levels of the systemically healthy, DM1 and DM2 patients, in the three evaluation moments (Kruskal Wallis test p0.05). Therefore, it is concluded that the administration of 2% lidocaine with 1: 80,000 epinephrine does not significantly modify blood glucose of controlled diabetic patients.