Effect of Local Anesthesia with 1:100,000 Epinephrine on Glycemic Level of Type II Diabetic Patients Undergoing Oral Surgery

  • Muhammad Tariq Khan Department Dentistry/ Maxillofacial Surgery Department, Saidu Medical College & Saidu Group of Teaching Hospitals, Swat.
  • Muhammad Ilyas Oral and Dental Surgery Department, District Headquarter Hospital, Ghallanay, District Mohmand.
  • Salman Khan Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar.
  • Jawad Ahmad Kundi Department, Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar.
  • Fariha Kifayat Department of Oral and Maxillofacial Surgery, Sardar Begum Dental College, Peshawar

Abstract

Background: The rate of type II diabetic patients is increasing and results in oral manifestations. The oral surgery needsextraordinary measures in these patients.Objective: To assess the effect of anesthetic agent with 1:100,000 epinephrine and without epinephrine in the blood glucose levelof diabetic patients.Material and Methods: This was a randomized study of 60 patients having type 2 diabetes mellitus who were undergoing toothextraction. The study was double blind. 30-70years aged patients were selected. Blood glucose level was monitored 15 minutesbefore giving local anesthesia and after 20 minutes of the injection. ANOVA was used for comparison between groups.Results: No significant difference was seen in glycemic level using local anesthesia with 1:100,000 epinephrine (p=0.345). Therewas slight decrease noted in the blood glucose level of both groups.Conclusion: The use of 2% local anesthesia with 1:100,000epinephrine didn't cause hyperglycemia in diabetic patients.Keywords: Diabetes Mellitus, Local Anesthesia, Epinephrine, Tooth Extraction, Lidocaine.
How to Cite
1.
Muhammad Tariq Khan, Muhammad Ilyas, Salman Khan, Jawad Ahmad Kundi, Fariha Kifayat. Effect of Local Anesthesia with 1:100,000 Epinephrine on Glycemic Level of Type II Diabetic Patients Undergoing Oral Surgery. J Saidu Med Coll Swat [Internet]. 1 [cited 2021Dec.4];11(4):181-4. Available from: http://jsmc.pk/index.php/jsmc/article/view/674