Year : 2018

Volume : Volume 8

Issue : Issue 1

Address for correspondence :
Dr. Kunwar Satish.
kunwarsatish@yahoo.co.in

Abstract

Aim:  Local anesthetic (LA) solutions are one of the most widely used drugs in dentistry for performing minor as well as major surgical procedures. Adrenaline has come out as an integral component of LA vials and being dispensed mostly in fixed combinations/preparations. Various researchers have shown a variety of effects of Adrenaline on blood glucose levels in diabetic patients. The present study was conducted to compare the LA containing adrenaline and LA without adrenaline on diabetic patients requiring dental extraction. Materials & Methods: The present study was conducted on 120 patients requiring dental extractions & was divided into 3 groups of 40 each. Group I was kept as reference or control group while group II were diabetic on antidiabetic drugs. Group III patients were diabetic but not on diabetic drugs. In all patients, 2% lignocaine with 1: 50000 adrenaline was used for the study. Blood glucose level was assessed using electronic glucometer first before administrating LA, second after administrating LA and third after extraction of tooth.  Results: Mean blood glucose level in group I before and after administering LA was 102.4 and 108.6 respectively. Mean blood glucose level in group II before and after administering LA was 190.2 and 196.8 respectively. Mean blood glucose level in group III before and after administering LA was 168.2 and 164.4 respectively. Mean blood glucose level in group I before extraction of teeth was 104.2 and after 102.6, in group II was 190.6 and 196.2 before and after extraction of teeth respectively and in group III was 172.8 and 216.4 before and after extraction of teeth respectively.  Conclusion: It has observed that there was alteration in blood glucose level on those diabetic patients who were not on medication.

Keywords: Adrenaline, Glucose, Local anesthetic.