Evaluation of changes in blood pressure in patients submitted to dental surgical procedures


  • Poliana Keller de Andrade
  • Rayra Batista Balestrassi
  • Ricardo Henrique Nunes Prando
  • Jefferson David Melo de Matos
  • Leonardo Jiro Nomura Nakano
  • Pedro Henrique Condé Oliveira Prado
  • Guilherme da Rocha Scalzer Lopes
  • Marco Antonio Bottino
  • John Eversong Lucena de Vasconcelos
  • Valdir Cabral Andrade
  • Erick Gomes Perez




Cirurgia Bucal, Hipertensão, Ansiedade, Anestésicos


The present study aimed to evaluate the occurrence of significant changes in systemic blood pressure (SBP) during surgical-dental procedures. A prospective study was performed with a sample of 135 randomly selected individuals who underwent surgical procedures at the Bucomaxillofacial Surgery Clinic of the Dentistry School of the ESFA (ES) between the second half of 2017 and April 2018. After consent, sociodemographic, lifestyle data, weight and height were obtained through a questionnaire, weighing and measurement, respectively. BP measurements were performed at three moments: preoperative (BP1), intraoperative (BP2) and postoperative (BP3) using a mercury column sphygmomanometer and stethoscope. Values ​​<120/80 mmHg were used as normal values. When BP1 and BP2 were compared, 63.0% remained within normal values ​​and 22.2% reached the stage of hypertension. In the comparison of BP1 and BP3, 66.7% remained normal, and only 7.4% reached the stage of hypertension. When BP2 and BP3 were compared, 53.6% remained within the normality stage and 12.2% reached the stage of hypertension. It was concluded that there were variations in blood pressure, being the largest variation found in BP2, and can be attributed to the stress caused by the surgical act, since no statistically significant connections were found between the changes in blood pressure and the anesthetics used in the research.


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Lima SG, Albuquerque MF, Oliveira JR, Ayres CF, Cunha JE, Oliveira DF et al. Exaggerated blood pressure response during the exercise treadmill test as a risk factor for hypertension. Braz J Med Biol Res. 2013;46(4):368-74.

ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2017; 24430.

Silva GV, Ortega KC, Mion Jr D. Monitorização Residencial da Pressão Arterial (MRPA). Rev Bras Hipertens. 2008;15(4):215-19.

Zahid H, Amin A, Amin E, Waheed S, Asad A, Faheem A et al. Prevalence and predictors of use of home sphygmomanometers among hypertensive patients. Cureus. 2017; 9(4):e1155.

Guedis AG, Sousa BDBD, Marques CF, Piedra DPS, Braga JCMS, Cardoso MLG et al. Hipertensão do avental branco e sua importância de diagnóstico. Rev Bras Hipertens. 2008;15(1):46-50.

Goulart JCF, Pinheiro MD, Rodrigues RV, Santos FDSAD, Martins AT, Scannavino FLF. Influence of anxiety on blood pressure and heart rate during dental treatment. Rev odonto ciênc. 2012;27(1):31-5.

Mirdamadi A, Etebari M. Comparison of manual versus automated blood pressure measurement in intensive care unit, coronary care unit, and emergency room. ARYA Atheroscler. 2017;13(1):29-34.

Abu-Mostafa N, Al-Showaikhat F, Al-Shubbar F, Al-Zawad K, Al-Zawad F. Hemodynamic changes following injection of local anesthetics with different concentrations of epinephrine during simple tooth extraction: A prospective randomized clinical trial. J Clin Exp Dent. 2015;7(4):e471-6.

Bajkó Z, Szekeres CC, Kovács KR, Csapó K, Molnár S, Soltész P et al. Anxiety, depression and autonomic nervous system dysfunction in hypertension. J Neurol Sci. 2012; 317(1-2):112-16.

Cheng I, Ho WE, Woo BK, Tsiang JT. Correlations between Health Insurance Status and Risk Factors for Cardiovascular Disease in the Elderly Asian American Population. Cureus. 2018;10(3):e2303.

Zhang ZB, Xue ZX, Chen HY, Wang TM, Li YH, Chao XF et al. [Prevalence of hypertension and risk factors in Uygur population in Kashgar area of Xinjiang Uygur Autonomous Region]. Zhonghua Liu Xing Bing Xue Za Zhi. 2017;38(6):709-14.

Xing CY, Tarumi T, Meijers RL, Turner M, Repshas J, Xiong L, Ding K, Vongpatanasin W, Yuan LJ, Zhang R. Arterial Pressure, Heart Rate, and Cerebral Hemodynamics Across the Adult Life Span. Hypertension. 2017;69(4):712-20.

Shang S, Li P, Deng M, Jiang Y, Chen C, Qu Q. The Age-Dependent Relationship between Blood Pressure and Cognitive Impairment: A Cross-Sectional Study in a Rural Area of Xi'an, China. PLoS One. 2016;11(7):e0159485.

Zhang YJ, Wu SL, Li HY, Zhao QH, Ning CH, Zhang RY et al. [Comparison of arterial stiffness in non-hypertensive and hypertensive population of various age groups]. Zhonghua Xin Xue Guan Bing Za Zhi. 2018;46(1):56-63

Thomas F, Empana JP, Charles MA, Boutouyrie P, Jouven X, Pannier B et al. Silhouettes at different age of life: Retrospective appreciation of corpulence and his impact on prevalence of hypertension at 60years. Ann Cardiol Angeiol (Paris). 2017;66(3):171-75.

Jamalizadeh A, Kamiab Z, Esmaeili Nadimi A, Nejadghaderi M, Saeidi A, Porkarami A. Prevalence of smoking and high blood pressure, two major risk factors for non-communicable diseases: the SuRF NCD (surveillance of risk factors of non-communicable disease) report 2012. J Cardiovasc Thorac Res. 2016;8(4):183-87.

Torlasco C, Faini A, Makil E, Ferri C, Borghi C, Veglio F et al. Council of the Italian Society of Hypertension. Cardiovascular risk and hypertension control in Italy. Data from the 2015 World Hypertension Day. Int J Cardiol. 2017;243:529-32.

Raposeiras-Roubín S, Abu-Assi E, Iñiguez-Romo A. Tobacco, illicit drugs use and risk of cardiovascular disease in patients living with HIV. Curr Opin HIV AIDS. 2017;12(6):523-27.

Zingg S, Collet TH, Locatelli I, Nanchen D, Depairon M, Bovet P et al. Associations between cardiovascular risk factors, inflammation, and progression of carotid atherosclerosis among smokers. Nicotine Tob Res. 2016;18(6):1533-8.

Cymerys, M., Bogdański, P., Pupek-Musialik, D., Jabłecka, A., Łącki, J., Korczowska, I., & Dytfeld, J. Influence of hypertension, obesity and nicotine abuse on quantitative and qualitative changes in acute-phase proteins in patients with essential hypertension. Med Sci Monit. 2012;18(5):CR330-CR336.

Yanbaeva DG, Dentener MA, Creutzberg EC, Wesseling G, Wouters EF. Systemic effects of smoking. Chest. 2007;131(5):1557-66.

Burke GM, Genuardi M, Shappell H, D'Agostino RB Sr, Magnani JW. Temporal Associations Between Smoking and Cardiovascular Disease, 1971 to 2006 (from the Framingham Heart Study). Am J Cardiol. 2017;120(10):1787-91.

Shen Q, Zhu NB, Yu CQ, Guo Y, Bian Z, Tan YL et al. [Sex-specific associations between tobacco smoking and risk of cardiovascular diseases in Chinese adults]. Zhonghua Liu Xing Bing Xue Za Zhi. 2018;39(1):8-15.

Madika AL, Mounier-Vehier C. Tabac et pression artérielle: une relation complexe à mieux connaître. La Presse Médicale. 2017;46(7-8):697-702.

Tan J, Zhang X, Wang W, Yin P, Guo X, Zhou, M. Smoking, blood pressure, and cardiovascular disease mortality in a large cohort of chinese men with 15 years follow-up. Int J Environ Res Public Health. 2018;15(5):1026.

Gorostegi-Anduaga I, Corres P, Jurio-Iriarte B, Martínez-Aguirre A, Pérez-Asenjo J, Aispuru GR et al.. Clinical, physical, physiological, and dietary patterns of obese and sedentary adults with primary hypertension characterized by sex and cardiorespiratory fitness: EXERDIET-HTA study. Clin Exp Hypertens. 2018;40(2):141-49.

Cristi-Montero C, Steell L, Petermann F, Garrido-Méndez A, Díaz-Martínez X, Salas-Bravo C et al. Joint effect of physical activity and sedentary behaviour on cardiovascular risk factors in Chilean adults. J Public Health (Oxf). 2018;40(3):485-92.

Knaeps S, De Baere S, Bourgois J, Mertens E, Charlier R, Lefevre J. Substituting sedentary time with light and moderate to vigorous physical activity is associated with better cardiometabolic health. J Phys Act Health. 2018;15(3):197-203.

Sacilotto MC, Del Grossi RT, Sirol FN, Pessotti ER, Catai MA., Sakabe DI et al. Relação da freqüência cardíaca e da potência no pico do teste ergométrico e no nível do limiar de anaerobiose de homens de meia-idade saudáveis e de hipertensos. Fisioter mov.2007;20(4):43-53.

Masala G, Bendinelli B, Versari D, Saieva C, Ceroti M, Santagiuliana F et al. Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort. J Hypertens. 2008;26(11):2112-20.

Wang X, Strizich G, Hua S, Sotres-Alvarez D, Buelna C, Gallo LC et al. Objectively measured sedentary time and cardiovascular risk factor control in US Hispanics/Latinos with diabetes mellitus: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Am Heart Assoc. 2017;6(6):e004324.

Beyer KM, Szabo A, Hoormann K, Stolley M. Time spent outdoors, activity levels, and chronic disease among American adults. J Behav Med. 2018;41(4):494-503.

Ferrario MM, Roncaioli M, Veronesi G, Holtermann A, Clays E, Borchini R et al. Differing associations for sport versus occupational physical activity and cardiovascular risk. Heart. 2018;104(14):1165-72.

Jung DH, Kim JY, Kim JK, Koh SB, Park JK, Ahn SV. Relative contribution of obesity and serum adiponectin to the development of hypertension. Diabetes Res Clin Pract. 2014; 103(1):51-6.

Fonseca JGM. Obesidade e outros distúrbios alimentares. São Paulo: Medsi; 2001.

Stenehjem JS, Hjerkind KV, Nilsen TI. Adiposity, physical activity, and risk of hypertension: prospective data from the population-based HUNT Study, Norway. J Hum Hypertens. 2018;32(4):278-86.

Buscot MJ, Thomson RJ, Juonala M, Sabin MA, Burgner DP, Lehtimäki T et al. Distinct child-to-adult body mass index trajectories are associated with different levels of adult cardiometabolic risk. Eur Heart J. 2018 Jun 21;39(24):2263-2270.

Someya Y, Tamura Y, Kohmura Y, Aoki K, Kawai S, Daida H. Slightly increased BMI at young age is a risk factor for future hypertension in Japanese men. PloS One. 2018;13(1):e0191170.

Wu O, Leng JH, Yang FF, Yang HM, Zhang H, Li ZF et al. A comparative research on obesity hypertension by the comparisons and associations between waist circumference, body mass index with systolic and diastolic blood pressure, and the clinical laboratory data between four special Chinese adult groups. Clin Exp Hypertens. 2018;40(1):16-21.

Colangelo LA, Vu TH, Szklo M, Burke GL, Sibley C, Liu K. Is the association of hypertension with cardiovascular events stronger among the lean and normal weight than among the overweight and obese? The multi-ethnic study of atherosclerosis. Hypertension. 2015;66(2):286-93.

Rodrigues CS, Silveira JCF, Castro SHD, Silva FSC. Avaliação da variação da pressão arterial em pacientes submetidos a tratamento odontológico. Rev odontol Univ Cid São Paulo. 2017;25(3):196-202.

Barbosa VA, Assis AF. Avaliação das alterações da pressão arterial sistêmica durante procedimento de exodontia [monografia]. Salvador: Curso de Residência e Especialização em Cirurgia e Traumatologia Bucomaxilofacial da Escola Bahiana de Medicina e Saúde Pública; 2016.

Bernardino Junior R, Tolentino AB, Ferreira GT, Silva D, Strini PJSA, Strini PJSA et al. Pressão arterial antes, durante e após atendimento em serviço de urgência odontológica. Rev Odontol Bras Central 2014;23(65):108-12.

Ferraz EG, Carvalho CM, Jesuíno AA, Provedel L, Sarmento VA. Avaliação da variação da pressão arterial durante o procedimento cirúrgico odontológico. Rev Odontol UNESP. 2007;36(3):223-29.

Oliveira PC, Zanetta-Barbosa D, Souza HJ, Batista JD, Ranali J, Costa MD et al. Avaliação do nível de ansiedade e dor de pacientes em urgências endodônticas e sua influência sobre parâmetros cardiovasculares. Cienc Odontol Bras. 2007;10(4):70-5.

Salim MAA, Cançado RP, Carvalho BM, Zampirolli FA, Cabral AM, Moreira TG. Identificação da hipertensão arterial sistêmica e fatores de risco em pacientes atendidos nas clínicas de Cirurgia Bucomaxilofacial da Faculdade de Odontologia da Faesa (ES). Rev bras odontol. 2011;68(1):39-43.

Ganhoto APA, Cabral ADM, Vasquez EC, Ganhoto MRA, Lima EG. Monitorização ambulatorial da pressão arterial em indivíduos submetidos à cirurgia periodontal. Rev Bras Hipertens. 2006;13(2):97-103.

Siviero M, Nhani VT, Prado EDFGB. Análise da ansiedade como fator preditor de dor aguda em pacientes submetidos a exodontias ambulatoriais. Rev odontol UNESP. 2008;37(4):329-36.

Costa RR, Silva PVR, Iwaki Filho L, Takeshita WM, Farah GJ. Avaliação da influência da expectativa e da ansiedade do paciente odontológico submetido a procedimento cirúrgico a partir de seus sinais vitais. Rev Odontol UNESP. 2012;41(1):43-7.

Kanegane K, Penha SS, Borsatti MA, Rocha RG. Ansiedade ao tratamento odontológico no atendimento de rotina. RGO. 2006;54(2):111-4.

Possobon RDF, Camillo Carrascoza K, Alves de Moraes AB, Costa Jr AL. O tratamento odontológico como gerador de ansiedade. Psicologia em estudo. 2007;12(3):609-16.

Lima FJ, Evangelista APA, Silva RTM, Alves PM, Lins RDAU, Godoy GP. Alterações da pressão arterial em pacientes submetidos à biópsia na cavidade oral. Arq Odontol. 2010;46(4):208-12.

Annibelli R, Nishimori LE, Pereira MO, Vissoci JRN, Corrêa GO, Progiante PS. Relação entre emoções, variáveis Fisiológicas e dor em pacientes de cirurgia Odontológica. BJSCR. 2014;5(3):27-32.

Silvestre FJ, Salvador-Martínez I, Bautista D, Silvestre-Rangil J. Clinical study of hemodynamic changes during extraction in controlled hypertensive patients. Med Oral Patol Oral Cir Bucal. 2011;16(3):e354-8.

Goulart JCF, Pinheiro MD, Rodrigues RV, Santos FDSAD, Martins AT, Scannavino FLF. Influence of anxiety on blood pressure and heart rate during dental treatment. Revista Odonto Ciênc. 2012;27(1):31-5.

Ogunlewe MO, James O, Ajuluchukwu JN, Ladeinde AL, Adeyemo WL, Gbotolorun OM. Evaluation of haemodynamic changes in hypertensive patients during tooth extraction under local anaesthesia. West Indian Med J. 2011;60(1):91-5.

Gungormus M, Buyukkurt MC. The evaluation of the changes in blood pressure and pulse rate of hypertensive patients during tooth extraction. Acta Med Austriaca. 2003;30(5):127-9.

Perusse R, Goulet JP,Turcotte JY. Contraindications to vasoconstrictors in dentistry: Part II. Hyperthyroidism, diabetes, sulfite sensitivity, cortico-dependent asthma, and pheochromocytoma. Oral surg oral med oral pathol. 1992;74(5):687-91.

Carvalho B, Fritzen EL, Parodes AG, Santos RB, Gedoz L. O emprego dos anestésicos locais em Odontologia: Revisão de Literatura. Rev Bras Odontol. 2013;70(2):178-81.

Niwa, H., Sugimura, M., Satoh, Y., & Tanimoto, A. Cardiovascular response to epinephrine-containing local anesthesia in patients with cardiovascular disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(6):610-16.

Bader JD, Bonito AJ, Shugars DA. A systematic review of cardiovascular effects of epinephrine on hypertensive e dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(6):647-53.

Bronzo ALA. Procedimentos odontológicos em pacientes hipertensos com ou sem o uso de anestésico local prilocaína associada ou não ao vasoconstritor felipressina [dissertação]. São Paulo: Faculdade de Medicina da Universidade de São Paulo); 2005.

Soares RG, Salles AA, Irala DLE, Limongi O. Como escolher um adequado anestésico local para as diferentes situações na clínica odontológica diária?. RSBO. 2006;3(1):35-40.

Cáceres MTF, Ludovice ACP, Brito FSD, Darrieux FC, Neves RS, Scanavacca MI et al. Efeito de anestésicos locais com e sem vasoconstritor em pacientes com arritmias ventriculares. Arq Bras Cardiol. 2008; 91(3):142-47.

Alemany-Martínez A, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Hemodynamic changes during the surgical removal of lower third molars. J Oral Maxillofac Surg. 2008; 66(3):453-61.

Santos DP. Controle da ansiedade odontológica: estudo comparativo entre a sedação oral com midazolam e a sedação consciente com a mistura de óxido nitroso e oxigênio em pacientes submetidos à extração de terceiros molares inferiores [dissertação]. Faculdade de odontologia de Ribeirão Preto - USP; 2012.

Ríos Erazo M, Herrera Ronda A, Rojas Alcayaga G. Ansiedad dental: Evaluación y tratamiento. Av Odontoestomatol. 2014; 30(1):39-46.

Medeiros LDA, Ramiro FMS, Lima CAA, Souza LMDA, Fortes TMV, Groppo FC. Avaliação do grau de ansiedade dos pacientes antes de cirurgias orais menores. Rev Odontol UNESP. 2013;42(5):357-63.

Loggia ML, Schweinhardt P, Villemure C, Bushnell MC. Effects of psychological state on pain perception in the dental environment. J Can Dent Assoc. 2008;74(7):651-56.

Tanno AP, Marcondes FK. Estresse, ciclo reprodutivo e sensibilidade cardíaca às catecolaminas. Rev Bras Ciênc Farm. 2002;38(3):273-89.



Como Citar

Andrade, P. K. de ., Balestrassi, R. B., Prando, R. H. N., Matos, J. D. M. de, Nakano, L. J. N. ., Prado, P. H. C. O., Lopes, G. da R. S., Bottino, M. A., Vasconcelos, J. E. L. de ., Andrade, V. C., & Perez, E. G. (2021). Evaluation of changes in blood pressure in patients submitted to dental surgical procedures. ARCHIVES OF HEALTH INVESTIGATION, 10(1), 106–115. https://doi.org/10.21270/archi.v10i1.4854



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