title: Evaluation of hemodynamic and SpO2 variability during different stages of periodontal surgery.
abstract: BACKGROUND
  Changes in pulse rate and blood pressure are common consequences during oral surgeries. Hypoxia during surgical process is another side effect. The objective of the present study was evaluation of blood hemoglobin oxygenation and hemodynamic changes during periodontal surgery.
  
  
  METHODS
  This clinical trial study was conducted upon 50 subjects aged 30-55 years who referred to the clinic of dental faculty of Babol University and needed periodontal surgery with modified widman flaps in the anterior section of the maxilla. Pulse rate, blood pressure, and pulse oximetric evaluations were recorded in five stages during surgery.
  
  
  RESULTS
  The average of systolic and diastolic blood pressure had been in their maximum amount in the second stage of evaluation and minimum amounts were in the first one; while pulse rate changes were greatest in the second stage and lowest in the fifth stage. Analyzing the data revealed no significant difference in Blood Oxygen Saturation (SpO2) measurements in none of the stages evaluated.
  
  
  CONCLUSIONS
  Blood pressure and heart rate increased significantly after the injection of anesthetic drug and in further phases they were decreased after the elimination of stimulating effect of adrenaline. SpO2 changes were not significantly prominent.
authors.affiliation: Department of Periodontology, Babol Dental School, Dental Material Research Center, Babol, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Amoian
authors.forename: Mozafar
authors.initials: M
authors.lastname: Rabíee
authors.forename: Maral
authors.initials: M
authors.lastname: Aghvami
authors.forename: Shabnam
authors.initials: S
authors.lastname: Milani
keywords: Hemodynamic changes; SpO2; periodontal surgery; pulse oximetry