{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:25:08Z","timestamp":1787772308600,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dental treatment induces pain anxiety and fear. This study was conducted to assess the changes in hemodynamic, ventilator, and electrocardiograph changes during extraction procedure among 12-15-year-old children and compare these changes with anxiety, fear, and pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A purposive sample of 60 patients selected based on inclusion and exclusion criteria underwent study procedure in the dental OPD of a medical college and hospital. The anxiety, fear, and pain were recorded by dental anxiety scale, dental fear scale, and visual analogue scale, respectively, before the start of the procedure. The systolic blood pressure, diastolic blood pressure, heart rate, oxygen saturation, and electrocardiogram changes were monitored during the extraction procedure. The recording was taken four times (preinjection phase, injection, extraction, and postextraction) and was analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At the preinjection phase the mean vales were systolic blood pressure (128 \u00b1 11.2), diastolic blood pressure (85.7 \u00b1 6.3), heart rate (79.7 \u00b1 9.3), and oxygen saturation (97.9 \u00b1 5.8). These values increased in injection phases and decreased in extraction phase and the least values were found after 10 min of procedure and this relation was significant for all parameters except oxygen saturation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.48, NS). ECG abnormalities were seen among 22 patients and were significant before and after injection of Local anesthetic (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0001, S).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Anxiety, fear, and pain have an effect on hemodynamic, ventilator, and cardiovascular parameters during the extraction procedure and hence behavioral management has to be emphasized among children in dental clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0970-4388.112393","type":"journal-article","created":{"date-parts":[[2013,5,22]],"date-time":"2013-05-22T04:28:12Z","timestamp":1369196892000},"page":"10-16","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Hemodynamic, ventilator, and ECG changes in pediatric patients undergoing extraction"],"prefix":"10.4103","volume":"31","author":[{"given":"YK","family":"Sanadhya","sequence":"first","affiliation":[{"name":"Department of Medicine, Jhalawar Hospital and Medical College, Jhalawar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sanadhya","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Jalihal","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Nagarajappa","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Pacific Dental College and Hospital, Udaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Tak","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry, Pacific Dental College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260302","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.joms.2007.06.634","article-title":"Hemodynamic changes during the surgical removal of lower third molars","volume":"66","author":"Alemany-Mart\u00ednez","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"key":"R2-20260302","doi-asserted-by":"crossref","first-page":"E23","DOI":"10.1038\/sj.bdj.2009.978","article-title":"ECG variations in patient's pre- and 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