Management of Raynaud’s Syndrome following local anesthesia in dentistry

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.25194

Keywords:

Raynaud disease; Local anesthesia; Ischemia.

Abstract

Raynaud’s Syndrome (RS) is generally characterized by either ischemic or hyperemic symptoms and is relatively frequent in patients hypersensitive to cold or with emotional stress. This phenomenon usually cease after no more than some minutes, however, can persist for hours Its treatment is aimed at promoting vasodilation i.e., warming procedures. Anxiety control prior to surgical procedure helps in prevention the occurrence of RS. Despite RS following local dental anesthesia being rare, dentists must be prepared to manage. There are limited reports of patients with this syndrome during dental procedures, so here we describe a case of a patient who has undergone a surgical implant installation and who developed primary RS following local anesthesia using an adrenergic vasoconstrictor, as well as the management of this complication in dental office. Dentists should be able to recognize the RS and follow the appropriate guidelines available, after control the case the patient should also be referred to a general physician for further investigations.

References

Angelis, R., Salaffi, F., & Grassi, W. (2006). Raynaud’s phenomenon: prevalence in an Italian population sample. Clinical Rheumatology, 25(4), 506–510.

Dixit, S., Kalkur, C., Sattur, A. P., Bornstein, M. M., & Melton, F. (2016). Scleroderma and dentistry: Two case reports. Journal of Medical Case Reports, 10(1), 297 16. Botzoris, V., & Drosos, A. A. (2011). Management of Raynaud’s phenomenon and digital ulcers in systemic sclerosis. Joint, Bone, Spine: Revue Du Rhumatisme, 78(4), 341–346.

Heidrich, H. (2010). Functional vascular diseases: Raynaud’s syndrome, acrocyanosis and erythromelalgia. VASA. Zeitschrift Für Gefasskrankheiten, 39(1), 33–41

Herrick, A. L. (2012). The pathogenesis, diagnosis and treatment of Raynaud phenomenon. Nature Reviews Rheumatology, 8(8), 469–479.

Jackson, C. M. (2006). The patient with cold hands: understanding Raynaud’s disease. JAAPA : Official Journal of the American Academy of Physician Assistants, 19(11), 34–38 8.

Kayser, C., Corrêa, M. J. U., & Andrade, L. E. C. (2009). Fenômeno de Raynaud. Revista brasileira de reumatologia, 49(1), 48–63.

Kim, S., Fan, F., Chen, R. Y., Simchon, S., Schuessler, G. B., & Chien, S. (1980). Symposium: 3. Effects of changes in systemic hemodynamic parameters on pulpal hemodynamics. Journal of Endodontics, 6(1), 394–399

Landry, G. J. (2013). Current medical and surgical management of Raynaud’s syndrome. Journal of Vascular Surgery, 57(6), 1710–1716.

Lima-Júnior, J.-L., Dias-Ribeiro, E., de Araújo, T.-N., Ferreira-Rocha, J., Honfi-Júnior, E.-S., Sarmento, C.-F. de M., … de Sousa, M. do S.-C. (2009). Evaluation of the buccal vestibule-palatal diffusion of 4% articaine hydrochloride in impacted maxillary third molar extractions. Medicina Oral, Patologia Oral y Cirugia Bucal, 14(3), E129-32.

Lima, J. L., Jr, Dias-Ribeiro, E., Ferreira-Rocha, J., Soares, R., Costa, F. W. G., Fan, S., & Sant’ana, E. (2013). Comparison of buccal infiltration of 4% articaine with 1 : 100,000 and 1 : 200,000 epinephrine for extraction of maxillary third molars with pericoronitis: a pilot study. Anesthesia Progress, 60(2), 42–45.

Malamed, S. F. Manual de Anestesia Local (2021). GEN Guanabara Koogan, (7th ed).

Marzola, C. Anestesiologia (1999). Pancast, (3rd ed).

Millet, J. A. P., Lief, H., & Mittelmann, B. (1953). Raynaud’s disease; psychogenic factors and psychotherapy. Psychosomatic Medicine, 15(1), 60–65.

Pope, J. E. (2007). The diagnosis and treatment of Raynaud’s phenomenon: a practical approach. Drugs, 67(4), 517–525.

Rankin, C. H. (2007). A case report of a patient with Raynaud’s phenomenon undergoing multiple endodontic procedures. Journal of Endodontics, 33(2), 187–190.

Stanford, T. W., Jr, Peterson, J., & Machen, R. L. (1999). CREST syndrome and periodontal surgery: a case report. Journal of Periodontology, 70(5), 536–541.

Suter, L. G., Murabito, J. M., Felson, D. T., & Fraenkel, L. (2005). The incidence and natural history of Raynaud’s phenomenon in the community. Arthritis and Rheumatism, 52(4), 1259–1263.

Thompson, A. E., & Pope, J. E. (2005). Calcium channel blockers for primary Raynaud’s phenomenon: a meta-analysis. Rheumatology (Oxford, England), 44(2), 145–150. Coveliers, H. M. E., Hoexum, F., Nederhoed, J. H., Wisselink, W., & Rauwerda, J. A. (2011). Thoracic sympathectomy for digital ischemia: a summary of evidence. Journal of Vascular Surgery, 54(1), 273–277.

Voulgari, P. V., Alamanos, Y., Papazisi, D., Christou, K., Papanikolaou, C., & Drosos, A. A. (2000). Prevalence of Raynaud’s phenomenon in a healthy Greek population. Annals of the Rheumatic Diseases, 59(3), 206–210.

Downloads

Published

17/01/2022

How to Cite

FIGUEIREDO, C. C. de .; LIMA-JÚNIOR , J. L. de .; MONTEIRO, J. L. G. C. .; VASCONCELLOS, R. J. de H. . Management of Raynaud’s Syndrome following local anesthesia in dentistry . Research, Society and Development, [S. l.], v. 11, n. 2, p. e1411225194, 2022. DOI: 10.33448/rsd-v11i2.25194. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/25194. Acesso em: 4 mar. 2024.

Issue

Section

Health Sciences