Abstract

It remains difficult to extract teeth painlessly from elderly patients who have cardiovascular disorders while keeping cardiovascular stress within a reasonable range. For the health and quality of life of these chronic disease patients, it is essential to properly manage tooth extraction. Methodology- A physical examination was conducted by competent investigators, and all patients were questioned using the same questionnaire. Baseline characteristics and concurrent chronic illnesses were items in the questionnaire survey. Demographics, sex, and age made up the baseline characteristics. Participants were positioned in a semi-recumbent position and attached to Holter probes after tooth extraction preparation. After a dentist administered anaesthesia, patients were instructed to rest for 5 minutes before being monitored. After the tooth extraction and one minute of anaesthesia, another electrocardiogram was taken. Results- The elderly accounted from 75.3%, and patients aged 70–79 years had highest proportion. The most frequent comorbidities were hypertension, coronary heart disease, arrhythmia, cerebrovascular accident, and diabetes. In analysis of factors influencing the safety of tooth extraction in the elderly, a significant difference was not ed in systolic blood pressure at different time points. In addition, change in heart rate was different between males and females. Detection rate of cardiovascular events by use of a Holter monitor was significantly high er than with a general monitor. Conclusion- The majority of older dental extraction patients have cardiovascular disease and other multi-organ disorders, so it is crucial to improve the pre-operative examination. It is preferable to assess the disease condition and, if required, use medicines to calm the patient's anxiety.

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