Cambios fisiologicos en pacientes sometidos a tratamiento endodontico en el postgrado de endodoncia de la usta 2024/2025.

Abstract

Anxiety represents a key factor in patients' physiological response during endodontic procedures, as it influences pain perception and treatment duration. Its impact can lead to physiological alterations that compromise patient safety and comfort. The present study aimed to analyze the relationship between anxiety levels and variations in heart rate, blood pressure, and blood oxygen saturation in patients treated in the endodontics postgraduate program at the Universidad Santo Tomás, Bogotá extension, in 2024/2025. The sample consisted of 62 patients who completed the modified Corah dental anxiety test and had their vital signs taken at three points during the procedure: before, during, and after. The data were systematized in Excel, analyzed with statistical tests, and graphically represented using box and whisker plots. The results showed that more than 90% of the patients presented some degree of initial anxiety. Regarding physiological variables, oxygen saturation decreased significantly at the end of the intervention, dropping from 62.9% of patients within the normal range at the beginning to only 30.6% at the end (p < 0.001). In contrast, heart rate showed a progressive normalization, with the number of patients within the normal range increasing from 41.9% to 75.8% (p < 0.001). Blood pressure also improved: 71% had hypertension at the beginning, and this decreased to 33.9% at the end (p = 0.046). These findings suggest that, although anxiety is highly prevalent and impacts physiology, heart rate and blood pressure tend to normalize at the end of the treatment, albeit with a significant decrease in oxygenation, highlighting the need for constant clinical monitoring