Evidence map›Paper›PMID 39968437›Full record

ArticleCureus2025

Evaluating the Anxiolytic Efficacy of Oral Alprazolam in Modulating Vital Parameters During Minor Oral Surgical Procedures: A Quasi-experimental Study.

Misbah F Mulla, Vaishali Pagare, Govind R Changule, Amol Doiphode, Mazharkhan Mulla, Rohie Jawarker, Deepak Kaul, Seema Gupta

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Misbah F MullaDepartment of Oral and Maxillofacial Surgery, SMBT Dental College and Hospital, Sangamner, IND.
Vaishali PagareDepartment of Oral and Maxillofacial Surgery, D Y Patil Dental School, Pune, IND.
Govind R ChanguleDepartment of Oral and Maxillofacial Surgery, Maharashtra Institute of Dental Sciences and Research, Latur, IND.
Amol DoiphodeDepartment of Oral and Maxillofacial Surgery, Maharashtra Institute of Dental Sciences and Research, Latur, IND.
Mazharkhan MullaDepartment of Neurosurgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Mumbai, IND.
Rohie JawarkerDepartment of Oral and Maxillofacial Surgery, SMBT Dental College and Hospital, Sangamner, IND.
Deepak KaulDepartment of Oral and Maxillofacial Surgery, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Pune, IND.
Seema GuptaDepartment of Orthodontics, Kothiwal Dental College and Research Centre, Moradabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDental anxiety is a prevalent issue among patients undergoing minor oral surgical procedures such as extractions, biopsies, and implant placement. This study aimed to evaluate the impact of oral alprazolam as a premedicative anxiolytic agent on vital parameters, including pulse rate (PR), systolic and diastolic blood pressure (SBP and DBP, respectively), respiratory rate (RR), and oxygen saturation (SpO2), in patients undergoing minor oral surgeries. MATERIALS AND

methodsA quasi-experimental study was conducted on patients aged 18-45 years who required minor oral surgical procedures under local anesthesia (LA) and were divided into two groups based on the Dental Anxiety Scale (DAS) scores. Group 1 (anxious; DAS score > 11) received 0.25 mg oral alprazolam 30 minutes pre-operatively, while Group 2 (non-anxious/mildly anxious; DAS score < 10) underwent surgery without alprazolam. Vital parameters were recorded at three intervals: preoperatively (T0), intraoperatively (15 minutes after starting surgery; T1), and postoperatively (30 minutes after surgery; T2). Statistical analyses included independent t-tests and logistic regression analyses to evaluate differences and associations.

resultsA significant reduction in PR, RR, and SBP was observed in Group 1 across all intervals, compared to Group 2, indicating the effectiveness of alprazolam in stabilizing physiological responses. Postoperative SpO₂ levels remained unaffected in both groups, ensuring patient safety. Logistic regression analysis revealed that elevated preoperative PR, SBP, and RR were significant predictors of anxiety, highlighting their role in identifying candidates for anxiolytic premedication.

conclusionPremedication with 0.25 mg oral alprazolam effectively alleviated anxiety and stabilized vital parameters during minor oral surgeries, thereby enhancing patient comfort and procedural efficacy. These findings emphasize the importance of incorporating anxiolytic strategies into dental practice to optimize patient care and surgical outcomes. Future studies should explore different doses and broader populations to refine the anxiolytic interventions.

Indexed as

alprazolamanxietyimpactionminor surgical proceduresvital sign

Identifiers

PMID39968437
PMCPMC11834119

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