Publication
Anestesia intra-óssea versus anestesia troncular em odontopediatria
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Abstract(s)
Tópico Abordado: O perfeito controlo da dor durante os tratamentos odontopediátricos é essencial para ganhar a confiança e colaboração da criança. É fundamental uma execução correta das técnicas anestésicas locais, de forma a impedir a sensação de dor durante os procedimentos. A técnica infiltrativa e o bloqueio do nervo alvéolar inferior são as mais usadas em odontopediatria, contudo, desde 1998 tem vindo a ser aplicada em medicina dentária a técnica intra-óssea, com o desenvolvimento de vários sistemas anestésicos específicos para a sua administração.
Objetivos: Pretende-se com este trabalho de revisão fazer uma comparação entre a técnica de anestesia loco-regional, bloqueio do nervo alveolar inferior, e a técnica intra-óssea, nomeadamente quanto á dor no momento da anestesia, eficácia, vantagens, desvantagens e complicações.
Metodologia: Pesquisa bibliográfica de artigos cientficos, nas bases de dados Pubmed e B-On em crianças e adolescentes, da qual resultaram após aplicados os limites da pesquisa e os critérios de inclusão/exclusão 27 artigos para revisão.
Conclusão: Apesar dos poucos estudos existentes em crianças, conclui-se que, em casos particulares, após um período de treino clínico, a técnica intra-óssea poderá ser uma mais valia em odontopediatria.
Approach: Pain management during pediatric dentistry treatments is essential to gain the child's trust and collaboration. It is therefore fundamental to correctly perform local anesthetic techniques in order to prevent pain sensation during procedures. The infiltrative technique and the inferior alveolar nerve block are the most used in pediatric dentistry, however, since 1998 the intra-osseous technique has been applied in dental medicine, with the introduction of several anesthetic systems currently available. Objectives: The aim of this bibliografic review is to make a comparison between the conventional local technique, by blocking the inferior alveolar nerve, and the intraosseous technique, namely the pain at the moment of anesthesia, efficacy, advantages, disadvantages and complications of each technique. Methodology: The bibliographic research includes publications until February 2018, in the databases like Pubmed and B-On in children and adolescents. Conclusions: Despite the few studies done in children, it was concluded that after a period of clinical training, the intraosseous anaesthesia may be an interesting tool in pediatric dentistry.
Approach: Pain management during pediatric dentistry treatments is essential to gain the child's trust and collaboration. It is therefore fundamental to correctly perform local anesthetic techniques in order to prevent pain sensation during procedures. The infiltrative technique and the inferior alveolar nerve block are the most used in pediatric dentistry, however, since 1998 the intra-osseous technique has been applied in dental medicine, with the introduction of several anesthetic systems currently available. Objectives: The aim of this bibliografic review is to make a comparison between the conventional local technique, by blocking the inferior alveolar nerve, and the intraosseous technique, namely the pain at the moment of anesthesia, efficacy, advantages, disadvantages and complications of each technique. Methodology: The bibliographic research includes publications until February 2018, in the databases like Pubmed and B-On in children and adolescents. Conclusions: Despite the few studies done in children, it was concluded that after a period of clinical training, the intraosseous anaesthesia may be an interesting tool in pediatric dentistry.
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Keywords
Anestesia intra-óssea Odontopediatria Bloqueio do nervo alveolar inferior Crianças Intra-osseous anesthesia Pediatric dentistry Inferior alveolar nerve block Children