Loading...
Publication
Administração de anestésico local controlada por computador em odontopediatria: revisão sistemática
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.22 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Objetivo: Avaliar a associação entre a administração da anestesia local computorizada e a diminuição da ansiedade durante a realização do tratamento médico-dentário em crianças, comparativamente com a técnica anestésica local convencional.
Metodologia: A pesquisa bibliográfica foi restrita a artigos publicados, entre 2001 e 2021 em quatro bases de dados: MEDLINE, B-On, Cochrane Library e ScienceDirect. Foram incluídos artigos científicos sob formato de ensaios clínicos, revisões sistemáticas e estudos transversais. Dois autores independentes realizaram a extração dos dados e avaliaram o risco de viés e a qualidade dos estudos.
Tópico abordado: Dos 681 artigos potencialmente elegíveis, 15 foram incluídos após a aplicação dos critérios de inclusão e de exclusão estipulados. Os artigos incluídos demonstraram que a utilização da anestesia computorizada não reduz, de forma significativa, a ansiedade das crianças perante os procedimentos médico-dentários. Para além do outcome principal (ansiedade), verificou-se também através da análise da frequência cardíaca e do comportamento disruptivo, que estes parâmetros não são significativamente diferentes quando se utiliza a anestesia local computorizada vs. anestesia local convencional nos pacientes odontopediátricos. Embora os sistemas anestésicos controlados por computador possam representar uma alternativa à anestesia convencional e ajudar o odontopediatra no controlo do comportamento das crianças, continuam a não demonstrar uma clara evidência em termos de superioridade clínica comparativamente com um método anestésico convencional. Neste sentido, devido a heterogeneidade entre os estudos, seria recomendável que novos ensaios clínicos controlados sejam conduzidos, utilizando metodologias bem definidas para melhorar a qualidade dos parâmetros avaliados relativos a este tópico no contexto da consulta odontopediátrica.
Sistema anestésico de administração computorizada.
Objective: To evaluate the association between the administration of computerized local anesthesia and decreased anxiety during the performance of medical-dental treatment in children, compared to the conventional local anesthetic technique. Methodology: The literature search was restricted to articles published between 2001 and 2021 in four databases: MEDLINE, B-On, Cochrane Library, and ScienceDirect. Scientific articles in the format of clinical trials, systematic reviews, and cross-sectional studies were included. Two independent authors performed the data extraction and assessed the risk of bias and the quality of the studies. Topic covered: Of the 681 potentially eligible articles, 15 were included after applying the stipulated inclusion and exclusion criteria. The included articles showed that the use of computerized anesthesia does not significantly reduce anxiety in children during dental procedures. Besides the main outcome (anxiety), it was also found through analysis of heart rate and disruptive behavior that these parameters are not significantly different when using computerized local anesthesia vs. conventional local anesthesia in pediatric dental patients. Although computer-controlled anesthetic systems may represent an alternative to conventional anesthesia and assist the pediatric dentist in controlling children's behavior, they still do not demonstrate clear evidence in terms of clinical superiority compared to a conventional anesthetic method. In this sense, due to heterogeneity among studies, it would be recommended that new controlled clinical trials be conducted, using well-defined methodologies to improve the quality of the parameters evaluated regarding this topic in the context of the pediatric dentistry visit.
Objective: To evaluate the association between the administration of computerized local anesthesia and decreased anxiety during the performance of medical-dental treatment in children, compared to the conventional local anesthetic technique. Methodology: The literature search was restricted to articles published between 2001 and 2021 in four databases: MEDLINE, B-On, Cochrane Library, and ScienceDirect. Scientific articles in the format of clinical trials, systematic reviews, and cross-sectional studies were included. Two independent authors performed the data extraction and assessed the risk of bias and the quality of the studies. Topic covered: Of the 681 potentially eligible articles, 15 were included after applying the stipulated inclusion and exclusion criteria. The included articles showed that the use of computerized anesthesia does not significantly reduce anxiety in children during dental procedures. Besides the main outcome (anxiety), it was also found through analysis of heart rate and disruptive behavior that these parameters are not significantly different when using computerized local anesthesia vs. conventional local anesthesia in pediatric dental patients. Although computer-controlled anesthetic systems may represent an alternative to conventional anesthesia and assist the pediatric dentist in controlling children's behavior, they still do not demonstrate clear evidence in terms of clinical superiority compared to a conventional anesthetic method. In this sense, due to heterogeneity among studies, it would be recommended that new controlled clinical trials be conducted, using well-defined methodologies to improve the quality of the parameters evaluated regarding this topic in the context of the pediatric dentistry visit.
Description
Keywords
Anestesia dentária convencional Ansiedade dentária Tratamento dentário Dor Odontopediatria Computer-controlled local anesthesia delivery system Conventional dental anesthesia Dental anxiety Dental treatment Pain Pediatric dentistry