Efeito de estimulação termomecânica durante anestesia local em odontopediatria: um ensaio clínico randomizado piloto

Autores

DOI:

https://doi.org/10.22456/2177-0018.129705

Palavras-chave:

Anestesia local, Ansiedade, Manejo da dor, Medo, Odontopediatria

Resumo

Objetivo: Avaliar a eficácia de um dispositivo de estimulação termomecânica (Buzzy®) em relação à dor, medo e ansiedade durante anestesia local em crianças. Materiais e métodos: Estudo realizado no período de maio de 2018 a julho de 2019, com crianças de 7 a 11 anos, sem experiência prévia envolvendo anestesia nos últimos 2 anos e que necessitassem de tratamento odontológico (extração, restauração ou endodontia) sob anestesia local em molares decíduos. A amostra foi randomizada em grupo controle, que recebeu anestesia convencional, e grupo intervenção, que recebeu anestesia com Buzzy®. Os níveis de ansiedade, medo e percepção de dor de ambos os grupos foram verificados por meio de: Venham Modified Picture Test (VPTM); frequência cardíaca; Escala Comportamental Venham; Faces Pain Scale – Revised (FPS-R) e Face, Legs, Activity, Cry, Consolability (FLACC). Resultados: A maioria das crianças (55%) apresentou baixa ansiedade antes e depois do tratamento (P<0,05). A aceitabilidade das crianças ao Buzzy® foi de 100% e a maioria (90%) gostaria de usar novamente. Discussão: O aparelho testado é uma ferramenta interessante para complementar as técnicas de manejo durante as consultas, tendo em vista a excelente aceitabilidade e interesse por parte dos pacientes e familiares. Conclusão: Este estudo demonstrou que o uso da estimulação termomecânica é viável na clínica odontológica, devido ao seu fácil uso e boa aceitabilidade no meio clínico, além de não apresentar riscos em seu uso.

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Referências

Crego A, Carrillo-Diaz M, Armfield JM, Romero M. Applying the cognitive vulnerability model to the analysis of cognitive and family influences on children’s dental fear. Eur J Or Sci. 2013;121(3 Pt 1):194-203.

Folayan MO, Idehen EE. Effect of information on dental anxiety and behaviour ratings in children. Eur J Paediatr Dent. 2004;5(3):147-50.

Torriani DD, Ferro RL, Bonow MLM, Santos IS, Matijasevich A, Barros AJ, et al. Dental caries is associated with dental fear in childhood: findings from a birth cohort study. Caries Res. 2014;48(4):263-70.

American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Acad Pediatr Dent. 2021:306-24.

Ballard A, Khadra C, Adler S, Doyon-Trottier E, Le May S. Efficacy of the Buzzy® device for pain management of children during needle-related procedures: a systematic review protocol. SystRev. 2018;7(1):1–7.

Baxter A, Cohen L, Lawson L. An Integration of vibration and cold relieves venipuncture pain in a pediatric emergency department pediatric procedural sedation view project same-day injections relate to subsequent needle fear 5 years later view project. Pediatr Emerg Care. 2011;27(12):1151-6.

Melzack R, Wall PD. Pain mechanisms: a new theory. Scien. 1965; 150(3699):971–9.

Redfern RE, Chen JT, Sibrel S. Effects of thermomechanical stimulation during vaccination on anxiety, pain, and satisfaction in pediatric patients: a randomized controlled trial. J Pediatr Nurs. 2018;38:1–7.

Ballard A, Khadra C, Adler S, Trottier ED, Le May S. Efficacy of the buzzy device for pain management during needle-related procedures: a systematic review and meta-analysis. Clin J Pain. 2019;35(6):532–43.

Faghihian R, Rastghalam N, Amrollahi N, Tarrahi MJ. Effect of vibration devices on pain associated with dental injections in children: a systematic review and meta-analysis. Aust Dent J. 2021;66(1):4-12.

Ramos-Jorge ML, Marques LS, Pavia SM, Serra-Negra JM, Pordeus IA. Predictive factors for child behaviour in the dental environment. Eur Arch Paediatr Dent. 2006;7(4):253-7.

Fleming S, Thompson M, Stevens R, Heneghan C, Plüddemann A, MacOnochie I, et al. Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. The Lancet. 2011;377(9770):1011-8.

Pezzini Soares J, Cardoso M, Bolan M. Demystifying behaviour and dental anxiety in schoolchildren during endodontic treatment for primary teeth-controlled clinical trial. Int J Paediatr Dent. 2019;29(3):249-56.

Silva FC, Thuler LCS. Cross-cultural adaptation and translation of two pain assessment tools in children and adolescents. J Pediatr. 2008;84(4):344-9.

Cademartori MG, da Rosa DP, Oliveira LJC, Corrêa MB, Goettems ML. Validity of the Brazilian version of the Venham’s behavior rating scale. Int J Paediatr Dent. 2017;27(2):120-7.

Hicks CL, Von Baeyer CL, Spafford PA, Van Korlaar I, Goodenough B. The faces pain scale - revised: toward a common metric in pediatric pain measurement. Pain. 2001;93(2):173-83.

Alanazi KJ, Pani S, AlGhanim N. Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: a split mouth randomised crossover study. Eur Arch Paediatr Dent. 2019;20:79-84.

Canbulat N, Ayhan F, Inal S. Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Manag Nurs. 2015;16(1):33-9.

Canbulat Şahiner N, Inal S, Sevim Akbay A. The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. J PeriAnesth Nurs. 2015;30(3):228-35.

Bilsin E, Güngörmüş Z, Güngörmüş M. The effıcacy of external cooling and vibration on decreasing the pain of local anesthesia injections during dental treatment in children: a randomized controlled study. J PeriAnesth Nurs. 2020; 35(1):44-7.

Deepak V, Challa RR, Ramasubba R, Kamatham R, Nuvvula S. Comparison of a new auto-controlled injection system with traditional syringe for mandibular infiltrations in children: a randomized clinical trial. Anesthesia: Essays and Researches. 2017;11(2):431.

Raslan N, Masri R. A randomized clinical trial to compare pain levels during three types of oral anesthetic injections and the effect of Dentalvibe® on injection pain in children. Int J Paediatr Dent. 2018;28(1):102–10.

Şermet Elbay Ü, Elbay M, Yıldırım S, Kaya E, Kaya C, Uğurluel C, et al. Evaluation of the injection pain with the use of dentalvibe injection system during supraperiosteal anaesthesia in children: a randomised clinical trial. Int J Paediatr Dent. 2016;26(5):336-45.

Elbay ME, Yıldırım S, Uğurluel C, Kaya C, Baydemir C. Comparison of injection pain caused by the dentalvibe injection system versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. Eur J Paediatr Dent. 2015;16(2):123-8.

Tung J, Carillo C, Udin R, Wilson M, Tanbonliong T. Clinical performance of the dentalvibe® injection system on pain perception during local anesthesia in children. J Dent Child. 2018;85(2):51–7.

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Publicado

2023-06-28

Como Citar

Vieira Almeida, F., Martins da Silva, B., Menezes diGesu, E. C., Drawanz Hartwig, A., Freire da Silva Júnior, I., & Leão Goettems, M. (2023). Efeito de estimulação termomecânica durante anestesia local em odontopediatria: um ensaio clínico randomizado piloto. Revista Da Faculdade De Odontologia De Porto Alegre, 64, e129705. https://doi.org/10.22456/2177-0018.129705

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