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Advisor(s)
Abstract(s)
Contexto: A sedação consciente para o controlo comportamental da criança na consulta odontopediatrica é uma técnica já amplamente usada pelos médicos dentistas. Entre as diferentes vias de administração dos sedativos, a oral é a mais comum. O principal objectivo da sedação consciente consiste em originar condições que diminuem a ansiedade e o medo da criança, favorecendo a sua cooperação durante o procedimento dentário com um risco reduzido de complicações e efeitos adversos, e permitir ao médico dentista proceder o tratamento de forma eficaz até à sua conclusão. Objectivos: Avaliar a eficácia dos diferentes agentes sedativos usados por via oral para o controlo comportamental do paciente durante a consulta de odontopediatria. Estratégia de pesquisa: Métodos de pesquisa foram determinados para as seguintes bases de dados: Cochrane Collection Plus, EMBASE, MEDLINE via PUBMED, OvidSP e CINAHL via EBSCOhost. Adicionalmente recorreu-se à pesquisa manual de jornais relacionados. Não foi feita restrição para a língua dos estudos. Critérios de Selecção: Ensaios clínicos randomizados que comparam a eficácia entre diferentes fármacos por via oral ou com placebos, em populações inferiores a 16 anos de idade. Adicionalmente, foram incluídas revisões sistemáticas e meta-análises relacionadas. Colecção de dados e análise: Avaliação independente e elegível por dois revisores, de todos os artigos identificados. Principais resultados: Dos doze estudos seleccionados apenas um foi eleito para a revisão sistemática. Após leitura integral do texto os restantes estudos foram eliminados pelas seguintes razões: desenho crossover, uso de oxido-nitroso durante a sedação e não respeito pelo desfecho primário da revisão. Conclusões dos revisores: O número reduzido de estudos incluídos nesta revisão sistemática não permite obter evidência suficiente que possa responder à pergunta proposta.
Context: Conscious sedation for the behavioral control of the child during an odontopediatric therapy is a technique already widely used by dentists. The main objective of conscious sedation is to create conditions that lessen the child’s anxiety and fear, enhancing its cooperation during dental treatment procedure and reducing the risk of complications or negative effects by allowing the dentist to efficiently proceed with the treatment up to its conclusion. Objectives: To evaluate the efficiency of the various sedative agents used orally for the behavioral control of the patient during the odontopediatric consultation. Research Strategy: Research methods were set for the following database: Cochrane Collection Plus, EMBASE, MEDLINE via PUBMED, OvidSP and CINAHL via EBSCOhost. Additionally, related journals were manually perused. No language restriction was set for these studies. Selection Criteria: Randomized clinical trials that compare the efficiency of the various orally given pharmacological products versus placebos, in populations under 16 years of age. Additionally, systematic reviews and related meta-analysis were included. Data collection and analysis: Of the twelve selected studies, only one was retained for the systematic review. After reading the complete texts, the other studies were excluded for the following reasons: crossover design, use of nitrous-oxide during the sedation and the lack of respect of the revisions primary outcome. Revisers’ conclusion: The small number of studies included in this systematic review does not allow the drawing of sufficient evidence to be able to answer the given question.
Context: Conscious sedation for the behavioral control of the child during an odontopediatric therapy is a technique already widely used by dentists. The main objective of conscious sedation is to create conditions that lessen the child’s anxiety and fear, enhancing its cooperation during dental treatment procedure and reducing the risk of complications or negative effects by allowing the dentist to efficiently proceed with the treatment up to its conclusion. Objectives: To evaluate the efficiency of the various sedative agents used orally for the behavioral control of the patient during the odontopediatric consultation. Research Strategy: Research methods were set for the following database: Cochrane Collection Plus, EMBASE, MEDLINE via PUBMED, OvidSP and CINAHL via EBSCOhost. Additionally, related journals were manually perused. No language restriction was set for these studies. Selection Criteria: Randomized clinical trials that compare the efficiency of the various orally given pharmacological products versus placebos, in populations under 16 years of age. Additionally, systematic reviews and related meta-analysis were included. Data collection and analysis: Of the twelve selected studies, only one was retained for the systematic review. After reading the complete texts, the other studies were excluded for the following reasons: crossover design, use of nitrous-oxide during the sedation and the lack of respect of the revisions primary outcome. Revisers’ conclusion: The small number of studies included in this systematic review does not allow the drawing of sufficient evidence to be able to answer the given question.
Description
Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2012
Keywords
Odontopediatria Teses de mestrado - 2012