Controle da ansiedade odontológica: estudo comparativo entre a sedação oral com midazolam e a sedação consciente com a mistura de óxido nitroso e oxigênio em pacientes submetidos à extração de terceiros molares inferiores / Dental Anxiety Control: Study Comparing oral sedation with Midazolam and conscious sedation with Nitrous oxide associated with oxygen in patients undergoing lower third molar extractions

AUTOR(ES)

Darklilson Pereira Santos

FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

13/07/2012

RESUMO

The study objective was to comparatively assess the effect of midazolam 7.5mg P.O. and conscious sedation with Nitrous oxide associated with oxygen at 50% in patients undergoing lower third molar extractions on the change in the anxiety level of patients by means of salivary cortisol dosage, on oxygen saturation level, on heart rate, on blood pressure, and on production of anterograde amnesia, as well as to assess the Corah\ s Dental Anxiety Scale (DAS), Anxiety Visual Analogue Scale (VAS), Anxiety Verbal Scale and Spilberger State-trait Anxiety Inventory (STAI) for the detection of dental anxiety. It was carried out a split-mouth study, in which twenty-eight male patients underwent lower third molar extraction under local anesthesia and sedation with midazolam and nitrous oxide associated with oxygen. Objective (salivary cortisol dosage, oxygen saturation, heart rate and blood pressure) and subjective (Corah\ s Dental Anxiety Scale, Spilberger State-trait Anxiety Inventory, Anxiety Visual Analogue Scale, and Verbal Anxiety Scale) data have been obtained. The results showed that both sedation methods used produced beneficial effects and were safe in reducing pre-operatory anxiety, showing no significant cardiovascular or respiratory effects, and midazolam 7.5 mg P.O. was more effective in reducing the salivary cortisol. Regarding the anxiety scales employed, it was found that the Corah\ s Dental Anxiety Scale was more indicated to assess dental anxiety.

ASSUNTO(S)

corahs scale cortisol salivar ansiedade dental dental anxiety escala de corah midazolam midazolam nitrous oxide óxido nitroso salivary cortisol terceiro molar third molar

Documentos Relacionados

• Estudo da viabilidade da sedação consciente com a mistura oxido nitroso/oxigenio em serviço odontologico publico
• Avaliação subjetiva e cardiovascular de pacientes submetidos a cirurgia para remoção de terceiros molares sob sedação consciente com óxido nitroso e oxigênio
• "Proposta de normatização técnica para instalação e funcionamento de estabelecimentos odontológicos a utilizarem sedação consciente por analgesia inalatória através de mistura gasosa de óxido nitroso e oxigênio"
• A utilização da sedação consciente com oxido nitroso/oxigenio (N2O/O2) em odontologia
• Commentaries on the Resolução CFO 51/04 from the Conselho Federal de Odontologia that regulates the use of relative analgesia or conscious sedation with the mixture of oxygen and nitrous oxide in Brazil