2009, Number 3
Dental treatment with sedation in preschool
Bravo MCA, Flores ZRM, Barradas VJR
Full text
Language: Spanish
References: 23
Page: 34-39
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ABSTRACT
Introduction: Anxiety is an answer to the stress that predisposes anguish and it is manifested with multiple psychological, physiologic and behavioral reactions that can be controlled depending on the age and each person’s character.In preschool age whose capacity of understanding is in development, the exhibition to a dental treatment can cause stress levels that generate anxiety, anguish, important psycho physiological symptoms and uncontrollable behaviors.
Diverse previous studies have described the benefit of sedation in patients that present manifestations of anxiety before being treated medical or odontogycal.
The objective of this study is to demonstrate the benefits of the sedation with oral midazolam in preschool that require dental treatments.
Material and method: A controlled clinical study was designed, prospective, traverse, random simple of cohorts, with a sample of 100 children of 2 to 5 years of age divided in 2 groups that required dental treatment.
They were discarded patient treatment with antiseizures or neuroleptyc drugs and patient without anxiety, as well as those that didn’t sign the informed authorization.
The group I you handling low sedation with 400 mcg of oral midazolam; the group II were the control, being used several subjection forms. Both they were assisted with technical traditional for each lesion, included local anesthesia.
Anxiety was evaluated, sedation levels (latency, effective time and recovery), secondary effects, amnesia and vital signs during the treatment. The statistical evaluation was made with the program Epi Info 2002.
Results: The age stocking was of 3.5 years with prevalence of the masculine sex (56%), the assisted lesions were baby bottle cavity, decay of diverse grade and dental fractures, being made in total 154 obturations,157 crowns, 35 pulpotomyes and 26 extractions. In the soothe children , the stockings were: time of latency 28 min, sedation 65 min and recovery 15 min. The sedation effectiveness was excellent in 93% and 92% of total amnesia.
The success in ansiolisis and amnesia was successful with value of Chi2 with p ‹0.00001 and exact test of Fisher p ‹0.0001.
The group II showed important anxiety with alteration of signs vital and difficult handling in 95% of the cases, while the group I had normality of signs and 2 cases only presented drowsiness for 25 minutes after the time of recovery.
Discussion: The anxiety, anguishes and behavioral stress associated to medical or dental procedures they are frequent in almost all the children, being the preschool the most sensitive to have bigger levels and control loss, when not understanding its lesion and the required treatment, what hinders its appropriate attention, even using technical of subjection that for themselves, they are aggressors.
This study shows the benefits of using a technique of sure sedation, with what the therapeutic maneuvers and possibility of wide treatments are facilitated with a time average of sedation of 1 hr, minimizing the stress in the revision consultations, being a simple, effective technique and of low cost.
REFERENCES