Sedation in pediatric patients undergoing dental treatment: case reports

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Resumo

Anxiety, fear and phobia of dental treatment are present in a large part of the population. As an effective method to control anxiety, sedation is currently present in dental offices, acting in a positive way in dental care procedures. In pediatric dentistry, the fear regarding consultation is mainly caused by the fact that the environment is new and unknown, and sometimes it is necessary to use sedative drugs, so that the care is efficient, fast and safe. This study is a case report involving two pediatric patients with dental treatment phobia who underwent sedation performed in an outpatient clinic under the supervision of an anesthesiologist. We conclude that drug sedation is a technique that should be considered in cases where there was no success in behavioral management to control aversive behavior in pediatric patients with phobia and the incorporation of this technique enables safe and effective dental care.

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Biografia do Autor

Brenda Lisseth Pineda Mancia, Universidade de Brasília

Professora na área de Prótese Dentaria no Centro Universitário do Distrito Federal (UDF). Cirurgiã dentista (2014), Especialista em Implantodontia (2019), Mestre em Clínica Odontológica pela Universidade Federal de Uberlândia (2019), atualmente doutoranda pelo Programa de Pós-Graduação da Faculdade de Odontologia da Universidade de Brasília (UnB). Associada da SociedadeBrasileira de Pesquisa Odontológica (SBPQO) desde 2017 e ao Grupo Brasileiro de Materiais Dentários (GBMD) desde 2023. Atua como revisora da Revista Científica- Universidad de El Salvador (Revista Minerva) Seus principais tópicos de interesse são: Prótese, Implantodontia, Odontologia Restauradora, Materiais Dentários, procedimentos Adesivos em Odontologia

Referências

Conway, A., Chang, K., Mafeld, S., Sutherland, J. (2021). Midazolam for sedation before procedures in adults and children: a systematic review update. Systematic Review, 10:69. https://doi.org/10.1186/s13643-021-01617-5.

Coté, C.J., Wilson, S. (2019). Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics,143. https://doi.org/10.1542/peds.2019-1000.

Clinical Affairs Committee-Behavior Management Subcommittee, American Academy of Pediatric Dentistry. ( 2015). Guideline on Behavior Guidance for the Pediatric Dental Patient. Pediatric dentistry, 37:57–70.

Drummond, G.B. (1996). Comparison of sedation with midazolam and ketamine: effects on airway muscle activity. British journal of anaesthesia, 76:663–7. https://doi.org/https://doi.org/10.1093/bja/76.5.663.

Fiorillo L. (2019). Conscious Sedation in Dentistry. Medicina Kaunas, 55. https://doi.org/10.3390/medicina55120778.

Gao, F., Wu, Y. (2023). Procedural sedation in pediatric dentistry: a narrative review. Frontiers in medicine, 10:1186823. https://doi.org/10.3389/fmed.2023.1186823.

Green, S.M., Irwin, M.G., Mason, K.P. (2021). Procedural sedation: providing the missing definition. Anaesthesia, 76:598–601. https://doi.org/10.1111/anae.15213.

Jun, J.H., Kim, K.N., Kim, J.Y., Song, S.M. (2017). The effects of intranasal dexmedetomidine premedication in children: a systematic review and meta-analysis. Canadian journal of anaesthesia, 64:947–61. https://doi.org/10.1007/s12630-017-0917-x.

Karacaer, F., Biricik, E., Ilgınel, M., Küçükbingöz, Ç., Ağın, M., Tümgör, G., Güneş, Y., Özcengiz, D. (2018). Remifentanil-ketamine vs. propofol-ketamine for sedation in pediatric patients undergoing colonoscopy: A randomized clinical trial. Brazilian journal of anesthesiology, 68:597–604. https://doi.org/10.1016/j.bjan.2018.06.015.

Manso, M.A., Guittet, C., Vandenhende, F., Granier, L.A. (2019). Efficacy of oral midazolam for minimal and moderate sedation in pediatric patients: A systematic review. Pediatric anesthesia, 29:1094–106. https://doi.org/10.1111/pan.13747.

Novak, H., Akeson, P.A., Akeson, J. (2008). Sedation with ketamine and low-dose midazolam for short-term procedures requiring pharyngeal manipulation in young children. Pediatric anesthesia, 18:48–54. https://doi.org/10.1111/j.1460-9592.2007.02388.x.

Lundström, S., Twycross, R., Mihalyo, M., Wilcock, A., (2010). Propofol. Journal of pain and symptom management, 40:466–70. https://doi.org/10.1016/j.jpainsymman.2010.07.001.

Patel, M., McTigue, D.J., Thikkurissy, S., Fields, H.W. (2016) Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry. Pediatric Dentistry, 38:30–6.

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Publicado

2023-11-28

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