MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO
Ano de defesa: | 2009 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
|
Programa de Pós-Graduação: |
Doutorado em Ciencias da Saude
|
Departamento: |
Ciencias da Saude
|
País: |
BR
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tde/1559 |
Resumo: | Little is known about the sedatives effectiveness for dental treatment in children under 3 years. The efficacy of oral midazolam sedation associated with protective stabilization was evaluated. In this randomized clinical trial, healthy children younger than 36 months were randomly allocated in groups: 1- protective stabilization; 2-protective stabilization associated with midazolam 1.0 mg/kg. The treatment was performed by an operator in a total of 55 sessions. A total of 26 children, 15 boys and 11 girls, were analysed: Group 1 (n = 12) - age (mean ± standard deviation) 27.50 ± 6.87, Group 2 (n = 14) - age (mean ± standard deviation) 26.86 ± 5.32. Child´s behavior was assessed using the Ohio State University Behavior Rating Scale (OSUBRS) and the heart rate record. A trained dentist recorded both behavior and physiological parameters. No difference in behaviors was found between groups on child initial examination carried out without sedation. In treatment sessions, only group 2 showed negative correlation between performance and the number of invasive Abstract procedures (Spearman rho = 0.469, P = 0.049). No significant differences between groups 1 and 2 OSUBRS scores were found in treatment sessions. The boys (77.50 ± 16.69) in group 2 showed higher percentage of negative scores (OSUBRS) than girls (26.67 ± 27.33). Statistically significant differences (Mann Whitney U test) between groups 1 and 2 were observed in heart rate during the forceps or low / high rotation use (1 = 139.67 ± 29.37 beats per minute, 2 = 164.97 ± 25.84; P = 0.003) and when the suture or rubber dam was placed (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0.005). A global analysis of children behavior during dental care was made overlooking the intervention groups (Friedman test). No associations were observed between the percentage of negative scores (OSUBRS) and several treatment sessions sequences. The percentage of negative scores (OSUBRS) was correlated with child's age (Spearman s rho =- 0.522, P = 0.006) and the percentage of negative scores in treatment the sessions (Spearman s rho = 0.405, P = 0.040). It was concluded that oral midazolam was not effective for sedation in up to 3 years old children for dental treatment purposes, and that this group of children did not change their negative behavior in the next sessions required for finishing the dental treatment planned |
id |
UFG-2_48100d8821f4ee6e9b7ee30c5b78d527 |
---|---|
oai_identifier_str |
oai:repositorio.bc.ufg.br:tde/1559 |
network_acronym_str |
UFG-2 |
network_name_str |
Repositório Institucional da UFG |
repository_id_str |
|
spelling |
COSTA, Luciane Ribeiro de Rezende Sucasas dahttp://lattes.cnpq.br/9906371509661305http://lattes.cnpq.br/0446358336330024FRANÇA, Cristiana Marinho de Jesus2014-07-29T15:25:24Z2010-03-122009-05-15FRANÇA, Cristiana Marinho de Jesus. ORAL MIDAZOLAM ASSOCIATED WITH PROTECTIVE STABILIZATION FOR DENTAL TREATMENT OF ONE TO THREE YEAR OLD CHILDREN. 2009. 90 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2009.http://repositorio.bc.ufg.br/tede/handle/tde/1559Little is known about the sedatives effectiveness for dental treatment in children under 3 years. The efficacy of oral midazolam sedation associated with protective stabilization was evaluated. In this randomized clinical trial, healthy children younger than 36 months were randomly allocated in groups: 1- protective stabilization; 2-protective stabilization associated with midazolam 1.0 mg/kg. The treatment was performed by an operator in a total of 55 sessions. A total of 26 children, 15 boys and 11 girls, were analysed: Group 1 (n = 12) - age (mean ± standard deviation) 27.50 ± 6.87, Group 2 (n = 14) - age (mean ± standard deviation) 26.86 ± 5.32. Child´s behavior was assessed using the Ohio State University Behavior Rating Scale (OSUBRS) and the heart rate record. A trained dentist recorded both behavior and physiological parameters. No difference in behaviors was found between groups on child initial examination carried out without sedation. In treatment sessions, only group 2 showed negative correlation between performance and the number of invasive Abstract procedures (Spearman rho = 0.469, P = 0.049). No significant differences between groups 1 and 2 OSUBRS scores were found in treatment sessions. The boys (77.50 ± 16.69) in group 2 showed higher percentage of negative scores (OSUBRS) than girls (26.67 ± 27.33). Statistically significant differences (Mann Whitney U test) between groups 1 and 2 were observed in heart rate during the forceps or low / high rotation use (1 = 139.67 ± 29.37 beats per minute, 2 = 164.97 ± 25.84; P = 0.003) and when the suture or rubber dam was placed (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0.005). A global analysis of children behavior during dental care was made overlooking the intervention groups (Friedman test). No associations were observed between the percentage of negative scores (OSUBRS) and several treatment sessions sequences. The percentage of negative scores (OSUBRS) was correlated with child's age (Spearman s rho =- 0.522, P = 0.006) and the percentage of negative scores in treatment the sessions (Spearman s rho = 0.405, P = 0.040). It was concluded that oral midazolam was not effective for sedation in up to 3 years old children for dental treatment purposes, and that this group of children did not change their negative behavior in the next sessions required for finishing the dental treatment plannedPouco se sabe sobre a eficácia de sedativos em crianças menores de 3 anos, visando o tratamento odontológico. Verificou-se a eficácia, nessa população, do midazolam oral associado à estabilização protetora. Neste ensaio clínico randomizado, crianças saudáveis menores de 36 meses foram aleatoriamente alocadas nos grupos: 1-Estabilização protetora (controle); 2-Estabilização protetora associada ao midazolam oral 1,0 mg/kg. O tratamento foi realizado por um operador e um observador avaliou o comportamento por meio da Escala de Classificação Comportamental da Universidade do Estado de Ohio (OSUBRS) e do registro da frequência cardíaca. Foram analisadas informações do comportamento de 26 crianças, 15 meninos e 11 meninas, atendidas em 55 sessões: Grupo 1 (n=12) idade (média ± desvio padrão) 27,50 ± 6,87 ; Grupo 2 (n=14) idade (média ± desvio padrão) 26,86 ± 5,32. Não houve diferenças estatisticamente significantes entre os grupos na consulta inicial, realizada sem sedação. Nas sessões de tratamento, apenas o grupo 2 evidenciou correlação entre comportamento mais negativo e número de procedimentos invasivos (Spearman rho=0,469, P=0,049). Não houve diferenças estatisticamente significantes entre os grupos 1 e 2 nos escores OSUBRS nas sessões de tratamento. Os meninos (77,50 ± 16,69), no grupo 2, apresentaram maior porcentagem de escores negativos (OSUBRS) do que as meninas (26,67 ± 27,33). Diferenças estatisticamente significantes (teste U de Mann Whitney), Resumo entre os grupos 1 e 2, foram observadas na frequência cardíaca durante o uso de motor ou fórceps (1=139,67 ± 29,37 batimentos por minuto; 2=164.97 ± 25,84; P=0,003) e de isolamento absoluto ou sutura (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0,005). Desconsiderando os grupos de intervenção, verificou-se (teste de Friedman) que o comportamento das crianças durante o atendimento odontológico não diferia da primeira para a última sessão de tratamento, uma vez que não foram observadas associações entre a porcentagem dos escores negativos da escala OSUBRS e a sequência de várias sessões de tratamento. Observou-se, no entanto que a porcentagem dos escores mais negativos da escala OSUBRS durante o exame odontológico inicial correlacionou-se com a idade da criança (Spearman rho=-0,522, P=0,006) e com a porcentagem de escores negativos nas sessões de tratamento (Spearman rho=0,405, P=0,040). Nas condições deste ensaio clínico, concluiu-se que o midazolam oral não foi eficaz em crianças menores de 3 anos e que o comportamento negativo dessas crianças não modificou com o transcorrer das sessões de tratamentoMade available in DSpace on 2014-07-29T15:25:24Z (GMT). No. of bitstreams: 1 Cristiana Marinho de Jesus-Franca.pdf: 619773 bytes, checksum: d2bad54175727229ffb76acf89d235f2 (MD5) Previous issue date: 2009-05-15application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/4234/Cristiana%20Marinho%20de%20Jesus-Franca.pdf.jpgporUniversidade Federal de GoiásDoutorado em Ciencias da SaudeUFGBRCiencias da Saudeodontopediatria, cárie dentária, comportamento infantil, comportamento do lactente, sedação moderada, midazolampediatric dentistry, dental caries, child behavior, infant behavior, conscious sedation, midazolamCNPQ::CIENCIAS DA SAUDEMIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICOORAL MIDAZOLAM ASSOCIATED WITH PROTECTIVE STABILIZATION FOR DENTAL TREATMENT OF ONE TO THREE YEAR OLD CHILDRENinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALCristiana Marinho de Jesus-Franca.pdfapplication/pdf619773http://repositorio.bc.ufg.br/tede/bitstreams/a3b2c169-3a8b-4d71-9703-1bbefa252a0f/downloadd2bad54175727229ffb76acf89d235f2MD51THUMBNAILCristiana Marinho de Jesus-Franca.pdf.jpgCristiana Marinho de Jesus-Franca.pdf.jpgGenerated Thumbnailimage/jpeg4240http://repositorio.bc.ufg.br/tede/bitstreams/d0400260-0689-48ad-b95c-f38d89dfc7b2/downloadc87a77ab11487b46fe554af9dba5a3d5MD52tde/15592014-07-30 03:12:28.301open.accessoai:repositorio.bc.ufg.br:tde/1559http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:12:28Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
dc.title.alternative.eng.fl_str_mv |
ORAL MIDAZOLAM ASSOCIATED WITH PROTECTIVE STABILIZATION FOR DENTAL TREATMENT OF ONE TO THREE YEAR OLD CHILDREN |
title |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
spellingShingle |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO FRANÇA, Cristiana Marinho de Jesus odontopediatria, cárie dentária, comportamento infantil, comportamento do lactente, sedação moderada, midazolam pediatric dentistry, dental caries, child behavior, infant behavior, conscious sedation, midazolam CNPQ::CIENCIAS DA SAUDE |
title_short |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
title_full |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
title_fullStr |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
title_full_unstemmed |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
title_sort |
MIDAZOLAM ORAL NA SEDAÇÃO MODERADA DE CRIANÇAS DE UM A TRÊS ANOS DURANTE O TRATAMENTO ODONTOLÓGICO |
author |
FRANÇA, Cristiana Marinho de Jesus |
author_facet |
FRANÇA, Cristiana Marinho de Jesus |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
COSTA, Luciane Ribeiro de Rezende Sucasas da |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9906371509661305 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0446358336330024 |
dc.contributor.author.fl_str_mv |
FRANÇA, Cristiana Marinho de Jesus |
contributor_str_mv |
COSTA, Luciane Ribeiro de Rezende Sucasas da |
dc.subject.por.fl_str_mv |
odontopediatria, cárie dentária, comportamento infantil, comportamento do lactente, sedação moderada, midazolam |
topic |
odontopediatria, cárie dentária, comportamento infantil, comportamento do lactente, sedação moderada, midazolam pediatric dentistry, dental caries, child behavior, infant behavior, conscious sedation, midazolam CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
pediatric dentistry, dental caries, child behavior, infant behavior, conscious sedation, midazolam |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
Little is known about the sedatives effectiveness for dental treatment in children under 3 years. The efficacy of oral midazolam sedation associated with protective stabilization was evaluated. In this randomized clinical trial, healthy children younger than 36 months were randomly allocated in groups: 1- protective stabilization; 2-protective stabilization associated with midazolam 1.0 mg/kg. The treatment was performed by an operator in a total of 55 sessions. A total of 26 children, 15 boys and 11 girls, were analysed: Group 1 (n = 12) - age (mean ± standard deviation) 27.50 ± 6.87, Group 2 (n = 14) - age (mean ± standard deviation) 26.86 ± 5.32. Child´s behavior was assessed using the Ohio State University Behavior Rating Scale (OSUBRS) and the heart rate record. A trained dentist recorded both behavior and physiological parameters. No difference in behaviors was found between groups on child initial examination carried out without sedation. In treatment sessions, only group 2 showed negative correlation between performance and the number of invasive Abstract procedures (Spearman rho = 0.469, P = 0.049). No significant differences between groups 1 and 2 OSUBRS scores were found in treatment sessions. The boys (77.50 ± 16.69) in group 2 showed higher percentage of negative scores (OSUBRS) than girls (26.67 ± 27.33). Statistically significant differences (Mann Whitney U test) between groups 1 and 2 were observed in heart rate during the forceps or low / high rotation use (1 = 139.67 ± 29.37 beats per minute, 2 = 164.97 ± 25.84; P = 0.003) and when the suture or rubber dam was placed (1=142,94 ± 23,19; 2=164,18 ± 23,69; P=0.005). A global analysis of children behavior during dental care was made overlooking the intervention groups (Friedman test). No associations were observed between the percentage of negative scores (OSUBRS) and several treatment sessions sequences. The percentage of negative scores (OSUBRS) was correlated with child's age (Spearman s rho =- 0.522, P = 0.006) and the percentage of negative scores in treatment the sessions (Spearman s rho = 0.405, P = 0.040). It was concluded that oral midazolam was not effective for sedation in up to 3 years old children for dental treatment purposes, and that this group of children did not change their negative behavior in the next sessions required for finishing the dental treatment planned |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-05-15 |
dc.date.available.fl_str_mv |
2010-03-12 |
dc.date.accessioned.fl_str_mv |
2014-07-29T15:25:24Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
FRANÇA, Cristiana Marinho de Jesus. ORAL MIDAZOLAM ASSOCIATED WITH PROTECTIVE STABILIZATION FOR DENTAL TREATMENT OF ONE TO THREE YEAR OLD CHILDREN. 2009. 90 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2009. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/1559 |
identifier_str_mv |
FRANÇA, Cristiana Marinho de Jesus. ORAL MIDAZOLAM ASSOCIATED WITH PROTECTIVE STABILIZATION FOR DENTAL TREATMENT OF ONE TO THREE YEAR OLD CHILDREN. 2009. 90 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2009. |
url |
http://repositorio.bc.ufg.br/tede/handle/tde/1559 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Doutorado em Ciencias da Saude |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Ciencias da Saude |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/a3b2c169-3a8b-4d71-9703-1bbefa252a0f/download http://repositorio.bc.ufg.br/tede/bitstreams/d0400260-0689-48ad-b95c-f38d89dfc7b2/download |
bitstream.checksum.fl_str_mv |
d2bad54175727229ffb76acf89d235f2 c87a77ab11487b46fe554af9dba5a3d5 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798045073362911232 |