EFEITO DA ANESTESIA TÓPICA NÃO-INVASIVA NO CONTROLE DA DOR E ANSIEDADE DURANTE O TRATAMENTO PERIODONTAL EM PORTADORES DE NECESSIDADES ESPECIAIS

• Ano de defesa: 2014
• Autor(a) principal: Wambier, Letícia Maíra
• Orientador(a): Santos, Fábio André dos
• Banca de defesa: Pupo, Yasmine Mendes , Franco, Gilson Cesar Nobre
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: UNIVERSIDADE ESTADUAL DE PONTA GROSSA
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Clinica Integrada, Dentística Restauradora e Periodontia
• País: BR
• Palavras-chave em Português: anestésicos tópicos; ansiedade ao tratamento odontológico; raspagem dentária; deficientes
• Palavras-chave em Inglês: topical anesthetics; dental anxiety; dental scaling; handicapped
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: http://tede2.uepg.br/jspui/handle/prefix/1837

This study evaluated the effect of a thermosensitive liposomal anesthetic gel on pain and anxiety during nonsurgical periodontal treatment in patients with special needs. Material and Methods: This study was designed as a split mouth randomized bind clinical trial. Thirty-two young subjects (17.4 ± 5.6) of both genders were selected according to the inclusion criteria: moderate intellectual disability, minimum of 16 teeth, at least one tooth in each sextant with probing depth ≥ 4 mm. Prior periodontal treatment, the index of plaque, marginal bleeding, probing pocket depth and bleeding were obtained. The experimental gel tested was composed of 5% prilocaine/lidocaine, microemulsion thermosensitive liposomal phospholipid gel. It was compared to a commercially available gel Oraqix (5% prilocaine/lidocaine-thermosensitive gel).The negative controls for both gels were periodontal treatment without anesthesia and the rescue drug used was EMLA cream (5% prilocaine/lidocaine), applied in the periodontal pocket if there was discomfort during scaling and root planning (SRP). The parameters used to assess pain intensity and dental anxiety during periodontal treatment were: Hannallah pain scale; Wong-Baker faces pain rating scale and 11-point numerical rating scale, blood pressure and oxygen saturation. All data were compared with ANOVA and chi-square tests. Results: Hannallah pain scale showed significant difference (p<0.05) during SRP. Wong-Baker faces pain rating scale and 11-point numerical rating scale, blood pressure and oxygen saturation did not have significant difference among groups (p>0.05). The anesthetic gel preference between male and female showed significant difference (p<0.0001). Conclusion: Most of the handicapped patients did not require anesthesia to control pain and anxiety during non-surgical periodontal treatment (SRP). Therefore, the non-invasive topical anesthesia could be indicated for anxious patients.