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1
Law, Kwok-tung. "Dental services for children under general anaesthesia." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B23300474.
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Herasym, L. M. "Reasonability of general anesthesia in pediatric dental practice." Thesis, БДМУ, 2017. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/17311.
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Zale, Andrew. "PARENTAL UNDERSTANDING OF ANESTHESIA RISK FOR DENTAL TREATMENT." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2697.
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Purpose: To determine which method of anesthesia risk presentation parents understand and prefer across their demographic variables Methods: As a cross-sectional study, questionnaires were distributed to 50 parents of patients (<7 years of age) in the VCU Pediatric Dental Clinic. Parents were asked of their own and their children’s demographics, previous dental and anesthesia experiences, and anesthesia understanding. Parents were then asked to rate the level of risk of several risk presentations and finally asked which method of risk presentation they most understood or preferred. Data analysis was performed using descriptive statistics, correlation coefficients, likelihood chi square tests, and repeated measures logistic regression. Results: There was no evidence of a differential preference due to gender (P = 0.28), age (P > .9), education (P = 0.39) or whether they incorrectly answered any risk question (P > 0.7). There was some evidence that the three types were not equally preferred (likelihood ratio chi- square = 5.31, df =2, P-value = 0.0703). The best estimate is that 60% prefer charts, 34% prefer numbers, and 36% prefer activity comparisons. There was a relationship between the average relative risk of general anesthesia and age (r = –0.38, P = 0.0070). Younger individuals indicate High risk more often and older individuals indicate Low risk more often. Conclusion: There was no preference of risk presentation type due to gender, age, or education, but there was evidence that each was not equally preferred. Healthcare providers must be able to present the risk of anesthesia in multiple ways to allow for full patient understanding.
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Jackstien, Joshua DMD. "The Need and Demand for Anesthesia Services in Dentistry." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1350496276.
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Ngu, Katherine P. "Prospective evaluation of dental day case general anaesthetic for children." Thesis, The University of Sydney, 2001. http://hdl.handle.net/2123/4683.
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Lipp, Kelly. "Post-operative Comfort Following Dental Treatment under General Anesthesia." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1528982978863674.
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Ijbara, Manhal. "An assessment of comprehensive dental treatment provided under general anaesthesia at Tygerberg Oral Health Centre." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7118_1210745626.
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There are several categories of dental problems in children that cannot be treated optimally in the office settings and are best managed in the hospital theatre. The ability to treat children in the hospital environment in order to provide comprehensive dental care using general anaesthesia(GA) is a valuable option to the paediatric dentist, despite some degree of risk to the patient. General anaesthesia provides optimum conditions for restorative treatment such as maximum contamination control, immobilization of the patient, efficiency and effectiveness, and elimination of reflexes.
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McCarthy, Jennifer F. M. "Multimodal Analgesia in Children Following Dental Rehabilitation under General Anesthesia." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1242252421.
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Colon, Mason Mark. "The Administration and Use of Local Anesthesia Among Registered Dental Hygienists." The Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1619131528412741.
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Law, Kwok-tung, and 羅國棟. "Dental services for children under general anaesthesia." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B3195411X.
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Edmonds, Brandy N. "Prevalence and factors of sibling-recurrent dental treatment under general anesthesia." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5300.
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Objective/Aims: Assess the prevalence of sibling recurrent dental general anesthesia (DGA) at VCU Pediatric Dentistry. Assess factors that contribute to sibling recurrent dental general anesthesia. Methods: The guardian of patients with siblings were provided a questionnaire to assess the prevalence and factors associated with recurrent DGA. Results: A total of 40 families with a child presenting for GA and at least one sibling were included in the study. Of these, 45% had sibling-recurrent GA treatment (20% in one sibling; 25% in 2 or more siblings). Additionally, 13% of the children currently presenting for GA had already been treated under GA, and 15% of the siblings previously treated with GA had recurrent caries after GA. Conclusion: Sibling-recurrent general anesthesia is high at VCU Pediatric Dentistry Clinic. This increased prevalence could be due to parental acceptance and positive experiences with DGA. Dental providers should be pro-active with prevention methods.
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O'Banion, Jean Frank. "Perceived Need for Anesthesia Services Among the Dental Community in the State of Ohio." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1407425390.
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Kushnir, Ben. "Nitrous oxide/oxygen effect on dental injection pain and mandibular pulpal anesthesia." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1564680038231171.
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Portwood, Holly A. "Early Childhood Caries under General Anesthesia: a Burden Analysis." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1275337663.
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Husson, Malinda. "Evaluating Dental Surgery Post-operative Pain in Children Following Treatment Under General Anesthesia." VCU Scholars Compass, 2011. http://scholarscompass.vcu.edu/etd/2481.
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Purpose: The purpose of this pilot study was to determine if there is a difference in post-operative pain experience for children following dental restorations and/or extractions under general anesthesia (GA), with and without local anesthetic (LA). The alternative hypothesis is that children will experience less post-operative discomfort and soft tissue trauma when using intra-ligamental local anesthetic during the intra-operative time period. Methods: Patients were recruited for this single blind, randomized, prospective cohort study with the following inclusion criteria, children age 2-6 years requiring general anesthesia for dental treatment. Patients were randomized into categories of either receiving a standardized local anesthetic or no local anesthetic for the dental procedure. A Wong-Baker Faces Pain Scale (Figure 1) was utilized to evaluate pre-operative and post-operative pain. Data were compared using a pooled t-test and two way mixed model ANOVA controlling for sex, ethnicity, and intra-op meds given. Results: Currently, 33 patients have been enrolled in the study. No difference was found in the LA versus the no LA groups, and significantly more pain was reported in the extraction versus non-extraction groups. With the limited sample size, current trends indicate that pain scores do depend on whether or not treatment included the extraction of a tooth. Conclusion: When adequately powered (n=100), this study could assist clinicians providing dental surgeries under general anesthesia care by providing evidence based criteria for the provision of local anesthetic during general anesthesia to reduce need for intra-operative pain medication to relieve post-operative pain.
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Fowler, Sara M. "A Prospective, Randomized Single-blind Study to Evaluate the Reversal of Soft Tissue Anesthesia in Endodontic Patients." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1285283898.
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GALLARATO, IORDACHE. "Dental injury in general anesthesia: a comparison between direct laryngoscopy and McGRATH® VLS." Doctoral thesis, Politecnico di Torino, 2018. http://hdl.handle.net/11583/2710579.
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Abstract
INTRODUCTION
Dental injury occurs in 0.06 - 0.13 % of general anesthesia procedures requiring endotracheal intubation, and it is still a reason of complaint against anesthesiologists. Maxillary central incisors are the most common teeth injured.
OBJECTIVES:
The aim of this study is to measure the forces applied on teeth using a direct laryngoscope or a McGRATH® video-laryngoscope.
MATERIALS AND METHODS:
39 Anesthesiologists were divided into 2 groups, one of experienced anesthesiologists and the other of residents enrolled in the anesthesiology residency program of “Città della Salute e della Scienza” of Turin. Six intubations each were performed on a training manikin; three intubations using the standard intubation system with a traditional laryngoscope, and the other three using the McGRATH® video-laryngoscope in order to test the intubation forces exerted.
A force sensor (Tekscan Flexiforce® ELF system) was applied under a customized dental bite made for maintaining the pressure sensor in the correct position. This customized device was handcrafted on the dental impression of the manikin teeth in order to register any type of pressure reported on the incisal margin of the manikin`s central incisors. The forces applied were translated and measured thanks to a force
acquisition system (ELF System) for real-time force measurement data acquisition.
RESULTS:
Between February 2017 and May 2017, 39 anesthesiologists were enrolled in the study. The median age was 42 (IQR 31-53).70% were experienced anesthesiologists.
There was statistically significant reduction of the forces directly applied to the maxillary incisors using the McGRATH® VLS, compared with the classic McGill blade (reduction of 11.44 Newton, 95%CI -14.33; -8.55, p >0.0001)
CONCLUSION:
The use of the McGRATH® VLS during endotracheal intubation can be useful to reduce/prevent tooth damage.
In the pre-anesthesiologist visit there are certain categories of patient who have to be visited by a dentist before oro-tracheal intubation(OTI). In these categories of selected patients, the use of the McGRATH®VLS can be a viable treatment option.
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Nasr, azadani Ehsan Nasr-Azadani. "The Fate of Untreated Primary Second Molars Under General Anesthesia." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1530787748059526.
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Zago, Patrícia Maria Wiziack 1982. "Eficacia anestesica da prilocaina lipossomal em tecnica infiltrativa na maxila." [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288005.
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Orientadores: Maria Cristina Volpato, Eneida de Paula, Francisco Carlos GroppoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-15T12:59:46Z (GMT). No. of bitstreams: 1 Zago_PatriciaMariaWiziack1982-_M.pdf: 1548841 bytes, checksum: 532fa0a5d09fdd83740f529142e2e993 (MD5) Previous issue date: 2010
Resumo: Estudos em animais têm demonstrado que a encapsulação lipossomal da prilocaína aumenta sua eficácia anestésica em tecidos moles. Este estudo randomizado, cruzado e cego teve por objetivo avaliar a eficácia anestésica da formulação lipossomal de prilocaína 3% comparada à prilocaína 3% sem aditivos e prilocaina 3% com felipressina 0,03UI/mL, aplicadas por técnica infiltrativa na região vestibular do canino superior direito em 32 voluntários. As formulações foram aplicadas em 3 sessões, com ordem aleatória de aplicação e intervalo mínimo de 1 semana. O sucesso, a latência e a duração da anestesia pulpar foram avaliados com aplicação de estímulo elétrico no incisivo lateral, canino e primeiro pré-molar superiores; a latência e duração da anestesia em tecidos moles foram avaliadas por pressão com instrumento rombo na gengiva inserida da região vestibular do canino superior direito e a dor à injeção por meio da escala analógica visual (EAV). Considerou-se como sucesso anestésico quando a latência foi menor ou igual a 10 minutos com duração mínima de 10 minutos. Os voluntários e o pesquisador que avaliou as anestesias não tinham conhecimento da formulação aplicada. Os resultados foram submetidos aos testes Kruskal-Wallis (latência e duração da anestesia pulpar), Tuckey (EAV), Friedman (duração da anestesia gengival), Log Rank e McNemar (sucesso). A formulação lipossomal apresentou resultados semelhantes à formulação sem aditivos (p>0,05) e estatisticamente inferiores à prilocaína com felipressina (p<0,05), com relação à duração de anestesia gengival e sucesso e duração de anestesia pulpar para o canino e pré-molar. Com relação a latência e sucesso da anestesia no incisivo lateral, a prilocaína lipossomal não diferiu das demais formulações (p>0,05) e a prilocaina sem aditivos apresentou menor sucesso e maior latência (p<0,05) que a prilocaína com felipressina. As formulações não diferiram quanto à duração de anestesia pulpar para o incisivo lateral, dor à injeção e latência anestésica para canino, pré-molar e gengiva (p>0,05). Conclui-se que a prilocaína lipossomal apresenta eficácia anestésica semelhante à solução sem aditivos e menor eficácia do que a solução de prilocaína com felipressina em infiltração na maxila, não havendo, portanto, vantagem no seu uso
Abstract: Animal studies have shown that liposome encapsulation increases prilocaine anesthetic efficacy in soft tissues. This randomized, blind, crossover, three period study evaluated the anesthetic efficacy of liposome-encapsulated 3% prilocaine compared to 3% plain prilocaine and 3% prilocaine with 0.03IU/mL felypressin, after 1.8mL infiltration in the buccal sulcus of the maxillary right canine, in 32 volunteers. The formulations were randomly applied in three sessions, spaced one week apart. Anesthesia success and onset and duration of pulpal anesthesia in the lateral incisor, canine and first premolar were evaluated by using an electric pulp tester; onset and duration of soft tissue anesthesia were evaluated by pinprick test in the buccal attached gingiva of maxillary right canine. Injection pain was analyzed through Visual Analogue Scale (VAS). Anesthesia was considered successful when the onset time was less than 10 minutes and the duration was at least 10 minutes. The volunteers and the researcher who evaluated anesthesia parameters were blind to the formulations injected. Results were submitted to Kruskal-Wallis (onset and duration of pulpal anesthesia), Tuckey (VAS), Friedman (duration of gingival anesthesia), Log-Rank and McNemar tests (anesthesia success), (?=5%). Liposomal prilocaine showed similar results in comparison to plain prilocaine (p>0.05), and lower anesthesia success and duration for canine and premolar and for duration of gingival anesthesia (p<0.05) than prilocaine with felypressin. Liposomal prilocaine did not differ from the other formulations concerning onset and anesthesia success for the lateral incisor (p>0.05); plain prilocaine presented lower success rate and slower onset of anesthesia for this tooth in comparison to prilocaine with felypressin (p<0.05). No differences were observed among the formulations in relation to duration of anesthesia for lateral incisor, VAS scores and onset of gingival and pulpal anesthesia for canine and premolar (p>0.05). In conclusion, liposomal prilocaine presents similar anesthetic efficacy in relation to plain prilocaine and lower efficacy in comparison to prilocaine with felypressin in maxillary infiltration. Therefore, there is no advantage in the use of this formulation
Mestrado
Farmacologia, Anestesiologia e Terapeutica
Mestre em Odontologia
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Leonhardt, Amar Juliane. "Evaluation of success in pediatric dental treatment using nitrous oxide from 2000 to 2005 a.d. at the Geneva Community Children's Dental Clinic /." [S.l.] : [s.n.], 2008. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000254173.
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LaLande, Carla. "Comparison of Emergence Behavior in Pediatric Dental Patients Undergoing General Anesthesia with Sevoflurane versus Desflurane." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/940.
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Purpose: To determine which maintenance gas (sevoflurane versus desflurane) resulted in a faster emergence from general anesthesia and investigate the patient's emergence agitation. Methods: One group was maintained during general anesthesia with sevoflurane and the other with desflurane. Upon emergence the patient's behavior was evaluated.Results: The average emergence time for desflurane was 9.8; while the average for sevoflurane was 13.98 minutes. Patients who received premedication had an emergence time of 15.43 minutes, while patients who received no premedication emerged after 8.34 minutes.Zofran® was a significant predictor of purposeful actions. Patients were more aware of their surroundings when they received Zofran® compared to patients who did not receive Zofran®.Conclusion: Maintaining with desflurane and not premedicating patients allowed for a faster emergence from general anesthesia. Patients given Zofran® in their IV during the surgery had less emergence agitation then their counterparts.
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Nordeen, Katherine A. "The Effectiveness of a Preventive Recall Strategy in Children Following Dental Rehabilitation Under General Anesthesia." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3718.
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Purpose: This was a pilot study to assess the impact of a preventive strategy following full-mouth dental rehabilitation (FMDR) under general anesthesia in children with early childhood dental caries.
Methods: Sixty-six patients completed FMDR and were included in the analysis. At the consultation visit, caries risk assessment (CRA) and dental exam information were recorded, and caregivers completed an oral health knowledge (OHK) questionnaire. Patients returned for a post-surgery and recall visit. Caregivers received oral hygiene instructions in a motivational-interviewing style.
Results:At the consultation visit all patients were high risk. At the post-surgery visit, only 47% remained high risk (chi-square P
Conclusions: Preliminary data demonstrates that the preventive strategy is effective in reducing CRA level in children following FMDR.
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Kerns, Amanda Dr. "The Effectiveness of a Preventive Recall Strategy in Children Following Dental Rehabilitation Under General Anesthesia." VCU Scholars Compass, 2016. http://scholarscompass.vcu.edu/etd/4108.
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Abstract
THE EFFECTIVENESS OF A PREVENTIVE RECALL STRATEGY IN CHILDREN FOLLOWING DENTAL REHABILITATION UNDER GENERAL ANESTHESIA
By Amanda Kerns, DDS
A thesis submitted in partial fulfillment of the requirements for the degree of Master of Science in Dentistry at Virginia Commonwealth University.
Virginia Commonwealth University, 2016
Thesis Advisor: Elizabeth Berry, DDS, MPH, MSD
Vice Chair, Assistant Professor, Department of Pediatric Dentistry
Purpose: This was a prospective randomized controlled trial assessing the impact of a preventive strategy following full-mouth dental rehabilitation (FMDR) in children with early childhood dental caries.
Methods: 130 patients completed FMDR and were included in the analysis. Caries risk assessment (CRA), dental exam, and a caregiver oral health knowledge (OHK) questionnaire was completed for each patient. Patients were randomized into two groups; intervention returned at 3 and 6 months and control returned at only 6 months post-surgery. At each recall, CRA and dental exam information was recorded, and at the six month recall, all caregivers completed the OHK questionnaire.
Results: Actual recall data showed a statistically significant difference in CRA at six months, with 71.8% of patients in the control and 44.8% of patients in the intervention assessed as high caries risk.
Conclusions: The actual recall data suggests this recall strategy is effective in reducing CRA level following FMDR.
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Agarwal, Gaurav. "Adverse Anesthesia Outcomes: A Retrospective Study of an Ambulatory Surgical Center versus a Dental Office Setting." VCU Scholars Compass, 2007. http://hdl.handle.net/10156/1532.
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Nagtegaal, Hendrik. "Fast track assessment of the conscious sedation patient at the pre treatment consultation in a dental day clinic." Thesis, University of Westen Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_3700_1180440464.
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This thesis covered the fast track assessment of the referred dental patient for conscious sedation in a day clinic. The assessment took in consideration patient information, medical history, anatomical observations, treatment required, phobic aspects and patient expectations.
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Alcaino, Eduardo A. "The demand for dental general anaesthesia in children at Westmead Hospital, Sydney, Australia." Thesis, The University of Sydney, 1998. http://hdl.handle.net/2123/4752.
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Chan, Ambrose. "Neodymium:yag laser induced pulpal anaesthesia : a study investigating clinical efficacy and effects in teeth." Thesis, The University of Sydney, 1997. http://hdl.handle.net/2123/4634.
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Viana, Fernando Andrà Campos. "Estudo Comparativo da AssociaÃÃo da MepivacaÃna 2% com Epinefrina versus MepivacaÃna 2% com Norepinefrina em Seres Humanos." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=8446.
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Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgicoOs anestÃsicos locais sÃo as drogas mais amplamente utilizadas na prÃtica odontolÃgica. O presente estudo teve como objetivo reportar a eficÃcia clÃnica e a seguranÃa terapÃutica da MepivacaÃna 2% com Epinefrina 1:100.000 (MEPI-E) e MepivacaÃna 2% com Norepinefrina 1:100.000 (MEPI-N) em infiltraÃÃo anestÃsica de dentes caninos superiores em voluntÃrios saudÃveis. Realizou-se um estudo do tipo ensaio clÃnico, prospectivo, randomizado, cruzado, triplo cego. Trinta pacientes foram randomizados e receberam 0,6 mL de ambas as soluÃÃes anestÃsicas, por meio de anestesia terminal infiltrativa, em caninos superiores. Foi avaliado o grau de dor durante a infiltraÃÃo anestÃsica por meio da escala visual analÃgica de dor (EVA). O tempo de induÃÃo anestÃsica foi mensurado pelo teste elÃtrico pulpar mensurando assim, o tempo necessÃrio para a efetivaÃÃo do bloqueio. Os dentes foram submetidos a testes elÃtricos em ciclos periÃdicos e avaliados por 60 minutos com a finalidade de verificar a eficÃcia anestÃsica em tecido dentÃrio. O teste de picada foi utilizado para mensurar a eficÃcia clÃnica em tecido mole, nos seguintes sÃtios: gengiva inserida vestibular, mucosa alveolar superior, mucosa labial superior e pele. TambÃm foi verificada difusÃo vestÃbulo-palatina da soluÃÃo anestÃsica. PressÃo arterial sistÃlica e diastÃlica, frequÃncia cardÃaca, saturaÃÃo de oxigÃnio e glicemia serviram como parÃmetros sistÃmicos de avaliaÃÃo da seguranÃa terapÃutica. Estabeleceu-se o nÃvel de significÃncia em 0,05 (5%), foram utilizados os software GraphPad Prism e o software SPSSÂ. Foram analisados um total de 60 punÃÃes anestÃsicas em 30 voluntÃrios do estudo. O grupo MEPI-N apresentou menor nÃvel de dor e desconforto durante a infiltraÃÃo anestÃsica, com diferenÃa estatisticamente significante (P = 0,0106) quando comparado ao grupo MEPI-E. 86,7% dos pacientes quando anestesiados com MEPI-N se apresentaram negativos ao teste elÃtrico num tempo ≤ 30 segundos, contra 43,3% do grupo MEPI-E (P = 0,002). Na avaliaÃÃo da eficÃcia anestÃsica pulpar, resultados estatisticamente significantes foram observados nos tempos de 40, 50 e 60 minutos de avaliaÃÃo (P = 0,031, P = 0,021, P = 0,039 respectivamente) mostrando maior potÃncia ao grupo MEPI-N, na anÃlise da eficÃcia anestÃsica em lÃbio superior nos tempos 30, 35 e 40 minutos (P = 0,031) a superioridade tambÃm foi atribuÃda a soluÃÃo MEPI-N. NÃo houve diferenÃa estatÃstica na anÃlise intergrupos sob os parÃmetros de seguranÃa terapÃutica. NÃo foi observada significÃncia estatÃstica na anÃlise intergrupo em relaÃÃo aos parÃmetros sistÃmicos. Na anÃlise intragrupo observou-se que a pressÃo arterial sistÃlica e diastÃlica, a frequÃncia cardÃaca foram significantemente menores que a basal para alguns tempos em ambos os grupos. A mÃdia glicÃmica aos 30 minutos foi superior e estatisticamente significante ao basal. Resultados apontam que bloqueios anestÃsicos com MepivacaÃna 2% com Norepinefrina 1:100.000 sÃo capazes de conferir um melhor padrÃo anestÃsico sem contudo resultar em alteraÃÃes sistÃmicas.
Local anesthetics are the most widely drugs used in dental practice. The present study aimed to report the clinical efficacy and safety of therapeutic Mepivacaine 2% with Epinephrine 1:100,000 (MEPI-E) and Mepivacaine 2% with 1:100,000 norepinephrine (MEPI-N) in infiltration anesthesia of upper canine teeth in healthy volunteers. We conducted a clinical trial, prospective, randomized, crossover, triple blind. Thirty patients were randomly and received either 0.6 ml of both anesthetic solution through terminal infiltrative anesthesia in canines. The degree of pain during anesthetic infiltration was made by visual analog scale of pain (VAE). The induction time was measured by measuring electrical test pulp thus the time required for ensuring the locking. The teeth were subjected to electrical tests in periodic cycles and evaluated by 60 minutes in order to verify the effectiveness of anesthesia in dental tissue. The prick test was used to measure the clinical efficacy in soft tissue, at the following sites: buccal gingiva, upper alveolar mucosa, superior labial mucosa and skin. We also observed vestibular-palatal diffusion of the anesthetic. Systolic and diastolic blood pressure, heart rate, oxygen saturation and blood glucose were used as parameters for assessing the systemic therapeutic safety. Established the significance level of 0.05 (5%) were used GraphPad Prism  and SPSS Â. Were analyzed a total of 60 punctures anesthetic in 30 study volunteers. The MEPI-N group showed lower levels of pain and discomfort during the anesthetic infiltration, which was statistically significant (P = 0.0106) when compared to the MEPI-E. 86.7% when anesthetized with MEPI-N the electric test were negative a time ≤ 30 seconds, against 43.3% of MEPI group-E (P = 0.002). In evaluating the anesthetic efficacy pulp, statistically significant results were observed in intervals of 40, 50 and 60 minutes of evaluation (P = 0.031, P = 0.021, P = 0.039 respectively) showing greater power to the MEPI-N group, in analyzing the effectiveness anesthesia in the upper lip at 30, 35 and 40 minutes (P = 0.031) showed superiority was also attributed to MEPI-N solution. There was no statistical difference between groups in the analysis under the parameters of therapeutic safety. There was no statistical significance in the intergroup analysis in relation to systemic parameters. Intragroup analysis showed that the systolic and diastolic blood pressure, heart rate were significantly lower than baseline for some time in both groups. The mean glucose at 30 minutes was higher and statistically significant at baseline. Results indicate that anesthetic blocks with 2% Mepivacaine with 1:100,000 norepinephrine are able to provide a better standard anesthetic but without result in systemic changes.
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Costa, Carina Gisele. ""Comparação dos períodos de latência e duração da lidocaina 2% associada a adrenalina 1:100.000 e da articaína 4% associada a adrenalina 1:200.000 e 1:100.000 na infiltração maxilar"." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/23/23138/tde-29102003-144950/.
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RESUMO Comparou-se os períodos de latência e duração da lidocaína 2% associada à adrenalina 1:100.000 (Lidocaína 100 ® da DFL), e da articaína 4% associada à adrenalina 1:200.000 (Septanest 1:200.000 ® da Septodont) e 1:100.000 (Septanest 1:100.000 ® da Septodont), na polpa dentária e gengiva vestibular, em anestesias locais infiltrativas maxilares. Vinte pacientes voluntários, saudáveis, de ambos os sexos, entre 18 e 50 anos de idade receberam tratamento restaurador de baixa complexidade ou selamento de cicatrículas e fissuras nas superfícies oclusais de três dentes superiores posteriores de uma mesma hemiarcada. Cada paciente recebeu, aleatoriamente, um tubete (1,8 ml) de cada solução anestésica local em três consultas. Os períodos de latência e duração da anestesia local na polpa dentária foram monitorados com um aparelho estimulador pulpar elétrico (Vitality Scanner Model 2005 ® da Analytic Endodontics) e na gengiva vestibular por meio do estímulo com a ponta de um explorador. Através do Teste de Kruskal-Wallis foram detectadas diferenças estatisticamente significantes ao nível de 5% entre lidocaína 2% associada à adrenalina 1:100.000, quando comparada tanto com a articaína 4% associada à adrenalina 1:200.000 quanto com a articaína 4% associada à adrenalina 1:100.000, para as variáveis: período de latência e duração na polpa dentária e período de duração na gengiva, sendo que a lidocaína 2% associada à adrenalina 1:100.000 apresentou a maior média para o período de latência pulpar e as menores médias para os períodos de duração na polpa dentária e na gengiva (respectivamente, 2,8, 39,2 e 42,2 minutos),quando comparada à articaína 4% associada à adrenalina 1:200.000 (respectivamente, 1,6, 56,7 e 55,3 minutos) e 1:100.000 (respectivamente, 1,4, 66,3 e 64,7 minutos). Houve diferença estatisticamente significante entre as duas soluções de articaína apenas para o período de duração na gengiva, cuja maior média foi a da articaína 4% associada à adrenalina 1:100.000. Não houve diferença estatisticamente significante entre os grupos para o período de latência gengival. Conclui-se que as soluções de articaína apresentam latência mais curta e duração mais longa do que a solução de lidocaína quando da anestesia pulpar. Para a latência gengival não há diferença entre as três soluções testadas, porém, para a duração gengival, a solução de articaína 4% associada à adrenalina 1:100.000 apresenta a maior duração.SUMMARY Local anesthesias by maxillar infiltration with 2% lidocaine associated with 1:100.000 adrenalin (Lidocaina 100 ® by DFL), 4% articaine associated with 1:200.000 (Septanest 1:200.000 ® by Septodont) and 1:100.000 adrenalin (Septanest 1:100.000 ® by Septodont) were compared concerning to their onset and duration on dental pulp and gingiva. Twenty healthy volunteer patients, of both gender, between 18 and 50 years of age, received filling treatment of low complexity or fissure sealing on the occlusal surface of three superior posterior teeth of the same side. Each patient randomly received an ampoule (1,8ml) of each local anesthetic solution on three appointments. The onset and duration periods of local anesthesia on dental pulp were monitored with an electric pulptester (Vitality Scanner Model 2005 ® by Analytic Endodontics) and on buccal gingiva by the stimulus performed with the point of a probe. Kruskall-Wallis test identified statistic significant difference by the level of 5% between 2% lidocaine associated with 1:100.000 adrenalin when compared with both 4% articaine associated with 1:200.000 or 1:100.000 adrenalin for the following variants: onset and duration periods on dental pulp and duration period on gingiva. 2% lidocaine associated with 1:100.000 adrenalin presented the longest average for onset period on dental pulp and the minorest averages for duration periods on dental pulp and gingiva (respectively, 2,8, 39,2 and 42,2 minutes), when compared with 4% articaine associated with 1:200.000 (respectively, 1,6, 56,7 and 55,3 minutes) and 1:100.000 adrenalin (respectively, 1,4, 66,3 and 64,7 minutes). There was statistic significant difference between the two articaine solutions just for duration period on gingiva, whose longest average was that of 4% articaine associated with 1:100.000 adrenalin. There was no statistic significant difference between the groups for onset period on gingiva. It can be concluded that both articaine solutions present faster onset and longer duration than the lidocaine solution on pulpal anesthesia. For gingival onset there is no difference between the three tested solutions, however, for gingival duration, 4% articaine associated with 1:100.000 adrenalin presents the longest duration.
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Hanson, Kami M. "The Utilization of Mixed-Reality Technologies to Teach Techniques for Administering Local Anesthesia." DigitalCommons@USU, 2011. https://digitalcommons.usu.edu/etd/850.
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The ability to perform local anesthesia on dental patients is an important clinical skill for a dental hygienist. When learning this procedure in an academic situation, students often practice on their peers to build their skills. There are multiple reasons why the peer practice is not ideal; consequently, educators have sought the means to simulate the practice of local anesthetic procedures without endangering others. Mixed-reality technologies offer a potential solution to the simulated procedure problem. The purpose of this research was to determine if students could learn the techniques for providing local anesthesia using a mixed-reality system that allows them to manipulate 3D objects in virtual space. Guiding research questions were: In what ways do using 3D objects allow for a greater understanding of anatomical, spatial, and dimensional acuity? Will students develop conceptual understandings regarding the application of anatomical and technical concepts through iteration? Will students demonstrate the proper technique and verbalize a level of confidence for administering local anesthesia after using the mixed-reality system? Design-based research methods allowed for multiple iterations of design, enactment, analysis, and redesign. The first iteration focused on building a knowledge base for designing and developing virtual reality technologies for use in dental hygiene education. The second phase of research increased in technical sophistication and involved a virtual system that allowed for student interaction and manipulation of 3D objects. The interactions supported students' learning through the association of anatomical, spatial, and dimensional acuity. Built-in learner prompts promoted the understanding and identification of anatomical landmarks for performing an injection for the lower jaw. Further, the system promoted self-controlled practice and iterative learning processes. Redesign and development in the final iteration focused on design improvements of the system that included an output metric for assessing student performance, a data glove, and a marker to assist in following student interactions. Results support that students learned "while doing" in a specific immersive environment designed for dental hygiene education and they increased their level of confidence for performing a specific procedure.
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Burke, Brian. "A Retrospective Study of Operating Room Utilization and Efficiency in a Pediatric Dental Residency Program." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3367.
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Purpose: The purpose was to assess and understand operating room (OR) utilization and efficiency in a pediatric dental residency program. Methods: A retrospective study was performed using chart extraction from 778 patients completed by both pediatric dentistry faculty (n=7) and residents (n=17) in an ambulatory care setting over a 32 month period (between July 2010 and March 2013). Patterns in OR usage time were determined by documenting various timing metrics (start and stop times for anesthesia, start and stop times for the dental procedure, times for throat pack in and out), noting patient information (age and ASA patient classification status), and creating variables by grouping data by clinical provider type and dental procedure. OR usage time was analyzed using multiple regression to estimate the per-tooth or per-mouth time for each type of procedure. Results: The median procedure time was 75 minutes (range= 1 to 517 minutes). Multiple regression indicated that for the average patient, a faculty member took 63.8 minutes (95% CI = 60.8 to 66.7 minutes) and a resident took 81.9 minutes (95% CI = 78.7 to 85.0 minutes, P<.0001).These results demonstrate that the appropriate scheduling of operating room should be based on the proficiency level of provider as well as the complexity of the dental procedure. Conclusion: This study concludes that pediatric dental operating room planning and scheduling in teaching hospitals should take into account real constraints such as residents’ level of training and skill.
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Orellana, Colleen C. "A Review of Pediatric General Anesthesia Combination Cases in the Special Health Care Needs Population." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469059968.
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Martin, Matthew J. "Anesthetic efficacy of 3.6 mL of 4% articaine with 1:100,000 epinephrine compared to 1.8 mL of 4% articaine with 1:100,000 epinephrine as primary buccal infiltrations in mandibular posterior teeth." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1281384386.
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Van, Hilsen Zachary Xavier. "A Comparison of Emergence Agitation/Delirium in Pediatric Dental Patients with Sevoflurane and using Sevoflurane with a Washout Propofol Technique." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1408974076.
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Cole, D'Audra M. "Effect of a nominal fee on treatment choices for children needing dental rehabilitation /." VCU Scholars Compass, 2007. http://hdl.handle.net/10156/1688.
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Wambier, Letícia Maíra. "Avaliação do risco e intensidade da dor utilizando anestesia tópica em diferentes procedimentos odontológicos." Universidade Estadual de Ponta Grossa, 2017. http://tede2.uepg.br/jspui/handle/prefix/2346.
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O objetivo deste trabalho foi realizar revisões sistemáticas e estudos clínicos randomizados para avaliar a efetividade dos anestésicos tópicos, para reduzir o risco e a intensidade de dor durante procedimentos odontológicos em crianças e adultos. Nos experimentos 1 e 2, revisões sistemáticas foram conduzidas para responder as perguntas PICO: “A anestesia tópica exerce influência na dor durante a raspagem radicular (RAP) em pacientes adultos?” e “A anestesia infiltrativa exerce influência na dor durante a raspagem radicular (RAP) em pacientes adultos?” A patente foi obtida com o gel anestésico fotoativado. Nos estudos 3 e 4, um dos géis anestésicos (lipossomal termossensível ou fotoativado versus placebo) foi aplicado ao redor da gengiva de primeiros molares permanentes inferiores para adaptação do grampo # 26, colocação do dique de borracha e aplicação de selante resinoso. No estudo 5, participaram adultos com lesões cervicais não cariosas, cujo tratamento foi realizado com o gel anestésico fotoativado versus placebo para a adaptação do grampo # 212. Os dados do estudo 1 evidenciaram que a anestesia tópica diminuiu o risco (p= 0,002), a intensidade da dor (VAS e Heft Parker, p= 0,002; VRS, p= 0,023) e a necessidade de anestesia resgate (p= 0,005) durante a sondagem e RAP comparada ao uso de um placebo. O estudo 2 mostrou que a anestesia infiltrativa foi melhor somente na avaliação da intensidade de dor (p = 0,03) comparada a anestesia tópica, sem diferença estatística para o risco de dor (p = 0,58), necessidade de anestesia de resgate (p < 0,0001) e preferência dos pacientes (p = 0,09). No estudo 3 não foram detectadas diferenças estatísticas para o risco de dor (p = 0,52) entre o gel anestésico lipossomal termossensível e o gel placebo em crianças, havendo diferenças para a intensidade de dor com resultados positivos para o gel anestésico (p= 0,023 para escala numérica e p= 0,013 para escala facial). O estudo 4 mostrou resultados positivos para o gel anestésico fotoativado versus placebo, com diferenças significativas para o risco de dor (p= 0,0002) e intensidade da dor nas diferentes escalas (P<0,001). Dados semelhantes foram observados no estudo 5, com resultados também favoráveis para o gel anestésico fotoativado versus placebo aplicado em adultos, sendo detectadas diferenças estatísticas para o risco de dor (p= 0,0339) e intensidade da dor nas diferentes escalas empregadas (VAS, p=0,005 e VRS, p=0,015). As revisões sistemáticas demonstraram que a anestesia tópica pode ser uma alternativa para substituir a infiltrativa na RAP, enquanto que os ensaios clínicos randomizados demonstraram que os anestésicos tópicos lipossomal termossensível e fotoativado são efetivos para diminuir a intensidade de dor em crianças e adultos, e são uma alternativa de trabalho para procedimentos odontológicos menos invasivos.
The objective of these researche was to conduct systematic reviews and randomized clinical trials to evaluate the effectiveness of topical anesthetics to reduce the risk and intensity of pain during dental procedures in children and adults. In the experiments, 1 and 2, systematic reviews were conducted to answer the PICO questions: "Does topical anesthesia influence pain during scaling and root planing (SRP) in adult patients?" and "Does infiltrative anesthesia influence pain during scaling and root planing (SRP) in adult patients?" The patent was obtained with the light-curred anesthetic gel. In the studies 3 and 4, one of the anesthetic gels (thermosensitive liposomal or light-curred gel versus placebo) was applied around the lower permanent first molars gingiva to adapted the clamp # 26, placement of the rubber dam and application of resin sealant. In the study 5, adults with non-carious cervical lesions, whose treatment was performed with the light-curred anesthetic gel versus placebo for the clamp # 212 adaptation,were enrolled.The data from study 1 showed that topical anesthesia reduced risk (p = 0.002), pain intensity (VAS and Heft Parker, p = 0.002; VRS, p = 0.023) and need for rescue anesthesia (p = 0.005) during the probing and RAP compared to the placebo. Study 2 showed that infiltrative anesthesia was better only in the assessment of pain intensity (p = 0.03) compared to topical anesthesia, with no statistical difference for pain risk (p = 0.58), need for rescue anesthesia (p<0.0001) and patients' preference (p = 0.09). In the study 3, no statistical differences were detected for the risk of pain (p = 0.52) between thermosensitive liposomal anesthetic and placebo gel in children, with differences for pain intensity with positive results for the anesthetic gel (p = 0.023 for numerical scale and = 0.013 for facial scale). Study 4 showed positive results for the light-curred anesthetic gel versus placebo, with significant differences for the risk of pain (p = 0.0002) and pain intensity at the different scales (p<0.001). Similar data were observed in study 5, with favorable results for light-curred anesthetic gel versus placebo applied in adults. Statistical differences were found for the risk of pain (p = 0.0339) and pain intensity in the different scales used (VAS, p = 0.005 and VRS, p = 0.015). Systematic reviews have demonstrated that topical anesthesia may be an alternative to replace infiltrative anesthesia in SRP, where as randomized clinical trials have demonstrated that thermosensitive liposomal and light-curred anesthetics gels are effective in reducing pain intensity in children and adults, and are an alternative for less invasive dental procedures.
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Carranco, Andrew. "Comparison of Spanish-speaking Parental Understanding Using Two Alternative Consent Pathways." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1561450813970583.
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Li, Hsin-Fang. "DATA MINING AND PATTERN DISCOVERY USING EXPLORATORY AND VISUALIZATION METHODS FOR LARGE MULTIDIMENSIONAL DATASETS." UKnowledge, 2013. http://uknowledge.uky.edu/epb_etds/4.
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Oral health problems have been a major public health concern profoundly affecting people’s general health and quality of life. Given that oral health data is composed of several measurable dimensions including clinical measurements, socio-behavioral factors, genetic predispositions, self-reported assessments, and quality of life measures, strategies for analyzing multidimensional data are neither computationally straightforward nor efficient. Researchers face major challenges to identify tools that circumvent the processes of manually probing the data.
The purpose of this dissertation is to provide applications of the proposed methodology on oral health-related data that go beyond identifying risk factors from a single dimension, and to describe large-scale datasets in a natural intuitive manner. The three specific applications focus on the utilization of 1) classification regression tree (CART) to understand the multidimensional factors associated with untreated decay in childhood, 2) network analyses and network plots to describe connectedness of concurrent co-morbid conditions for pediatric patients with autism receiving dental treatments under general anesthesia, and 3) random forests in addition to conventional adjusted main effects analyses to identify potential environmental risk factors and interactive effects for periodontitis.
Compared to findings from the previous literature, the use of these innovative applications demonstrates overlapping findings as well as novel discoveries to the oral health knowledge. The results of this research not only illustrate that these data mining techniques can be used to improve the delivery of information into knowledge, but also provide new avenues for future decision making and planning for oral health-care management.
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Chi, Donald Leslie. "The impact of chronic condition status, chronic condition severity, and other factors on access to dental care for Medicaid-enrolled children in Iowa." Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/345.
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Previous studies suggest that Medicaid-enrolled children have difficulties accessing dental care, which can lead to untreated dental disease, poor oral health, and compromised overall health status. While Medicaid-enrolled children with a chronic condition (CC) encounter additional barriers to dental care, most relevant studies on dental utilization fail to adopt risk adjustment methods. As such, the impact of CC status and CC severity on access to dental care for Medicaid-enrolled children is poorly understood.
The main objectives of this dissertation were to: 1) compare dental utilization for Medicaid-enrolled children with and without a CC; 2) assess the relationship between CC severity and dental utilization; and 3) identify the other factors associated with dental utilization. The 3M Clinical Risk Grouping (CRG) Methods were applied to enrollee-level data from the Iowa Medicaid Program (2003-2008) to identify children with and without a CC and to classify children with a CC into a CC severity level. Three outcome measures were developed: 1) access to an annual dental visit; 2) use of dental services under general anesthesia (GA); and 3) time to the first dental visit after initial enrollment into the Medicaid program. We used multiple variable logistic regression models and survival analytic techniques to test our study hypotheses.
Compared to Medicaid-enrolled children without a CC, those with a CC were more likely to have had an annual dental visit and earlier first dental visits. Having a CC was an important determinant of dental utilization under GA for older but not for younger Medicaid-enrolled children. In terms of CC severity, Medicaid-enrolled children with more severe CCs were less likely to have had an annual dental visit and more likely to have utilized dental services under GA. CC severity was not associated with the rate at which the first dental visit took place. Not residing in a dental Health Professional Shortage Area, previous use of dental care, and previous utilization of primary medical care were all positively associated with dental utilization.
Identifying and understanding the determinants of access to dental care is an important first step in developing clinical interventions and policies aimed at improving access to dental care for all Medicaid-enrolled children. Future work should focus on identifying the socio-behavioral determinants of as well as the clinical outcomes associated with access to dental services for vulnerable children.
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Fullmer, Spencer C. "The Effect of Preoperative Acetaminophen/Hydrocodone on the Efficacy of the Inferior Alveolar Nerve Block In Patients With Sypmtomatic Irreversible Pulpitis." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1344539002.
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Droll, Brock A. "Local Anesthetic Efficacy of the Inferior Alveolar Nerve Block in Red-haired Females." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1316623943.
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Followell, Timothy B. "Effect of Dental Treatment on Parental Stress as Measured by the Parenting Stress Index." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1276567183.
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Palma, Fabiano Rodrigues 1971. "Atividade anestesica da bupivacaina e ropivacaina em bloqueio do nervo alveolar inferior para cirurgias de terceiros molares inclusos." [s.n.], 2005. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289399.
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Orientador: Jose RanaliTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Vários estudos têm demonstrado as vantagens do uso de anestésicos locais de longa duração em cirurgias bucais. O objetivo deste estudo foi avaliar a eficácia anestésica (latência e duração da anestesia pulpar e em tecidos moles) proporcionada pela injeção de 3,6 ml de bupivacaína e ropivacaína na concentração de 0,5% e associadas à epinefrina 1:200.000, no bloqueio do nervo alveolar inferior, para cirurgias de terceiros molares inferiores inclusos, em 30 voluntários sadios. Também foi avaliada a sensibilidade dolorosa ao procedimento anestésico. O estudo foi cruzado e duplo cego, com a seqüência e lado de aplicação das soluções aleatorizados. As avaliações do tempo de latência e duração da anestesia foram feitas através da aplicação de estímulo elétrico ("pulp tester") nos caninos, segundos pré-molares e segundos molares inferiores. A ausência de resposta ao estímulo elétrico máximo do aparelho foi considerada como critério de anestesia pulpar. A Escala Analógica Visual (EAV) foi utilizada para avaliar a sensibilidade dolorosa. Os resultados foram submetidos à análise estatística através do Teste t (p<0,05). Não foram observadas diferenças entre as soluções, com exceção do tempo de latência em tecidos moles, que foi menor com o uso de ropivacaína (p = 0,016). Nas condições deste estudo a bupivacaína e a ropivacaína apresentaram eficácia anestésica semelhante. Assim, a ropivacaína mostra-se um anestésico útil para o bloqueio de longa duração do nervo alveolar inferior e poderia substituir a bupivacaína em cirurgias orais, em função de sua menor toxicidade, demonstrada na literatura
Abstract: The advantages of using long-acting local anesthetics in oral surgery have been demonstrated in a limited number of clinical studies. The purpose of this double-blind and cross-over study, was to evaluate and compare the efficacy of 2 local anesthetics - bupivacaine and ropivacaine - in the concentration of 0.5% containing 1:200,000 epinephrine for inferior alveolar nerve block. Thirty healthy individuals participated in the study on a voluntary basis. All subjects received bupivacaine and ropivacaine injections (3,6 ml), one anesthetic for each side of the mandible, for surgical removal of impacted mandibular third molar teeth, on separate occasions. The onset time and duration of pulpal anesthesia were assessed by electric pulp tester in the inferior canines, second pre-molars and second molars; no response from the subject to the maximum output (80 reading) of the pulp testes was used as the criterion for pulpal anesthesia; the onset time and duration of lip anesthesia were also assessed. Injection discomfort was assessed by Visual Analogue Scale. The results were evaluated by using Student-t test (p<0.05). No differences were found between the solutions, except for a lower onset of lip anesthesia (p=0,016) with the use of ropivacaine. Under the conditions of this study bupivacaine and ropivacaine showed similar anesthetic efficacy. This leads to the conclusion that ropivacaine can be useful as a long acting anesthetic for inferior alveolar nerve block and could replace bupivacaine in oral surgery due to the decreased toxicity related in the literature
Doutorado
Farmacologia, Anestesiologia e Terapeutica
Doutor em Odontologia
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Olopes, Graziella Leontina da Cunha. "Comparativo entre dois anestésicos tópicos para a colocação de grampo no isolamento absoluto /." São José dos Campos, 2018. http://hdl.handle.net/11449/157451.
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Orientador: Ivan BalducciCoorientador: João Carlos da Rocha
Banca: Adriene Mara Souza Lopes e Silva
Banca: Symone Cristina Teixeira
Resumo: O isolamento absoluto do campo operatório para realização de selante resinoso em fóssulas e fissuras tem sido apontado como um fator imprescindível no sucesso desta técnica, gerando maior qualidade e longevidade ao tratamento. Porém, o grampo utilizado no procedimento de isolamento exerce sobre o dente uma pressão e entra em contato com a gengiva, podendo causar dor e/ou desconforto. Esta situação indica a necessidade prévia de anestesia infiltrativa, que por sua vez, gera medo e ansiedade. Este ensaio clínico abrangeu um caráter experimental, terapêutico, de conveniência e duplamente cego, com delineamento boca dividida, cujo objetivo foi comparar a eficácia entre dois anestésicos tópicos, quando da colocação de grampo para a instalação do isolamento absoluto. Foram selecionadas 30 crianças, com idades entre sete e onze anos, com indicação de selantes de fóssulas e fissuras nos primeiros molares permanentes inferiores. Os anestésicos tópicos eleitos para a pesquisa foram: Cloridrato de Tetracaína (Líquido) e Benzocaína (Gel). O primeiro utilizado na Oftalmologia como anestésico em algumas cirurgias, e o segundo utilizado na Odontologia como pré-anestésico. Foram aplicadas escalas de dor, a fim de mensurar a sensibilidade e intensidade dolorosa das crianças. Efetuou-se a análise exploratória dos dados, com uma abordagem não paramétrica. Foi utilizado o teste de Sinais de Postos de Wilcoxon, nível de significância de 5%. Foi verificado que houve diferença estatisticamente sign... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The absolute isolation of the operative field for the realization of resinous sealant in pit and fissures has been pointed out as an indispensable factor in the success of this technique, generating greater quality and longevity to the treatment. However, the clamp used in the insulation procedure exerts a pressure on the tooth and comes into contact with the gums and may cause pain and/or discomfort. This situation indicates the prior need for infiltration anesthesia, which in turn generates fear and anxiety. This clinical trial covered an experimental, therapeutic, convenience and doubly-blind character, with split mouth design, whose objective was to compare the efficacy between two topical anesthetics, when the staple placement for the installation of the Absolute isolation. 30 children were selected, aged between seven and eleven years, with an indication of pit sealants and fissures in the first lower permanent molars. The topical anesthetics chosen for the research were: Tetracaine hydrochloride (liquid) and Benzocaine (Gel). The first used in ophthalmology as an anesthetic in some surgeries, and the second used in dentistry as preanesthetic. Pain scales were applied in order to measure the painful sensitivity and intensity of children. Exploratory analysis of the data was carried out, with a non-parametric approach. We used the Wilcoxon signal test, 5% significance level. It was verified that there was statistically significant difference to the numerical scale. In th... (Complete abstract click electronic access below)
Mestre
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Sharifzadeh-Amin, Maryam. "Understanding change in parental dental health behaviours following general anesthetic dental treatment." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/31063.
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The purpose of this study was to explore the experience of parents whose young children
had had a general anesthetic (GA) for dental treatment and to develop a model to describe
and explain parental behaviour change following the GA experience. A grounded theory
method was undertaken to investigate 1) parent's beliefs and behaviours that may place
their child at risk to new caries following the GA experience, 2) parents' experience of
their child's dental treatment under GA and 3) the factors affecting parental adoption and
maintenance of dentally healthy behaviours.
Twenty-six in-depth individual interviews were conducted with parents of pre-school aged
children at various times after the GA, i.e. shortly after the GA and up to one year
following the GA. Data were analysed with a grounded theory approach, to develop a
model that was "grounded" in the data.
A conceptual model was generated to explain the process of parental behaviour change.
Social influences, family context, and parental strategies were identified as key categories.
Cultural beliefs, actions of dental professionals, and media/advertising were barriers for
parents to adopt healthy behaviours. Not all parents were receptive to social supports;
cross-cultural differences were apparent. Overall, the GA dental experience had enough
of an impact to immediately motivate parents to consider changing their behaviours.
However, difficulty and only partial compliance in following recommendations were
frequently mentioned.
Although parental stretiges were influenceed by family context and social influences, the
central position of parental strateiges in the model gradually emerged. Parents who took responsibility for their child's state of health felt guilt and were determined to develop
strategies to overcome the barriers in applying healthy behaviours. Parents who had a high
level of self-efficacy and were furthest along the stages of change continuum were likely
able to engage in and maintain new healthy behaviours.
Although an early, positive outcome of the GA was a reported improvement in dental
health practices, the GA did not appear to affect long-term preventive behaviours for
many parents. Parental strategies were recognized as the core category of the final model
that influenced whether parents adopted dentally-healthy behaviours and maintained these
behaviours over time.Dentistry, Faculty of
Graduate
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Quaresma, Sergio Eduardo Tricta. "Efeitos do vasoconstritor em procedimentos dentais de restaurações e extrações em IC: resultados de um estudo prospectivo, randomizado, duplo-cego (Teeth-HF Study)." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-07022019-152400/.
Full textAbstract:
Fundamento: O número de pacientes acometidos por insuficiência cardíaca (IC) cresce anualmente, em razão direta do aumento da longevidade, fato que ocorre mundialmente. Patologias bucais como perda do elemento dental e periodontopatias têm sido relacionadas e apresentam alta prevalência em pacientes com IC. Estes indivíduos necessitam de atendimento odontológico. O uso de solução anestésica local com vasoconstritor para procedimentos odontológicos para esta população continua controverso, pois pode gerar riscos cardiovasculares adversos. Objetivo: Analisar dor e alterações hemodinâmicas em pacientes com insuficiência cardíaca, submetidos a procedimento odontológico sob anestesia local com ou sem epinefrina . Método: Estudo prospectivo, grupo paralelo, controlado, duplo-cego em pacientes com insuficiência cardíaca, fração de ejeção < 45%, classe funcional II e III/IV e com terapêutica otimizada foram randomizados para procedimentos odontológicos (restaurações ou extrações) usando de 1,8ml a 3,6ml solução anestésica de lidocaína a 2% sem epinefrina (LSE) ou a mesma dose de lidocaína com epinefrina 1:100.000 (LCE). Resultados: Setenta e dois pacientes (50 anos ± 10 anos, 62% do sexo masculino, portadores de IC foram alocados para LSE (n=36) ou LCE (n=36). Foram observadas diferenças significativas no desfecho primário (dor) para os grupos que receberam LSE e efetuaram extrações dentárias. Não foram observadas diferenças nos valores de pressão arterial e frequência cardíaca antes, durante e após o procedimento dental em ambos os grupos. Entretanto, quando os grupos foram analisados separadamente, a pressão arterial aumentou e a frequência cardíaca reduziuse significativamente em relação à fase basal, durante o procedimento. Conclusão: A solução anestésica local de lidocaína com epinefrina mostrou ser superior no controle da dor e segura para pacientes com insuficiência cardíaca. Tanto no grupo LSE como no LCE não ocorreram alterações significativas nos parâmetros hemodinâmicosBackground: The number of patients with heart failure (HF) increases annually over the world. Oral diseases have been related to, and have shown high prevalence among this population. These patients need dental care. Using local anesthesia with vasoconstrictor for dental treatments is still controversial in patients with HF because it may generate adverse cardiovascular effects. Goal: To analyze pain and hemodynamic changes in patients with heart failure submitted to a dental procedure under local anesthesia with or without epinephrine. Methods: Prospective, parallel group, controlled, double-blind study , with heart failure patients, ejection fraction < 45%, NYHA class II and III / IV and with optimized therapy, were randomized to dental procedures (dental extraction or restoration) using 1,8 to 3.6ml of lidocaine without epinephrine (LSE) or lidocaine with epinephrine (LCE). ( Lidocaine 2% epinephrine 1:100.000). Results: Seventy two patients (50 ± 10 years, 62% male, 27% ischemic) were allocated to LSE (n = 36) or LCE (n = 36). It was observed a significant increase in pain , among patients that had dental extractions in the LSE group in comparison to LCE. No differences were observed in blood pressure, heart rate and pain scores before, during and after dental procedures in both groups. However, blood pressure increased and heart rate significantly reduced in relation to the baseline phase during and after the procedure in both groups when they were analyzed separately. Conclusion: Lidocaine with epinephrine (LCE) has shown to be more effective for pain control in heart failure patients. Concerning hymodinamic changes there was no difference between groups with or without epinephrine, and the treatment did not cause undesirable adverse cardiovascular effects.
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Mattox, Shayna L. "A Randomized Controlled Trial: Absorbable Hemostatic Pack Effect on Bleeding Time Following Extraction of Primary Maxillary Incisors." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1594225380425452.
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Neves, Ricardo Simões. "Estudo de parâmetros eletrocardiográficos e de pressão arterial durante procedimento odontológico restaurador sob anestesia local com e sem vasoconstritor em portadores de doença arterial coronária." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-06022007-142629/.
Full textAbstract:
Estudamos 62 pacientes, que com teste ergométrico positivo, manifestaram angina estável e estavam sob controle farmacológico. Todos apresentavam cinecoronariografia mostrando obstrução >70% em pelo menos uma das principais artérias coronárias. Objetivamos avaliar parâmetros eletrocardiográficos e de pressão arterial, durante procedimento odontológico restaurador sob anestesia local com e sem vasoconstritor em presença de doença arterial coronária. As idades variaram de 39 a 80, média de 58,7±8,8 anos, sendo 51 (82,3%) homens. Trinta pacientes foram randomizados para receber anestesia local com solução de lidocaína a 2% com adrenalina 1:100.000 e os demais para lidocaína a 2% sem vasoconstritor. Todos os pacientes foram submetidos à monitorização ambulatorial da pressão arterial (MAPA) e eletrocardiografia dinâmica por 24 horas, iniciados 2 horas antes do procedimento odontológico. Consideramos 3 períodos de registro: (1) basal - os 60 minutos que antecederam ao procedimento odontológico; (2) procedimento - desde o início da anestesia até o final do procedimento odontológico restaurador; (3) subseqüente completar das 24 horas. A análise de variância com medidas repetidas mostrou que houve elevação significativa da pressão arterial sistólica e diastólica do período basal para o procedimento nos dois grupos estudados (aproximadamente 14mmHg e 5 a 7mmHg) respectivamente, quando analisados separadamente e quando confrontados não apresentaram diferença de comportamento entre si. A freqüência cardíaca não se alterou nos dois grupos estudados. Depressão do segmento ST >1mm ocorreu em 10 (17,9%) pacientes; todos os eventos ocorreram no mínimo 2 horas após o término do procedimento odontológico. Extra - sístoles supra-ventriculares e/ou extra-sístoles ventriculares em número maior do que 10/hora estiveram presentes em 17 (30,4%) pacientes durante as 24 horas e durante o período do procedimento em 7 (12,5%), sendo 4 (13,8%) do grupo que recebeu anestesia sem adrenalina e 3 (11,1%) do grupo que recebeu anestesia com adrenalina e o teste Exato de Fisher não mostrou diferença entre os grupos. Concluímos que não houve diferença em relação ao comportamento de pressão arterial, freqüência cardíaca, evidência de isquemia e arritmias entre os grupos. O uso associado de vasoconstritor mostrou-se, portanto, seguro dentro dos limites do estudo.We enrolled 62 patients with positive exercise stress test who presented with stable angina and were receiving drug therapy. All had a coronary angiography screening showing >70% obstruction in at least one of the main coronary arteries. The study aimed to compare electrocardiographic and blood pressure parameters during restorative dentistry procedure under local anesthesia, both with and without vasoconstrictor, in the presence of coronary artery disease. Ages ranged from 39 to 80, (mean ± SD) 58.7±8.8 years, 51 (82.3%) of them were male. Thirty patients were randomly assigned to receive 2% lidocaine local anesthesia with 1:100,000 epinephrine, the others receiving 2% lidocaine without vasoconstrictor. All the patients underwent ambulatory blood pressure and 24-hour Holter monitoring, beginning two hours ahead of the dental procedure. Recording were made during (1) baseline - 60-minute period before dental procedure began; (2) procedure - from beginning of anesthesia until the end of the procedure; and (3) subsequent 24-hour period. Analysis of variance with repeat measures showed significant diastolic and systolic blood pressure increases from baseline to the period of the procedure, in the two study groups (approximately 14 mm Hg, and 5 to 7 mm Hg, respectively); both in a separate analysis and in a comparative analysis no significant difference between them could be confirmed. Heart rate did not change in neither of the two groups. ST-segment >1 mm depression was detected in 10 (17.9%) patients; all these events occurred at least two hours after the end of the dentistry procedure. Premature supraventricular systoles and/or premature ventricular systoles in a greater number than 10/hour were seen in 17 (30.4%) patients in the 24-hours period after the procedure; during the procedure they occurred in 7 (12.5%) patients, of whom 4 (13.8%) were in the group without, and 3 (11.1%) in the group with vasoconstrictor. The Fisher\'s exact test revealed no difference between the groups. We concluded that there was no difference of blood pressure, heart rate, evidence of ischemia or arrhythmia episodes between the groups. Thus, the associated use of vasoconstrictor proved to be safe within the limits of this study
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McEntire, Mayes Allen. "Anesthetic Efficacy of 4% Articaine with 1:100,000 Epinephrine Compared to 4% Articaine with 1:200,000 Epinephrine as Primary Buccal Infiltrations in Mandibular Posterior Teeth." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1251743747.
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Hofacer, Rylon D. "A Tale of Two Cell Populations: Anesthetic Effects on Immature Dentate Granule Cells and Cortical Interneurons." University of Cincinnati / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491561814934545.
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