Evaluación de la ansiedad en individuos sometidos a extracción del tercer molar inferior en un ensayo clínico aleatorizado triple ciego de boca dividida

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i1.25181

Palabras clave:

Ansiedad; Plantas medicinales; Medicamentos fitoterápicos.

Resumen

Para muchas personas, el entorno dental se refiere a una situación de miedo y ansiedad. Para establecer un entorno favorable para los profesionales y los pacientes, el control de la ansiedad es de fundamental importancia. Este ensayo clínico prospectivo, de boca dividida, triple ciego y aleatorizado tuvo como objetivo evaluar la ansiedad en pacientes que se someterían a la extracción del tercer molar inferior con una mínima sedación consciente utilizando extracto fijo de Valerian-Hop y Midazolam. Doce individuos de entre 18 y 25 años, de ambos sexos, con clasificación de riesgo quirúrgico ASA I. Para evaluar la ansiedad se utilizó la Escala de Ansiedad Dental Corah Modificada en tres momentos. Los participantes recibieron, por vía oral, 1 cápsula de Valeriana 500 mg - Lúpulo 120 mg o Midazolam 15 mg por cada lado a operar, 45 minutos antes del inicio del procedimiento quirúrgico. No hubo diferencias en las puntuaciones de ansiedad entre la 1ª y la 2ª cirugías para ambos tratamientos. Se pudo confirmar la efectividad del Midazolam para realizar sedación mínima consciente, ya que los resultados fueron mejores que Valerian-Hop en la variable abordada, sin embargo, se necesitan más estudios sobre los efectos de la asociación Valerian-Hop para el control de ansiedad dental.

Citas

American Dental Association. 1999. American Dental Association Guidelines for the Use of Conscious Sedation, Deep Sedation and General Anesthesia for Dentists. Chicago, IL, ADA.

American Dental Association. 2012. Guidelines for the use of sedation and general anesthesia by dentists, 2007. American Dental Association.

Andrade, E. D. 2014. Terapêutica medicamentosa em odontologia. Artes Médicas Editora.

Armfield, J. M., Heaton, L. J. 2013. Management of fear and anxiety in the dental clinic: a review. Australian Dental Journal. 58(4), 390-407.

Braga, A. D. F. D. A, D’Ottaviano, L. H., Braga, F. S. D. S, Morais, S. S. 2010. Extração de Terceiros Molares Retidos sob Anestesia Local. Avaliação de Ansiedade, Dor, Alterações Hemodinâmicas e Respiratórias. Revista da Faculdade de Odontologia. 51(2), 9-14.

Cogo, K., Bergamaschi, C. C., Yatsuda, R., Volpato, M. C., Andrade, E. D. 2006. Sedação Consciente Com Benzodiazepínicos em Odontologia. Revista de Odontologia da Universidade de São Paulo. 18(2), 181-8.

Dadalti, M. T. S., Cunha, A. J. L., Souza, T. G. D., Silva, B. A., Luiz, R. R., Risso, P. A. 2021. Anxiety about dental treatment - a gender issue. Acta Odontologica Latinoamericana. 34 (1), 195-200.

Dantas, L. P., de Oliveira-Ribeiro, A., de Almeida-Souza, L.M., Groppo, F. C. 2017. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction. Medicina Oral, Patologia Oral, Cirugia Bucal. 22(1), 95-101.

Dao, J., Zhang, J., Song, G., Xin, Q. 2014. Effect of preoperative anxiety level on postoperative pain sensation in patients receiving implant denture for partial edentulism. Nan Fang Yi Ke Da Xue Xue Bao, 34(4), 528-31.

De Morais, H. H., Barbalho, J. C., de Holanda Vasconcellos, R. J., Landim, F. S., da Costa Araujo, F. A., de Souza Dias, T. G. 2015. Comparative study of hemodynamic changes caused by diazepam and midazolam during third molar surgery: a randomized controlled trial. Oral and Maxillofacial Surgery. 19(3), 267-73.

Dereci, O., Saruhan, N., Tekin, G. 2021. The Comparison of Dental Anxiety between Patients Treated with Impacted Third Molar Surgery and Conventional Dental Extraction. Biomed Research International. doi.org/10.1155/2021/7492852.

Dhuvad, J. M., Kshisagar, R. A., Dhuvad, M. M. 2014. Comparative evaluation of vital parameters during third molar surgery under local anaesthesia with and without sedative agents. Journal of Clinical and Diagnostic Research. 8(12), 57-60.

Donaldson, M., Gizzarelli, G., Chanpong, B. 2007. Oral sedation: a primer on anxiolysis for the adult patient. Anesthesia Progress. 54(3),118-28.

Either, S., Wichmann, M., Paulsen, A., Holst, S. 2006. Dental anxiety – an epidemiological study on its clinical correlation and effects on oral health. Journal of Oral Rehabilitation. 22(8), 588-593.

El Hajj, H. K., Fares, Y., Abou-Abbas, L. 2021. Assessment of dental anxiety and dental phobia among adults in Lebanon. BMC Oral Health. 21(1), 48.

Farah ,G. J. 2010. Como controlar a ansiedade do paciente frente a procedimentos odontológicos? Revista Dental Press de Periodontia e Implantologia. 4(2), 33-8.

Farah, G. J., Ferreira, G. Z., Danieletto-Zanna, C. F., Luppi, C. R. 2019. Assessment of Valeriana officinalis l. (Valerian) for Conscious Sedation of Patients During the Extraction of Impacted Mandibular Third Molars: A Randomized, Split-Mouth, Double-Blind, Crossover Study. Journal of Oral and Maxillofacial Surgery. 77(9), 1796.e1-1796.

Franco, L., Sánchez, C., Bravo, R., Rodriguez, A., Barriga, C., Cubero, J. C. 2012. The sedative effects of hops (Humulus lupulus), a component of beer, on the activity/rest rhythm. Acta Physiologica Hungarica. 99(2), 133-39.

Guzeldemir, E., Toygar, H. U., Cilasun, U. 2008. Pain perception and anxiety during scaling in periodontally healthy subjects. Journal of Periodontology. 79(12), 2247-55.

Humphris, G. M., Morrison, T., Lindsay, S. J. E. 1995. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Community Dental Health. 12, 143-50.

Ilguy, D., Ilguy, M., Dincer, S., Bayirli, G. 2005. Reliability and validity of the modified dental anxiety scale in turkish patients. Journal of International Medical Research. 33, 252–59.

Joshi, S., Ansari, A. S. A., Mazumdar, S., Ansari, S. 2016. A comparative study to assess the effect of oral alprazolam as premedication on vital parameters of patients during surgical removal of impacted mandibular third molars. Contemporary Clinical Dentistry. 7(4), 464-68.

Kinrys, G., Coleman, E., Rothstein, E. 2009. Natural remedies for anxiety disorders: potential use and clinical applications. Depression and Anxiety. 26, 259-65.

Labaste, F., Ferré , F., Combelles, H., Rey, V., Foissac, J. C., Senechal, A., Conil, J. M., Minville, V. 2019. Validation of a visual analogue scale for the evaluation of the postoperative anxiety: A prospective observational study. Nursing Open. 6(4), 1323-30.

Lago-Mendez, L., Diniz-freitas, M., Senra-Rivera, C., Seoane-Pesqueira, G., Gandara-Rey, J. M., Garcia, A. 2006. Dental anxiety before removal of a third molar and association with general trait anxiety. Journal of Oral and Maxillofacial Surgery. 64(9), 1404-8.

López-Jornet, P., Camacho-Alonso, F., Sanchez-Siles, M. 2014. Assessment of general pre and postoperative anxiety in patients undergoing tooth extraction: a prospective study. British Journal of Oral and Maxillofacial Surgery. 52(1), 18-23.

Ong, C. K. S., Lirk, P., Seymour, R. A., Jenkins, B. J. 2005. The efficacy of preemptive analgesia for acute postoperative pain management: a meta-analysis. Anesthesia & Analgesia. 100(3), 757-73.

Paiva-Oliveira, J. G. 2017. Ensaio clínico randomizado: analgesia preemptiva na associação ibuprofeno e dexametasona sob sedação consciente mínima e avaliação da ansiedade e sinais vitais em exodontias de terceiros molares inferiores [teses]. Campo Grande: Universidade Federal de Mato Grosso do Sul.

Pereira-Santos, D., Brêda-Júnior, M. A., Ferraz, E. P., Crippa, G. E., de Oliveira, F. S., da Rocha-Barros, V. M. 2013. Study comparing midazolam and nitrous oxide in dental anxiety control. The Journal of Craniofacial Surgery. 24(5), 1636-9.

Pinheiro, M. L. S., Alcântara, C. E. P., Moraes, M., Andrade, E. D. 2014. Valeriana officinalis L. for conscious sedation of patients submitted to impacted lower third molar surgery: A randomized, double-blind, placebo-controlled split-mouth study. Journal of Pharmacy and Bioallied Sciences. 6(2), 109-14.

Possobon, R. D. F., Camillo, C. K., Alves de Moraes, A. B., Costa, J. R. 2007. O tratamento odontológico como gerador de ansiedade. Psicologia em Estudo, 12(3), 609-16.

Sanikop, S., Agrawal. P. Patil, S. 2011. Relationship between dental anxiety and pain perception during scaling. Journal of Oral Science. 53(3), 341-8.

Sancak, K. T., Akal, U. K. 2019. Efeito da informação verbal e escrita e da experiência cirúrgica anterior na ansiedade durante a extração do terceiro molar. Journal of Oral and Maxillofacial Surgery. 77 (9), 1769.e11769.

Sghaireen, M. G., Zwiri, A. M., Alzoubi, I. A., Qodceih, S. M., Al-Omiri, M. K. 2013. Anxiety due to Dental Treatment and Procedures among University Students and Its Correlation with Their Gender and Field of Study. International Journal of Dentistry. 647436.

Sirin, Y., Yildrimturk, S., Ay, N. 2020. Do state-trait anxiety and previous unpleasant dental experiences predict the need for sedation in women having third molar surgery? Bristish Journal of Oral and Maxillofacial Surgery. 58, 530-34.

Van Wijk, A. J., Hoogstraten, J. 2005. Experience with dental pain and fear of dental pain. Journal of Dental Research. 84, 947-50.

Publicado

11/01/2022

Cómo citar

OLIVEIRA, R. L. de .; BASTOS, P. R. H. de O. .; OLIVEIRA, J. G. P. .; GAETTI-JARDIM, E. C. .; ARAUJO, N. H. M. de .; NASCIMENTO, P. P. do .; FIGUEIREDO, F. T. .; PELISSARO, G. S. .; GOES, V. G. .; GRANDE, C. S. F. . Evaluación de la ansiedad en individuos sometidos a extracción del tercer molar inferior en un ensayo clínico aleatorizado triple ciego de boca dividida. Research, Society and Development, [S. l.], v. 11, n. 1, p. e43111125181, 2022. DOI: 10.33448/rsd-v11i1.25181. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25181. Acesso em: 1 jul. 2024.

Número

Sección

Ciencias de la salud