SEDAÇÃO EM ODONTOPEDIATRIA: PERCEPÇÕES DE ACOMPANHANTES E EQUIPE PROFISSIONAL
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Data
2008-10-16
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Universidade Federal de Goiás
Resumo
The management of a child s behavior in a dental setting is routinely accomplished
by a good communicative technique known as basic methods. Advanced me thods
(protective stabilization, sedation, and general anesthesia) have been indicated for
resistant children. When the basics methods are not enough to provide a safe and
effective treatment, Brazilian dentists seem to prefer the protective stabilization to
restrain a child. After the establishment of rules for nitrous oxide sedation in Brazil, a
change in practice can be expected. In minimal and moderate sedation, patient can
respond to every dental treatment s stimulus with cry and struggle. The purpose of
this study was to known the perceptions of sedation by accompanying adults and a
sedation team. This was a qualitative research, based on three in-depth interviews
with two groups of accompanying adults groups and one group of a dental sedation
team. Interviews were transcribed verbatim and independently analyzed by three
investigators through the thematic content method. The first analysis explored the
ACCOMPANYING ADULTS SATISFACTION; two categories emerged: the good
side (conscious, safety, satisfaction, behavior management) and the bad side
(suffering, adverse effects) of pediatric dental sedation. The second analysis
regarding the MEANINGS OF SEDATIONFOR ACCOMPANYING ADULTS
generated FOUR categories: Protective stabilization (to bind, to protect on
sedation), sedation (positive and negative side) , general anesthesia (positive point
of a view) and mothers feelings (aversion peace, fair, security, motivation). Three
categories emerged from the third interview about DENTAL TEAM PERCEPTIONS:
knowledge (technique, indication, aim, amnesia, unexpected), disappointment
(hopes, disappointment, depreciation), and difficulties (expense, accompanying
adults and care team s opposition, tendency to be better). Accompanying adults did
not accept physical restraint, but were satisfied with dental sedation despite its
limitations and saw general anesthesia as an alternative method. The dental sedation
team was aware of the sedation s advantages and flaws, but was pessimist about the
method
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LIMA, Alessandra Rodrigues de Almeida. Pediatric dental sedation: perceptions of children s accompanying adults and a sedation team. 2008. 83 f. Tese (Doutorado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2008.