Terapia de fotobiomodulação no tratamentode lesões no nervo alveolar inferior / Photobiomodulation therapy in the treatment of inferior alveolar nerve injuries

Objetivo: Realizar uma revisão integrativa da literatura acerca da eficácia da terapia de fotobiomodulação na amenização dos distúrbios neurossensoriais e da dor em pacientes com lesões no nervo alveolar inferior. Materiais e métodos: Para a pesquisa dos artigos foram utilizadas as bases de dados MEDLINE, LILACS, BBO, IBECS e SciELO com descritores em inglês combinados com os operadores booleanos. A busca limitou-se a artigos nos idiomas inglês, português ou espanhol, publicados nos últimos 10 anos, do tipo ensaios clínicos. Revisão de literatura: Nove artigos preencheram os critérios de inclusão, sendo oito ensaios clínicos randomizados e um ensaio clínico não randomiza-do. Os melhores resultados foram observados em testes de sensibilidade geral utilizando a Escala Visual Analógica. Os estudos atestaram melhora da condição independentemen-te do tempo pós-operatório, contudo, o início antecipado da terapia trouxe maiores benefícios. Ademais, embora a maioria dos artigos tenha apontado eficácia do tratamento, notou-se grande variabilidade nos protocolos de terapia a laser. Conclusão: O emprego da terapia de fotobiomodulação é eficaz no tratamento de injúrias iatrogênicas no nervo alveolar inferior. Entretanto, mais estudos são necessários a fim de estabelecer um protocolo para o uso do laser.

Objective: Conduct an integrative review of literature on the efficacy of photobiomodulation therapy in the aestheization of sensorineural disorders and pain in patients with lesions in the inferior alveolar nerve. Materials and methods: Medline, LILACS, BBO, IBECS and SciELO databases were used to search the articles with English descriptors combined with the boolean operators. The search was limited to articles in English, Portuguese or Spanish, published in the last 10 years, of the type clinical trials. Literature review: Nine articles met the inclusion criteria, eight randomized clinical trials and one non-randomized clinical trial. The best results were observed in general sensitivity tests using the Visual Analog Scale. Studies attested to an impro-vement in the condition regardless of postoperative time, however, early initiation of therapy brought greater benefits. Furthermore, although most articles have pointed out treatment efficacy, there was great variability in laser therapy protocols. Conclusion: The use of photobiomodulation therapy is effective in the treatment of iatrogenic injuries to the inferior alveolar nerve. However, more studies are needed in order to establish a protocol for the use of laser.

Children's Anxiety during Dental Treatment with Minimally Invasive Approaches: Findings of an Analytical Cross-sectional Study

Objective: To assess children's anxiety before, during and after dental treatment with minimally invasive approaches: Atraumatic Restorative Treatment (ART) and Silver diamine fluoride (SDF) application. Material and Methods: This analytical crosssectional study, in which 1306 children were initially examined, and from these, those that had at least one deciduous molar with dentin caries (score 5 ICDAS) were selected, being indicated to ART and SDF treatments. The final sample consisted of 94 children, 46 girls and 48 boys, aged between 6 and 8 years old. Each child received an ART or SDF procedure, and in all interventions, operators and treatments were randomized. Dental anxiety was assessed by facial image scale (FIS) before, during and after minimally invasive approaches. Results: Dental anxiety prevalence was of 34% before the minimally invasive approaches. Children showed a higher anxiety level during interventions (ART and SDF). And, after the service was finished, there was an increase in children with high anxiety, which ranged from 3.1% (before treatment) to 9.6% (after treatment). However, there was no statistically significant difference in the anxiety related to the types of treatment and conformation of the cavities (class I and II). Conclusion: Both child groups had higher anxiety levels during treatments, both in ART and SDF approaches.

Ansiedade relacionada ao tratamento odontológico em pacientes infantis: uma revisão da literatura / Prevalence of dental anxiety in pediatric patients: a review of the literature

OBJETIVO: Determinar a prevalência de ansiedade relacionada ao tratamento odontológico em pacientes infantis. MÉTODOS: Revisão da literatura, realizada através da busca ativa de informações na Biblioteca Virtual em Saúde (www.bireme.br) nas bases de dados MEDLINE e LILACS, totalizando a produção bibliográfica de um período de 10 anos (2004-2013). Foram adotados os seguintes descritores: "Ansiedade ao tratamento odontológico" e "Prevalência", de forma integrada. E foram utilizados os seguintes filtros: como limite, crianças e pré-escolares; publicados nos idiomas inglês, espanhol ou em português; e do tipo artigo científico. A seleção dos artigos, através da análise dos resumos, teve como critérios de inclusão: assunto principal relacionado a ansiedade odontológica indicando sua prevalência, população com idade de até 14 anos de idade (crianças) e amostra representativa da população escolar ou da população em geral. O processo de análise para avaliação e seleção dos artigos foi realizado por dois pesquisadores, de forma independente, com posterior confronto dos resultados para obtenção dos textos selecionados por consenso. Em casos de divergência ou dúvidas quanto à inclusão do trabalho, houve a participação de um terceiro pesquisador avaliador. RESULTADOS: O total de referências obtidos através dessa busca foi de 353, que após o uso dos filtros, resultou em 57 artigos. Sendo que destes, 11 foram selecionados para esse estudo. A ansiedade odontológica variou de 6,1% a 74,1% em diferentes países. CONCLUSÃO: Observou-se uma elevada variação na prevalência de ansiedade odontológica nos estudos investigados, com percentuais significativos nas populações estudadas

OBJECTIVE: To determine the prevalence of dental anxiety treatment in pediatric patients. METHODS: Review of the literature performed by actively seeking information on the Virtual Health Library www.bireme.br) in MEDLINE and LILACS databases, totaling a bibliographic production to a period of 10 years (2004-2013). The following parameters were adopted: "Dental anxiety" and "Prevalence", in an integrated manner. And the following flters were used: as limit, children and preschoolers; published in English, Spanish or Portuguese languages; and scientifc article type. A selection of articles, by reviewing the abstracts, had the following inclusion criteria: primary issue related to dental anxiety indicating its prevalence, population aged less than 14 years (children) and representative sample of the school population or the general population. The review process for evaluation and selection of articles was conducted by two researcher, independently, with subsequent comparison of the results to obtain the texts selected by consensus. In cases of disagreement or doubt as to the work inclusion, there was the participation of a third appraiser researcher. RESULTS: The total number of references obtained through that search was 353, which after using flters, resulted in 57 articles. And of these, 11 were selected for this study. Dental anxiety ranged from 6.1% to 74.1% in different countries. CONCLUSION: There was a high variation in the prevalence of dental anxiety in studies investigated, with signifcant percentages in the populations studied