ABSTRACT
BACKGROUND: At present, there are limited studies on how tooth whitening procedures are applied in orthodontic patients. Therefore, the objective of this study was to assess the perception of tooth whitening practices during and after orthodontic treatment. MATERIAL AND METHODS: A survey of orthodontists in Medellín (Colombia) between January and October 2020 was carried out. The survey instrument was developed to obtain information regarding the perception and practices of tooth whitening during and after orthodontic treatment. RESULTS: 133 orthodontists with a mean age of 41,6 years old participated in the survey. Over 60% of participants reported >6 years of experience as orthodontist. The majority (99,2%) reported that their patients request tooth whitening. Of these, 71,2% refer the patient to another dental professional for the procedure while 28,8% administers it. More than half of orthodontists reported that their patients request dental whitening during orthodontic treatment. The majority (>90%) of orthodontists do not recommend tooth whitening during orthodontic treatment. Furthermore, >80% consider that tooth whitening is best recommended after brackets have been removed. CONCLUSIONS: Requests for tooth whitening from orthodontic patients is very frequent and most orthodontists favor the referral to another dental professional for the procedure. The majority do not recommend tooth whitening during orthodontic treatment and prefer waiting 1 to 3 months after brackets removal for the procedure. Key words:Tooth whitening, orthodontic treatment, brackets.
ABSTRACT
ABSTRACT Introduction: dental surgical procedures trigger an inflammatory response, for which dental practitioners prescribe analgesic and anti-inflammatory medications using pharmacological guidelines that require knowledge on the use of medicines in a given environment. The aim of the present study was to identify the analgesics and anti-inflammatory drugs most commonly prescribed at the oral surgery service of the Universidad de Antioquia School of Dentistry. Methods: this retrospective descriptive study reviewed the clinical records of the oral surgery service in the period January 2013-August 2015. A total of 1,177 records were reviewed, and 709 were selected for analysis. Results: 53.1% of the drugs prescribed were non-selective Nonsteroidal Anti-Inflammatory Drugs (NSAIDs). Ibuprofen was formulated in 26.7% of all cases, followed by nimesulide with 24.1% and the combination of acetaminophen plus meloxicam with 10.2%. This same prescription pattern was observed in patients reporting no additional relevant medical history. In the case of gastric history, nimesulide was the drug of choice. 84% of all procedures were surgical extractions of third molars, with ibuprofen 600 mg postoperative for three days as the main therapeutic scheme. Conclusion: ibuprofen, nimesulide, and the combination acetaminophen plus meloxicam were the main analgesics and anti-inflammatory drugs prescribed in this study, according to medical and surgical records.
RESUMEN Introducción: la realización de procedimientos quirúrgicos odontológicos desencadena una respuesta inflamatoria, por la cual el profesional prescribe medicamentos analgésicos y antiinflamatorios teniendo como apoyo guías farmacológicas cuya construcción requiere del conocimiento del uso de los medicamentos en un determinado entorno. El objetivo del presente estudio consistió en identificar los analgésicos y antiinflamatorios más prescritos en el servicio de cirugía bucal de la Facultad de Odontología de la Universidad de Antioquia. Métodos: estudio descriptivo retrospectivo en el que se revisaron las historias clínicas del servicio de cirugía bucal en el período comprendido entre enero del 2013 y agosto del 2015. De una revisión de 1.177 registros se incluyeron 709 para el análisis de la información. Resultados: el 53,1% de los medicamentos prescritos fueron AINEs no selectivos, el ibuprofeno fue formulado en el 26,7% de los casos, seguido de la nimesulida (24,1%) y la combinación acetaminofén más meloxicam (10,2%). Este mismo patrón de prescripción se apreció cuando el paciente manifestó no tener ningún antecedente médico de relevancia; en el caso de referir antecedentes gástricos, la nimesulida fue el fármaco de elección. El 84% del total de procedimientos fue la exodoncia quirúrgica de terceros molares, en el cual el ibuprofeno de 600 mg posoperatorio durante tres días fue el principal esquema terapéutico. Conclusión: el ibuprofeno, la nimesulida y la combinación acetaminofén más meloxicam fueron los principales analgésicos y antiinflamatorios prescritos en este estudio según los antecedentes médicos y el procedimiento quirúrgico.
