RESUMO
A adaptação do comportamento da criança é um tema amplo e muito estudado em Odontopediatria. Esta revisão integrativa da literatura avaliou artigos nacionais publicados de 1980 a 2016, relacionados ao manejo comportamental em Odontopediatria. Foram analisados 87 artigos em bases de dados nacionais como a BVS, PePSIC, SciELO e LILACS. Os resultados demonstraram um número elevado de publicações relacionadas ao manejo comportamental com abordagem não farmacológica (82,75%) e o delineamento observacional transversal foi o mais prevalente, bem como um aumento de publicações, a cada década. Concluiu-se que os artigos que retratam as técnicas de abordagem não farmacológica predominam na literatura nacional, destacando-se o papel da interdisciplinaridade entre a Odontopediatria e a Psicologia, no Brasil. A produção científica ao longo do período avaliado por este estudo vincula fortemente os saberes entre as duas profissões, no intuito de promover a abordagem mais apropriada às demandas clínicas de um paciente infantil.(AU)
Handling is a broad subject and much studied in pediatric dentistry. This integrative literature review evaluated national articles published from 1980 to 2016, related to Behavioral Management in Pediatric Dentistry. Eighty seven articles were analised from national databases such as the BVS, PePSIC, SciELO and LILACS. The results showed a high number of publications related to behavioral management with a non-pharmacological approach (82,75%) and the cross-sectional observational design was the most prevalent, as well as an increase in publications, every decade. It was concluded that the articles that portray the techniques of non-pharmacological approach predominate in the national literature, highlighting the role of interdisciplinarity between Pediatric Dentistry and Psychology, in Brazil. The scientific production during the evaluated period showed a strong relation between the two professions, in order to promote the most appropriate approach to the child patient clinical demands.(AU)
Assuntos
Humanos , Comportamento Infantil , Odontopediatria , Manobra Psicológica , Pacientes , OdontologiaRESUMO
Um dos grandes desafios no tratamento de canais curvos é manter suas características originais. Este estudo teve como objetivo examinar se o tipo de sistema utilizado com os instrumentos rotatórios NRT® poderia infl uenciar a ocorrência de desvio na região apical. Métodos: Vinte canais curvos simulados foram divididos em dois grupos experimentais. No Grupo 1, a preparação dos canais foi realizada com um sistema pneumático, com velocidade constante mas sem controle de torque. No Grupo 2, utilizou-se um motor elétrico com velocidade constante e controle de torque. Os blocos simulados foram fotografados antes e após a preparação utilizando uma plataforma para que a mesma posição fosse mantida nas duas fotografias. As imagens foram manipuladas no software Adobe Photoshop® para avaliar o desvio a 1 mm e a 3 mm do comprimento de trabalho. O teste t foi usado para fazer a análise estatística dos dados. O nível de significância foi estabelecido em 1%. Resultados e conclusão: O Grupo 2 (motor elétrico) mostrou valores menores de desvio nos dois pontos analisados (1 mm e 3 mm do comprimento de trabalho). Em ambos os grupos, as áreas localizadas a 3 mm do comprimento de trabalho apresentaram desvio médio menor do que as áreas localizadas a 1 mm do comprimento de trabalho...
One of the major challenges encountered in treatment of curved canals is maintaining their original features. This study aimed to examine whether the type of system used with NRT® rotary instruments might infl uence the occurrence of deviation in the apical region. Methods: Twenty simulated curved canals were divided into two experimental groups. In Group 1, canal preparation was performed with the pneumatic hand piece, using constant speed, but without torque control. In Group 2, an electric motor with constant speed and torque control was used. The simulated blocks were photographed before and after preparation using a platform to maintain the same position in both photographs. Images were manipulated in Adobe Photoshop® to evaluate deviation at 1 mm and 3 mm from the working length (WL). The t test was used for statistical analysis of data. The significance level was set at 1%. Results and Conclusion: Group 2 (electric motor) had lower values for deviation at both locations analyzed (1 mm and 3 mm from the WL). In both groups, sites 3 mm from the WL had lower mean deviation than sites 1 mm from WL...
Assuntos
Humanos , Instrumentos Odontológicos , Preparo de Canal Radicular , EndodontiaRESUMO
OBJECTIVE: To assess the survival of Atraumatic Restorative Treatment (ART) restorations in primary teeth performed in a dental clinical setting. STUDY DESIGN: One hundred and five single-surface ART restorations placed in 56 preschool children (mean age 31 months) were included. Final-year dental students performed the restorations using standard ART procedures with hand instruments. A resin-modified glass ionomer cement (Vitremer 3M/ESPE) was used as a restorative material. Performances of the restorations were assessed directly by the ART evaluation criteria. Follow-up period ranged from 6 to 48 months. Survival estimates for restoration longevity were evaluated using the Kaplan-Meier method. Log-rank test (P < or = .05) was used to compare the success rates according to demographic and clinical characteristics of the restorations at baseline (age, sex, arch and segment). RESULTS: Mean and median estimate times of survival were 37 (95% CI: 32-42) months and 38 (95% CI: 29-47) months respectively. Success rates for ART restorations were 89%, 85% and 72% in 6 to 11, 12 to 24 and 25 to 48 months of evaluation respectively. Differences in success rates among demographic and clinical characteristics were not statistically significant. CONCLUSION: High survivals rates of the ART restorations found in this study seem to indicate the reliability of this approach as an appropriate treatment option for primary teeth in a clinical setting.
