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1.
Int J Clin Exp Hypn ; 68(3): 371-383, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32543265

RESUMO

Despite a number of studies on hypnosis as analgesia and anesthesia in several medical conditions, case studies on patients with multiple chemical sensitivity (MCS) are still relatively few. This case study is about a female patient with MCS who underwent dental removal using hypnosis as the sole anesthesia. The paradigm in which we work is psychosocial genomics of clinical hypnosis. We used the mind-body transformations therapy, one of the clinical methods of the psychosocial genomics paradigm. In order to induce not only effective analgesia and anesthesia but also a condition of well-being, problem-solving, effective coping and self-empowerment in our patient, 3 different hypnotic protocols were used in a multidimensional approach. Although further research is needed, our work might open up new scenarios for the application of hypnosis as sole anesthesia in conditions such as MCS.


Assuntos
Hipnose em Odontologia , Sensibilidade Química Múltipla/complicações , Extração Dentária , Adulto , Feminino , Humanos , Hipnose/métodos , Hipnose em Odontologia/métodos , Extração Dentária/métodos , Extração Dentária/psicologia
2.
Int J Clin Exp Hypn ; 67(4): 449-474, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31526269

RESUMO

Studies of brain-plasticity changes in hypnosis using functional magnetic resonance imaging (fMRI), positron-emission-tomography (PET) and electroencephalography (EEG) were reviewed. The authors found evidence in those studies that hypnosis is a powerful and successful method for inhibiting the reaction of the fear circuitry structures. Limitations of the studies were critically discussed, and implications for future research were made. The authors are currently using a portable fNIRS apparatus to integrate the scanning device into real life situations in medical practice. Their aim is to disentangle the neuronal mechanisms and physiological correlates in patients with severe fear of medical treatments when directly confronted with anxiety-provoking stimuli and to assess the effects of a brief hypnosis. Drawing on evidence from several technological modalities, neuroimaging and physiological studies pave the road to a better scientific understanding of neural mechanisms of hypnosis.


Assuntos
Encéfalo/fisiologia , Hipnose , Transtornos Fóbicos/terapia , Encéfalo/diagnóstico por imagem , Ansiedade ao Tratamento Odontológico/terapia , Eletroencefalografia , Neuroimagem Funcional , Humanos , Hipnose em Odontologia , Imageamento por Ressonância Magnética , Transtornos Fóbicos/fisiopatologia , Tomografia por Emissão de Pósitrons
3.
Rev. Cient. CRO-RJ (Online) ; 4(1): 16-20, Jan.-Apr. 2019.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1024151

RESUMO

Introduction: Hypnosis is a technique that involves inducing a special state of consciousness in which the conscious mind relaxes while the unconscious mind manifests itself by working the imagination. Objective : To perform a literature review to evaluate the different techniques used to induce hypnosis and the need for its use in dental care, as well as, its results. Sources of data: A bibliographic search was performed in the Google Academic and PubMed databases to identify studies for review. There was no restriction on language or year. Inclusion criteria were studies that addressed the topic of interest. Synthesis of data : Hypnosis aims to improve care by controlling patients' anxiety, fear and phobias. However, its use is little known by patients and professionals in the context of dental treatment. There are two techniques of hypnosis, namely essential hypnosis and hypnosis by object fixation. The main indications are the need to control the patient's fear and anxiety during dental treatment and to prepare the patients before performing surgical procedures. It can be used in association with local anesthetics, but this combination is not essential. Conclusion : Hypnosis can be effective at controlling patients' feelings related to dental care, being the hypnosis by object fixation the most used technique with this purpose. It is considered easy, quick, painless, with low costs and accessible to any dentist who has completed specific training in this field.


Introdução: A hipnose é uma técnica que envolve a indução de um estado especial de consciência em que a mente consciente relaxa enquanto a mente inconsciente se manifesta trabalhando a imaginação. Objetivo : Realizar uma revisão de literatura para avaliar as diferentes técnicas utilizadas para induzir a hipnose e a necessidade de seu uso no atendimento odontológico, bem como, seus resultados. Fontes de dados : Uma pesquisa bibliográfica foi realizada nas bases de dados Google Acadêmico e PubMed para identificar estudos para revisão. Não houve restrição de idioma ou ano. Os critérios de inclusão foram os estudos que abordaram o tema de interesse. Síntese dos dados: A hipnose visa melhorar o atendimento, controlando a ansiedade, o medo e as fobias dos pacientes. Entretanto, seu uso é pouco conhecido pelos pacientes e profissionais no contexto do tratamento odontológico. Existem duas técnicas de hipnose, a saber, hipnose essencial e hipnose por fixação objetal. As principais indicações são a necessidade de controlar o medo e a ansiedade do paciente durante o tratamento odontológico e preparar os pacientes antes de realizar procedimentos cirúrgicos. Pode ser usado em associação com anestésicos locais, mas essa combinação não é essencial. Conclusão : A hipnose pode ser eficaz no controle dos sentimentos dos pacientes relacionados ao atendimento odontológico, sendo a hipnose pela fixação do objeto a técnica mais utilizada para esse fim. É considerado fácil, rápido, indolor, com baixos custos e acessível a qualquer dentista que tenha completado o treinamento específico neste campo.


Assuntos
Hipnose em Odontologia , Assistência Odontológica , Ansiedade ao Tratamento Odontológico
4.
J Biol Regul Homeost Agents ; 32(2 Suppl. 1): 67-71, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29460520

RESUMO

Anxiety and worry are important components that affect the patient’s behaviour during dental sessions and influence the effectiveness of dental treatment. Psychological approach and hypnotic approach (HA) have in recent years assumed increasing prominence as effective treatment regimes. Dentists have used a number of methods in the management of dental phobic disorders through HA. However the efficacy of HA in controlling anxiety and worry is controversial. The aim of the present study is to describe the response of patient to HA during dental treatment. The study of the population consisted of 42 patients, these being 50% random sample of consecutive patients presenting to a private practise over an 8-year period. In 38 patients HA was induced. 4 patients were not susceptible to HA. There were 20 women (52.6%) and 18 men (47.3%) with a mean age of 47.2 years (range 30-69 years). At the end of dental sessions with HA all the patients were asked to answer the following questions: 1) Have you been hypnotized in the past? 2) Were you aware of dental applications of HA? 3) How do you evaluate the use of this technique in the field of dental care? 4) Do you think that you can use this procedure in the future too? The answers were as follows: question 1: 34 patients answered yes, 4 no; question 2: 34 answered yes, 4 no; question 3: the choice was between “very useful”, “useful”, “Indifferent”, “to avoid”. Twenty-nine patients indicated “very useful”, and 9 “useful”; question 4: the choice was between yes and no. All patients answered yes. This study adds further support to a growing body of evidence relating HA to a better compliance to dental treatment. The dental situation in particular lends itself to carefully controlled investigation providing further evidence to support a robust theory.


Assuntos
Assistência Odontológica/métodos , Assistência Odontológica/psicologia , Hipnose em Odontologia , Adulto , Idoso , Ansiedade/prevenção & controle , Ansiedade/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Resultado do Tratamento
5.
Int J Clin Exp Hypn ; 64(4): 391-403, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27585724

RESUMO

This prospective randomized clinical crossover trial was designed to compare hypnosis and local anesthesia for experimental dental pain relief. Pain thresholds of the dental pulp were determined. A targeted standardized pain stimulus was applied and rated on the Visual Analogue Scale (0-10). The pain threshold was lower under hypnosis (58.3 ± 17.3, p < .001), maximal (80.0) under local anesthesia. The pain stimulus was scored higher under hypnosis (3.9 ± 3.8) than with local anesthesia (0.0, p < .001). Local anesthesia was superior to hypnosis and is a safe and effective method for pain relief in dentistry. Hypnosis seems to produce similar effects observed under sedation. It can be used in addition to local anesthesia and in individual cases as an alternative for pain control in dentistry.


Assuntos
Anestesia Local/métodos , Hipnose em Odontologia/métodos , Manejo da Dor/métodos , Adulto , Estudos Cross-Over , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos , Adulto Jovem
6.
Int J Clin Exp Hypn ; 64(2): 187-99, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26894422

RESUMO

This randomized, controlled clinical trial evaluates the effectiveness of self-hypnosis on pain perception. Pain thresholds were measured, and a targeted, standardized pain stimulus was created by electrical stimulation of the dental pulp of an upper anterior tooth. Pain stimulus was rated by a visual analogue scale (VAS). The pain threshold under self-hypnosis was higher (57.1 ± 17.1) than without hypnotic intervention (39.5 ± 11.8) (p < .001). Pain was rated lower on the VAS with self-hypnosis (4.0 ± 3.8) than in the basal condition without self-hypnosis (7.1 ± 2.7) (p < .001). Self-hypnosis can be used in clinical practice as an adjunct to the gold standard of local anesthesia for pain management, as well as an alternative in individual cases.


Assuntos
Assistência Odontológica/efeitos adversos , Hipnose em Odontologia/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Medição da Dor , Limiar da Dor , Adulto Jovem
7.
J Oral Facial Pain Headache ; 29(2): 115-25, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25905529

RESUMO

AIMS: To conduct a systematic review and meta-analysis to evaluate the effectiveness of hypnosis/relaxation therapy compared to no/minimal treatment in patients with temporomandibular disorders (TMD). METHODS: Studies reviewed included randomized controlled trials (RCTs) where investigators randomized patients with TMD or an equivalent condition to an intervention arm receiving hypnosis, relaxation training, or hyporelaxation therapy, and a control group receiving no/minimal treatment. The systematic search was conducted without language restrictions, in Medline, EMBASE, CENTRAL, and PsycINFO, from inception to June 30, 2014. Studies were pooled using weighted mean differences and pooled risk ratios (RRs) for continuous outcomes and dichotomous outcomes, respectively, and their associated 95% confidence intervals (CI). RESULTS: Of 3,098 identified citations, 3 studies including 159 patients proved eligible, although none of these described their method of randomization. The results suggested limited or no benefit of hypnosis/relaxation therapy on pain (risk difference in important pain -0.06; 95% CI: -0.18 to 0.05; P = .28), or on pressure pain thresholds on the skin surface over the temporomandibular joint (TMJ) and masticatory muscles. Low-quality evidence suggested some benefit of hypnosis/relaxation therapy on maximal pain (mean difference on 100-mm scale = -28.33; 95% CI: -44.67 to -11.99; P =.007) and active maximal mouth opening (mean difference on 100-mm scale = -2.63 mm; 95% CI: -3.30 mm to -1.96 mm; P < .001) compared to no/minimal treatment. CONCLUSION: Three RCTs were eligible for the systematic review, but they were with high risk of bias and provided low-quality evidence, suggesting that hypnosis/relaxation therapy may have a beneficial effect on maximal pain and active maximal mouth opening but not on pain and pressure pain threshold. Larger RCTs with low risk of bias are required to confirm or refute these findings and to inform other important patient outcomes.


Assuntos
Hipnose em Odontologia/métodos , Terapia de Relaxamento , Transtornos da Articulação Temporomandibular/terapia , Humanos , Limiar da Dor/fisiologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Amplitude de Movimento Articular/fisiologia , Resultado do Tratamento
8.
Orthod Fr ; 85(3): 287-97, 2014 Sep.
Artigo em Francês | MEDLINE | ID: mdl-25158751

RESUMO

Hypnosis is making a comeback in all of the medical disciplines. But in a world where everyone wants to control everything and manage everything, it's helpful to know that hypnosis is a dynamic process that cannot be forced on anyone, a psychic reality, clearly demonstrated today by brain imaging. Hypnosis does not take any power over the individual. It is just one more tool to help ease patient's discomfort. It is also useful to avoid professional burnout to provide care without depleting our energy and without wasting our valuable time. Medical hypnosis is a real asset for providing comfortable orthodontic treatment and creating a serene atmosphere. It can be done simply and rapidly to take high quality impressions, to place braces comfortably on a patient who is sitting quietly. Orthodontic treatment requires cooperation and motivation, so let's give our patients a new sense of confidence and a willingness to cooperate.


Assuntos
Hipnose em Odontologia , Ortodontia Corretiva , Transtornos da Articulação/prevenção & controle , Bruxismo/prevenção & controle , Comunicação , Comportamento Cooperativo , Ansiedade ao Tratamento Odontológico/prevenção & controle , Colagem Dentária/métodos , Técnica de Moldagem Odontológica , Relações Dentista-Paciente , Glossalgia/prevenção & controle , Humanos , Idioma , Motivação , Higiene Bucal , Aparelhos Ortodônticos , Dor/prevenção & controle , Autoimagem , Pensamento
9.
Dent Update ; 41(1): 78-80, 83, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24640482

RESUMO

UNLABELLED: Dental anxiety can be a hindrance to treatment. It is prevalent, so helping patients to overcome it should not be regarded as the province of a specialist. Hypnosis can be effective but is underused. A comparison of the conscious, alert state and hypnosis/nitrous oxide sedation is shown by electroencephalogram examples. The benefits and drawbacks of the use of hypnosis are discussed and suggestions of ways of learning and using hypnosis outlined. CLINICAL RELEVANCE: This paper is an overview of the common problem of dental anxiety and a pragmatic approach to overcoming it using hypnotherapy.


Assuntos
Ansiedade ao Tratamento Odontológico/prevenção & controle , Hipnose em Odontologia/métodos , Ritmo alfa/fisiologia , Ansiedade ao Tratamento Odontológico/psicologia , Relações Dentista-Paciente , Humanos , Hipnose em Odontologia/psicologia , Imagens, Psicoterapia/métodos
10.
Int J Clin Exp Hypn ; 62(2): 179-87, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24568324

RESUMO

Dental phobia is a well-known condition that may prevent patients from receiving adequate dental care. Dentists offer varied methods to help their patients overcome their phobic reactions and to enable them to proceed with needed dental treatment. These methods include diverse medical and behavioral interventions that are generally intended to regulate physiological, behavioral, cognitive, and emotional expressions of stress. Some patients with severe dental phobia together with actual or assumed traumatic background are only minimally responsive to these stress management procedures. The authors propose hypnotically induced dissociative strategies as a model of intervention for this category of dental phobic patients. The proposed model can help reduce or even suspend symptomatic behavior during dental treatment.


Assuntos
Ansiedade ao Tratamento Odontológico/psicologia , Ansiedade ao Tratamento Odontológico/terapia , Transtornos Dissociativos , Hipnose em Odontologia/métodos , Adulto , Nível de Alerta , Cárie Dentária/psicologia , Cárie Dentária/terapia , Feminino , Humanos , Tratamento do Canal Radicular/psicologia , Sugestão
11.
J Hist Behav Sci ; 49(3): 235-58, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23720167

RESUMO

Discussions regarding the use of hypnotism in dentistry featured prominently in dental journals and society proceedings during the decades around the turn of the twentieth century. Many dentists used hypnotic suggestion either as the sole anesthetic for extractions or in conjunction with local and general anesthetics for excavation and cavity filling. With the heralding of humanitarian dentistry and improved local anesthesia around 1905, a number of dentists advocated using suggestion psychology to calm nervous patients and increase their comfort and satisfaction levels while undergoing dental procedures. The practice of hypnotic suggestion with local and general anesthesia in providing patients with increasingly painless procedures constituted the earliest variety of behavioral dentistry, a discipline not fully developed until the closing decades of the twentieth century. Hypnosis and suggestion became driving forces for psychological applications in the formative years of behavioral dentistry.


Assuntos
Odontologia Geral/história , Hipnose em Odontologia/história , Anestesia Dentária/história , Ciência Cristã/história , Relações Dentista-Paciente , História do Século XIX , História do Século XX , Humanos , Satisfação do Paciente
12.
Pediatr Dent ; 35(1): 33-6, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23635894

RESUMO

Most dental practitioners are familiar with pediatric patients expressing dental fear or anxiety. Occasionally, the dentist may encounter a situation where all behavioral techniques fail, while, for some reason, premedication or general anesthesia are contraindicated or rejected by the patient or his/her parents and a different approach is required. Hypnosis may solve the problem in some cases. The purpose of this study was to review the literature about techniques that use elements of hypnosis and hypnotic techniques prior to or during pediatric dental treatment. There is a limited amount of literature regarding the use of hypnosis and hypnotic elements in pediatric dentistry. Induction techniques, reframing, distraction, imagery suggestions, and hypnosis are identified, although mostly anecdotally, while there are very few structured controlled studies. Nevertheless, the advantages of using hypnotic elements and hypnosis in pediatric dentistry are evident.


Assuntos
Ansiedade ao Tratamento Odontológico/prevenção & controle , Assistência Odontológica para Crianças , Hipnose em Odontologia/métodos , Atenção , Criança , Humanos , Imagens, Psicoterapia
13.
SAAD Dig ; 29: 64-9, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23544223

RESUMO

Dental Therapists are in a prime position to be involved with the management of anxious and phobic patients. They earn less than dentists and are therefore a more cost-effective way of providing specialised care for anxious patients. Dental Therapists can spend more time educating and acclimatising these patients, do most if not all of the patient's treatment, only referring back to the dentist for RCT, crown/bridgework/dentures and permanent extractions. Ultimately this means that the patient receives high quality continuity of care. Treating anxious and phobic patients is time-consuming but ultimately very rewarding. If handled correctly and sensitively the anxious and phobic patient will not always be anxious or phobic, in the same way that children won't always be children. Dental Therapists can now extend their duties to include Relative Analgesia. This should enhance their employability and role within the dental team especially in the management of anxious and phobic patients. Employing a therapist with a toolbox of techniques at their disposal can be seen as part of a long-term practice plan to ensure that anxious and phobic patients become rehabilitated, happy, compliant and loyal to the practice! In fact .... the sort of patients every dentist really wants to see.


Assuntos
Ansiedade ao Tratamento Odontológico/prevenção & controle , Auxiliares de Odontologia , Adaptação Psicológica , Atenção , Controle Comportamental , Criança , Comportamento Infantil , Terapia Cognitivo-Comportamental , Continuidade da Assistência ao Paciente , Análise Custo-Benefício , Ansiedade ao Tratamento Odontológico/classificação , Ansiedade ao Tratamento Odontológico/tratamento farmacológico , Assistência Odontológica/economia , Assistência Odontológica/psicologia , Dessensibilização Psicológica , Humanos , Hipnose em Odontologia/métodos , Meridianos , Terapias Mente-Corpo , Programação Neurolinguística , Equipe de Assistência ao Paciente , Educação de Pacientes como Assunto , Papel Profissional , Relações Profissional-Paciente , Reforço Psicológico , Sugestão
15.
Rev. cuba. estomatol ; 50(1): 41-52, ene.-mar. 2013.
Artigo em Espanhol | LILACS, CUMED | ID: lil-674099

RESUMO

Introducción: el envejecimiento poblacional es un fenómeno mundial y la cirugía oral es compleja en los adultos mayores, por lo que la preparación preoperatoria es de vital importancia para una evolución satisfactoria. Este trabajo tiene como objetivo demostrar la eficacia de la hipnosis en pacientes con temor en la cirugía oral del adulto mayor. Métodos: se realizó un estudio descriptivo, transversal, con muestra de 20 pacientes de 60 años o más, atendidos en la consulta de Cirugía Maxilofacial del Hospital Universitario Comandante Manuel Fajardo, en el año 2011, donde se analizaron las variables edad, sexo, número de sesiones de hipnosis, antecedentes patológicos, diagnósticos más frecuentes y temor. Resultados: el mayor número de pacientes se encontró entre 60-69 años de edad, (70 por ciento) y el menor en 70-79, (30 por ciento). El sexo femenino prevaleció con 70 por ciento. El número de sesiones fue en el grupo de 60-69 con 58, con un promedio total de 4 por pacientes. En los antecedentes patológicos más frecuentes fue la hipertensión arterial en 14 (70 por ciento) y le siguió la diabetes tipo II en 2 (10 por ciento). En los diagnósticos más frecuentes fue la caries de cuarto grado con 10 (50 por ciento) seguido por los dientes parodontósicos con 4 (20 por ciento). El temor se midió en una escala confeccionada, en la que los pacientes con cifras de l0, 8 y 7 se redujeron a 4 y 5. Conclusiones: Se demuestra la efectividad de la terapia de hipnosis para disminuir el temor y realizar la cirugía oral en el adulto mayor(AU)


Introduction: population aging is a worldwide phenomenon, and oral surgery is complex in elderly patients. Therefore, preoperative preparation is vital to their satisfactory evolution. The purpose of the present paper is to show the efficacy of hypnosis in elderly patients who fear oral surgery. Methods: a descriptive cross-sectional study was conducted with a sample of 20 patients aged 60 or over, cared for at the maxillofacial surgery service of Comandante Manuel Fajardo University Hospital in the year 2011. The variables analyzed were age, sex, number of hypnotic sessions, disease history, most frequent diagnoses and fear. Results: most patients fell into the 60-69 age group (70 percent). The remaining 30 percent were in the 70-79 age group. Female sex predominated with 70 percent. The highest number of sessions was 58 in the 60-69 age group, with an average of 4 per patient. The most frequent pathological antecedents were hypertension in 14 (70 percent), followed by type II diabetes in 2 (10 percent). The most common diagnoses were fourth degree caries in 10 (50 percent), followed by parodontic teeth in 4 (20 percent). Fear was measured with a dedicated scale on which patient scores of 10, 8 and 7 were reduced to 4 and 5. Conclusions: hypnotic therapy was shown to be effective to relieve fear of oral surgery in elderly persons(AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Cirurgia Bucal/métodos , Dinâmica Populacional , Medo/fisiologia , Hipnose em Odontologia/efeitos adversos , Epidemiologia Descritiva , Estudos Transversais , Técnicas e Procedimentos Diagnósticos/efeitos adversos
16.
Rev. cuba. estomatol ; 50(1): 41-52, ene.-mar. 2013.
Artigo em Espanhol | CUMED | ID: cum-53080

RESUMO

Introducción: el envejecimiento poblacional es un fenómeno mundial y la cirugía oral es compleja en los adultos mayores, por lo que la preparación preoperatoria es de vital importancia para una evolución satisfactoria. Este trabajo tiene como objetivo demostrar la eficacia de la hipnosis en pacientes con temor en la cirugía oral del adulto mayor. Métodos: se realizó un estudio descriptivo, transversal, con muestra de 20 pacientes de 60 años o más, atendidos en la consulta de Cirugía Maxilofacial del Hospital Universitario Comandante Manuel Fajardo, en el año 2011, donde se analizaron las variables edad, sexo, número de sesiones de hipnosis, antecedentes patológicos, diagnósticos más frecuentes y temor. Resultados: el mayor número de pacientes se encontró entre 60-69 años de edad, (70 por ciento) y el menor en 70-79, (30 por ciento). El sexo femenino prevaleció con 70 por ciento. El número de sesiones fue en el grupo de 60-69 con 58, con un promedio total de 4 por pacientes. En los antecedentes patológicos más frecuentes fue la hipertensión arterial en 14 (70 por ciento) y le siguió la diabetes tipo II en 2 (10 por ciento). En los diagnósticos más frecuentes fue la caries de cuarto grado con 10 (50 por ciento) seguido por los dientes parodontósicos con 4 (20 por ciento). El temor se midió en una escala confeccionada, en la que los pacientes con cifras de l0, 8 y 7 se redujeron a 4 y 5. Conclusiones: Se demuestra la efectividad de la terapia de hipnosis para disminuir el temor y realizar la cirugía oral en el adulto mayor(AU)


Introduction: population aging is a worldwide phenomenon, and oral surgery is complex in elderly patients. Therefore, preoperative preparation is vital to their satisfactory evolution. The purpose of the present paper is to show the efficacy of hypnosis in elderly patients who fear oral surgery. Methods: a descriptive cross-sectional study was conducted with a sample of 20 patients aged 60 or over, cared for at the maxillofacial surgery service of Comandante Manuel Fajardo University Hospital in the year 2011. The variables analyzed were age, sex, number of hypnotic sessions, disease history, most frequent diagnoses and fear. Results: most patients fell into the 60-69 age group (70 percent). The remaining 30 percent were in the 70-79 age group. Female sex predominated with 70 percent. The highest number of sessions was 58 in the 60-69 age group, with an average of 4 per patient. The most frequent pathological antecedents were hypertension in 14 (70 percent), followed by type II diabetes in 2 (10 percent). The most common diagnoses were fourth degree caries in 10 (50 percent), followed by parodontic teeth in 4 (20 percent). Fear was measured with a dedicated scale on which patient scores of 10, 8 and 7 were reduced to 4 and 5. Conclusions: hypnotic therapy was shown to be effective to relieve fear of oral surgery in elderly persons(AU)


Assuntos
Hipnose em Odontologia/psicologia , Idoso , Cirurgia Bucal , Medo
17.
Presse Med ; 42(4 Pt 1): e114-24, 2013 Apr.
Artigo em Francês | MEDLINE | ID: mdl-23428663

RESUMO

OBJECTIVE: Hypnosis is widely used in medicine and dentistry, but many practitioners still consider it as a mysterious technique. Thus, a systematic review was conducted to assess the effects of hypnosis during dental treatment. METHODS: A literature search was conducted on PubMed (1981-2012) to retrieve references, written in French or English, reporting controlled clinical studies that have evaluated any type of hypnosis. The quality of included studies was assessed by evaluating randomisation, blindness and drop-outs. The effects of hypnosis on anxiety, physiological parameters, patients' behaviour or pain were analysed descriptively. RESULTS: The electronic search retrieved 556 references. Nine studies, generally characterized by low methodological quality, were selected. Results indicated that hypnosis has significant positive effects on anxiety, pain, behaviour and physiological parameters when it is compared with no treatment. When hypnosis is compared with other psychological treatment such as cognitive behavioral therapy (CBT), the effects on anxiety and behaviour are almost identical with an advantage for CBT. Individualized hypnosis brings more benefits than standardized hypnosis with audio recordings. CONCLUSION: This review demonstrated the effectiveness of hypnosis but the poor quality of the clinical studies and the multiplicity of evaluation outcomes limit the level of evidence. It is therefore necessary to conduct further clinical studies to confirm the effects of hypnosis during dental treatments.


Assuntos
Ansiedade ao Tratamento Odontológico/prevenção & controle , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica/psicologia , Hipnose em Odontologia/métodos , Nível de Alerta , Terapia Cognitivo-Comportamental , Método Duplo-Cego , Humanos , Medição da Dor/psicologia , Cooperação do Paciente/psicologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
19.
Int J Clin Exp Hypn ; 61(1): 71-80, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23153386

RESUMO

The authors devised and validated a questionnaire assessing the various possible motivations for learning and using hypnosis and administered it to 125 Israeli psychologists, physicians, and dentists who study and/or use hypnosis in their clinical work. The results suggest that most professionals were motivated by a desire to improve their professional performance and that a majority of professionals were primarily influenced in their desire to learn hypnosis by colleagues in academically or clinically oriented settings.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Hipnose/estatística & dados numéricos , Adulto , Idoso , Competência Clínica/estatística & dados numéricos , Odontólogos/psicologia , Odontólogos/estatística & dados numéricos , Feminino , Pessoal de Saúde/psicologia , Humanos , Hipnose em Odontologia/estatística & dados numéricos , Israel , Masculino , Pessoa de Meia-Idade , Motivação , Médicos/psicologia , Médicos/estatística & dados numéricos , Psicologia/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
20.
J Craniomaxillofac Surg ; 41(4): 310-5, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23253486

RESUMO

INTRODUCTION: Systemic conditions are considered limiting factors for surgical procedures under local anaesthesia in the oral cavity. All the pharmacological methods to control pain in patients have some disadvantages, such as side effects and extra costs for rehabilitation. Therefore, in such cases alternative treatment modalities are considered, such as hypnosis in dentistry. The aim of the present study was to evaluate the effect of hypnosis on haemorrhage, pain and anxiety during the extraction of third molars. MATERIALS AND METHODS: In this case-control study, 24 female and male volunteers were included. The subjects had been referred to the Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, for extraction of third molars. Demographic data for all the subjects were recorded. Patients with chronic medical conditions were excluded. The patients were used as their own controls, with the third molars on one side being removed under hypnosis and on the opposite side under local anaesthetic. Hypnosis was induced by one of the two methods, either fixing the gaze on one point or Chiasson's technique; both these methods are appropriate for patients in the dental chair. The Spielberger State-Trait Anxiety Inventory was used to determine patient anxiety levels before hypnosis and anaesthesia. Pain was scored using VAS (visual analogue scale). After surgery the patient was asked to bite on a sterile gauze pad over the surgical site for 30 min when haemorrhage from the area was evaluated. If there was no haemorrhage the patient was discharged. If haemorrhage persisted, the gauze pad was left in place for another 30 min and the area was re-evaluated. Any active oozing from the area after 30 min was considered haemorrhage. Haemorrhage, anxiety and pain were compared between the two groups. Data was analyzed using the t-test, McNemar's test and Wilcoxon's signed rank test using SPSS 18 statistical software. RESULTS: Twenty-four patients were evaluated; there were 14 males (58.3%) and 10 females (41.7%). The mean age of the subjects was 24.1 ± 2.7 years (age range = 18-30 years). A total of 48 third molars were extracted. In each patient, one-third molar was extracted under hypnosis and the other under local anaesthesia. All the patients were in the ASA 1 category (normal) with no significant medical history. Of the subjects who underwent hypnosis, only two subjects (8.3%) reported pain after induction of hypnosis. In the local anaesthetic group, 8 subjects (33.3%) reported pain. There was a significant difference between the two groups. The results of the study showed that patients in the hypnosis group had less pain during the first few hours post-operatively. Anxiety scores in the two groups were very close to each other and no statistically significant differences were observed in general and when each person was compared with himself or herself. Pain intensity in the two groups at 5- and 12-h post-operatively exhibited significant differences. In the hypnosis group, 10 patients (41.7%) took analgesic medication; in the local anaesthesia group, 22 patients (91.7%) took the analgesic medication (P = 0.0001). In other words, patients reported less pain when they were under hypnosis. CONCLUSION: The results of the study showed that hypnosis can effectively reduce anxiety, haemorrhage and pain. More studies are necessary to collect data on the effect of hypnosis on oral and maxillofacial surgeries.


Assuntos
Anestesia Dentária , Anestesia Local , Ansiedade ao Tratamento Odontológico/prevenção & controle , Hipnose em Odontologia/métodos , Dente Serotino/cirurgia , Hemorragia Bucal/prevenção & controle , Limiar da Dor/fisiologia , Extração Dentária , Adolescente , Adulto , Analgésicos/uso terapêutico , Anestésicos Locais/administração & dosagem , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Medição da Dor , Dor Pós-Operatória/prevenção & controle , Fatores de Tempo , Adulto Jovem
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