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Interesse da mistura protóxido azoto / oxigénio na área da medicina dentária
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Advisor(s)
Abstract(s)
A ansiedade, medo e fobia são uma barreira ao tratamento dentário. Estes comportamentos podem comprometer ou mesmo impossibilitar a realização do
procedimento. Afetam principalmente a população infantil. O controlo da ansiedade/
medo/fobia é essencial para preservar as boas práticas de higiene oral a longo prazo.
Hoje em dia, muitas soluções têm sido implementadas para resolver este problema. Nesta tese falaremos de uma das alternativas em particular: a sedação consciente farmacológica e não farmacológica, mas sobretudo o uso da mistura equimolar
de oxigénio/protóxido azoto (MEOPA).
O MEOPA é um meio excelente para o controlo da ansiedade e também da dor
porque tem efeito analgésico e assim evita os efeitos colaterais que daí resultam. Esta
técnica consiste em inalar MEOPA em doses que permitem induzir depressão mínima da
consciência, manter os reflexos protetores do paciente e a comunicação entre as duas
partes.
Para além de permitir uma melhor cooperação das crianças, o MEOPA é uma mais
valia para as pessoas com deficiência cognitiva e idosos, tornando o processo de
tratamento mais adequado.
A MEOPA continua a ser uma técnica de fácil administração, eficaz e sem efeitos
adversos significativos.
Anxiety, fear and phobia are a barrier to dental treatment. These behaviours may compromise or even make it impossible to carry out the processing operation. They mainly affect the child population. The management of anxiety/fear/phobia is essential in order to preserve good oral hygiene practices in the long term. Nowadays, many solutions have been put in place to solve this problem. In thisthesis we will talk about one of the alternatives in particular: the conscious sedation pharmacological and non-pharmacological but above all the use of the equimolar mixture oxygen, nitrous oxide (EMONO). It is a good way to remedy anxiety by its ability to reduce it through its analgesic effects and thus avoid the collateral effects that can result from it. This technique consists of inhaling EMONO at doses that allow minimal depression of consciousness, maintenance of the patient's protective reflexes and communication between the two parties. In addition to allowing a better cooperation of children, MEOPA allows a better care of people with a disability, the elderly, making the treatment process more pleasant. EMONO remains an easy to administer and effective technique with no significant adverse effects.
Anxiety, fear and phobia are a barrier to dental treatment. These behaviours may compromise or even make it impossible to carry out the processing operation. They mainly affect the child population. The management of anxiety/fear/phobia is essential in order to preserve good oral hygiene practices in the long term. Nowadays, many solutions have been put in place to solve this problem. In thisthesis we will talk about one of the alternatives in particular: the conscious sedation pharmacological and non-pharmacological but above all the use of the equimolar mixture oxygen, nitrous oxide (EMONO). It is a good way to remedy anxiety by its ability to reduce it through its analgesic effects and thus avoid the collateral effects that can result from it. This technique consists of inhaling EMONO at doses that allow minimal depression of consciousness, maintenance of the patient's protective reflexes and communication between the two parties. In addition to allowing a better cooperation of children, MEOPA allows a better care of people with a disability, the elderly, making the treatment process more pleasant. EMONO remains an easy to administer and effective technique with no significant adverse effects.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Mistura equimolar de oxigénio Protóxido azoto MEOPA Sedação consciente Ansiedade