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Barotrauma e medicina dentária
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Abstract(s)
No ambiente do mergulho ou da aviação, os profissionais ou praticantes recreativos estão sujeitos a variações bruscas de pressão (hidrostática/atmosférica). Estas variações de pressão são ainda mais importantes para mergulhadores, onde se encontra uma taxa mais elevada de casos de barodontalgia do que em aviões. Estes barotraumas podem comprometer a segurança de mergulhar e voar (1).
A barodontalgia é um sintoma frequentemente experimentado durante o mergulho. É portanto essencial assegurar que as cáries dentárias, e as restaurações infiltradas ou fraturadas sejam tratadas de forma adequada para garantir o conforto e a segurança do mergulhador (2).
Estas restrições barotraumáticas obrigam os médicos dentistas a ter uma abordagem diferente das técnicas convencionais.
No domínio da endodontia, estudos demonstraram que o método de condensação vertical poderia ser a técnica profilática mais adequada em termos de estanquicidade os canais radiculares (3).
No domínio da dentisteria, a escolha do material adesivo e restaurador é de primordial importância na prevenção das micro-infiltrações na interface dentina/resina composta (4)
Nas últimas décadas, tem havido um aumento significativo do número de viajantes aéreos, implicando por esse facto que o risco de desenvolver dor dentária durante um voo é muito maior para o público desinformado. No entanto, o campo da barodontalgia aeronáutica é uma área recente da odontologia que tem dificuldade em ser integrada nos programas de medicina dentária actuais (5).
In the diving or aviation environment, professionals or recreational practitioners are subjected to sudden pressure variations (hydrostatic/atmospheric). These pressure variations are even more important for divers, where a higher rate of barodontalgia cases is found than in aircraft. These barotraumas can compromise the safety of diving and flying (1). Barodontalgia is a symptom frequently experienced during diving. It is therefore essential to ensure that dental caries, and infiltrated or fractured restorations are treated appropriately to ensure diver comfort and safety (2). These barotraumatic restrictions force dental practitioners to take a different approach to conventional techniques. In the domain of endodontics, studies have shown that the vertical condensation method could be the most suitable prophylactic technique in terms of sealing the root canals (3). In the field of dentistry, the choice of adhesive and restorative material is of primary importance in preventing microleakage at the dentin/resin composite interface (4) In recent decades, there has been a significant increase in the number of air travellers, implying by this fact that the risk of developing dental pain during a flight is much higher for the uninformed public. However, the field of aeronautical barodontalgia is a recent area of dentistry that has difficulty being integrated into current dental programmes (5).
In the diving or aviation environment, professionals or recreational practitioners are subjected to sudden pressure variations (hydrostatic/atmospheric). These pressure variations are even more important for divers, where a higher rate of barodontalgia cases is found than in aircraft. These barotraumas can compromise the safety of diving and flying (1). Barodontalgia is a symptom frequently experienced during diving. It is therefore essential to ensure that dental caries, and infiltrated or fractured restorations are treated appropriately to ensure diver comfort and safety (2). These barotraumatic restrictions force dental practitioners to take a different approach to conventional techniques. In the domain of endodontics, studies have shown that the vertical condensation method could be the most suitable prophylactic technique in terms of sealing the root canals (3). In the field of dentistry, the choice of adhesive and restorative material is of primary importance in preventing microleakage at the dentin/resin composite interface (4) In recent decades, there has been a significant increase in the number of air travellers, implying by this fact that the risk of developing dental pain during a flight is much higher for the uninformed public. However, the field of aeronautical barodontalgia is a recent area of dentistry that has difficulty being integrated into current dental programmes (5).
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Mergulho Barotraumas Barodontalgia hiperbárica Dor dentária