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Terapêutica com antidepressivos em medicina dentária
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Abstract(s)
Os antidepressivos são medicamentos habitualmente utilizados na psiquiatria; todavia, em virtude de seus efeitos fisiológicos e psicossomáticos, podem ser utilizados como opção terapêutica em certas patologias encontradas em Medicina Dentária. Desta forma, o conhecimento das caraterísticas farmacoterapêuticas deste grupo farmacológico pode ser de extrema importância na vida clínica dos Médicos Dentistas. Esta monografia apresenta como objetivo efetuar uma revisão bibliográfica do uso de antidepressivos na Medicina Dentária, abordando seus mecanismos de ação e aplicações terapêuticas no tratamento de pacientes. Foi realizada uma pesquisa em seis bases de dados eletrónicas, sem nenhuma restrição de idioma ou data de publicação. Foram selecionados 101 artigos de interesse científico relacionados ao tema, para utilização neste trabalho. Com isto, os antidepressivos demonstraram, em geral, uma eficácia satisfatória nas patologias abordadas, nomeadamente no tratamento da dor e do desconforto presentes na disfunção temporomandibular crónica, na dor facial atípica e na nevralgia pós herpética. Os estudos apontam anda uma boa eficácia dos antidepressivos na remissão dos sintomas na síndrome da boca ardente. Alguns antidepressivos apresentaram uma redução significativa da dor associada à neuralgia do trigémeo. Também na ansiedade generalizada esta classe de fármacos demonstrou eficácia terapêutica. Desta forma, os antidepressivos merecem consideração ao ponderar-se uma opção terapêutica, especialmente nos casos que tratamentos convencionais se demonstrem ineficazes.
Antidepressants are medications commonly used in psychiatry; however, due to their physiological and psychosomatic effects, they can be used as a therapeutic option in certain pathologies found in dentistry. Knowledge of the pharmacotherapeutic characteristics of this pharmacological group can be extremely important in the clinical life of Dentists. Thus, this monograph aims to carry out a literature review of the use of antidepressants in dentistry, addressing their mechanisms of action and therapeutic applications in the treatment of patients. A search was carried out in six electronic databases, with no restriction on language or publication date. 101 articles of scientific interest related to the topic were selected for use in this work. Antidepressants demonstrated a general satisfactory efficacy in the pathologies addressed, namely in the treatment of pain and discomfort present in chronic temporomandibular disorders, atypical facial pain and post-herpetic neuralgia. Studies have shown a good efficacy of antidepressants in remission of symptoms in burning mouth syndrome, and some have significantly reduced pain associated with trigeminal neuralgia. Also, in generalized anxiety, this class of drugs, show a promising therapeutic efficacy. Thus, antidepressants deserve consideration when choosing a therapeutic option, especially in cases where conventional treatments prove to be ineffective.
Antidepressants are medications commonly used in psychiatry; however, due to their physiological and psychosomatic effects, they can be used as a therapeutic option in certain pathologies found in dentistry. Knowledge of the pharmacotherapeutic characteristics of this pharmacological group can be extremely important in the clinical life of Dentists. Thus, this monograph aims to carry out a literature review of the use of antidepressants in dentistry, addressing their mechanisms of action and therapeutic applications in the treatment of patients. A search was carried out in six electronic databases, with no restriction on language or publication date. 101 articles of scientific interest related to the topic were selected for use in this work. Antidepressants demonstrated a general satisfactory efficacy in the pathologies addressed, namely in the treatment of pain and discomfort present in chronic temporomandibular disorders, atypical facial pain and post-herpetic neuralgia. Studies have shown a good efficacy of antidepressants in remission of symptoms in burning mouth syndrome, and some have significantly reduced pain associated with trigeminal neuralgia. Also, in generalized anxiety, this class of drugs, show a promising therapeutic efficacy. Thus, antidepressants deserve consideration when choosing a therapeutic option, especially in cases where conventional treatments prove to be ineffective.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Antidepressivos Medicina dentária Terapêutica