病例报告:一氧化二氮镇静治疗小儿磨牙切牙低矿化的适用性

IF 1.5 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Frontiers in dental medicine Pub Date : 2022-08-04 DOI:10.3389/fdmed.2022.962113
K. Molena, R. Lima, Taíssa Cássia de Souza Fortunato, A. M. Queiroz, F. Carvalho, M. M. Arnez, F. Paula-Silva
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引用次数: 1

摘要

磨牙-切牙低矿化(MIH)患者可能表现为牙齿过敏和难以接受牙科治疗,包括恐惧、焦虑和牙科诊所的行为问题。然后,本研究的目的是报告一个临床病例系列,使用氧化亚氮和氧气吸入镇静作为治疗MIH儿科患者牙科治疗期间的临床策略。儿科患者及其法定监护人被适当告知,数据从临床图表中提取。纳入6例临床病例,患者年龄在8 ~ 12岁之间。其中4只为雌性。中度镇静的适应症考虑了与MIH患者相关的临床困难,如获得麻醉和配合,以及牙齿恐惧症和牙科焦虑。对所有患者进行仔细检查,包括病史和既往使用一氧化二氮吸入镇静的经验,并在手术前、手术中和手术后对生命体征进行适当评估。一氧化二氮的浓度在30%到60%之间。治疗方法包括修复、牙髓或手术(拔牙)。一般来说,镇静的使用有助于牙科手术的表现。使用吸入镇静有助于行为管理和治疗期间,增加局部麻醉的有效性。患者配合治疗,未观察到镇静相关的不良反应和并发症。因此,对于本病例系列的患者,使用氧化亚氮和氧气吸入镇静有助于MIH患者的临床管理。
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Case Report: Applicability of sedation with nitrous oxide in the management of molar incisor hypomineralization in pediatric patients
Patients with molar-incisor hypomineralization (MIH) may manifest tooth hfypersensitivity and difficulties in undergoing dental treatment, including fear, anxiety, and behavior problems in the dental office. Then, the objective of this study was to report a clinical case series using inhalation sedation with nitrous oxide and oxygen as a clinical strategy in the management of MIH pediatric patients during dental treatment. Pediatric patients and their legal guardians were properly informed and data were extracted from clinical charts. Six clinical cases were included, whose patients were between 8 and 12 years old. Of these, 4 were female. The indication of moderate sedation took into account the clinical difficulties related to patients with MIH, such as obtaining anesthesia and cooperation, in addition to odontophobia and dental anxiety. All patients were carefully examined to undergo the sedation technique, including medical history and previous experiences with nitrous oxide inhalation sedation, as well as the vital signs were properly evaluated before, during and after the procedures. The nitrous oxide concentration ranged between 30% and 60%. The procedures were restorative, endodontic or surgical (extractions). In general, the use of sedation contributed to the performance of dental procedures. The use of inhaled sedation helped in behavioral management and during the treatment, increasing the effectiveness of local anesthesia. Patients were cooperative for treatment, while no adverse effects or complications related to sedation were observed. Thus, for the patients in this case series, the use of inhalation sedation with nitrous oxide and oxygen contributed to the clinical management of patients with MIH.
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