Manejo do comportamento em odontopediatria em crianças de dois a oito anos: Revisão sistemática.
DOI:
https://doi.org/10.47990/s6tnjt22Palavras-chave:
medo odontológico, ansiedade odontológica, diga-mostre-faça, distração audiovisual, odontopediatriaResumo
Introdução: Ansiedade e medo odontológicos são situações comuns em consultas odontológicas pediátricas e podem afetar o desenvolvimento do tratamento odontológico. Portanto, estabelecer uma boa relação de confiança entre o dentista e a criança é crucial para manter a cooperação da criança. Objetivo: Determinar a eficácia de diferentes estratégias e técnicas utilizadas no manejo do comportamento de pacientes odontológicos pediátricos de dois a oito anos que apresentam medo e ansiedade. Materiais e métodos: Uma revisão sistemática foi conduzida seguindo as recomendações das diretrizes PRISMA. O Cochrane Risk of Bias Assessment Tool (RoB 2) versão 2 foi utilizado para avaliar o risco de viés em ensaios clínicos randomizados. Resultados: Nove artigos foram incluídos. As técnicas utilizadas incluem contar-mostrar-fazer (TDD), distração auditiva (AD), distração audiovisual (AVD), distração com jogo de celular (MTG), reforço positivo, controle de voz, presença parental passiva, presença parental ativa, sedação consciente, terapia de brincar com respiração com bolhas (BBPPT) e contar-brincar-fazer (TPD). A técnica mais comumente utilizada é a técnica "diga-mostre-faça" e, embora seja eficaz, estudos demonstram a superioridade de outras técnicas, como a distração audiovisual e a técnica "diga-brinque-faça". Conclusões: Quando várias estratégias são combinadas, pode haver um efeito sinérgico que reduz ainda mais os níveis de medo e ansiedade odontológicos nessa população.
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