Abstract
JUSTIFICATIVA E OBJETIVOS: A exodontia de terceiro molar é um procedimento invasivo potencialmente adverso ao paciente, podendo causar dor. O objetivo deste estudo foi avaliar a eficácia de informação face a face sobre a dor pós-operatória e consumo de analgésicos de pacientes submetidos à exodontia de terceiros molares. MÉTODO: Realizou-se um estudo longitudinal com 123 pacientes, distribuídos randomicamente nos grupos: Controle (GC) e Experimental (GE). Utilizou-se o Questionário McGill de Dor em sua forma reduzida (Índice de Estimativa de Dor Sensorial, Índice de Estimativa de Dor Afetiva, Intensidade de Dor Presente e Avaliação Global de Experiência de Dor), nos momentos: pré-cirúrgico, pós-cirúrgico imediato, pós-cirúrgico mediato I, pós-cirúrgico mediato II e remoção de sutura. A informação face a face foi oferecida aos pacientes do GE imediatamente após o momento pré-cirúrgico. Usou-se para análise estatística o teste Qui-quadrado, modelos mistos para medidas repetidas (Proc Mixed do programa SAS) e Tukey (α = 5%). RESULTADOS: Os dados sugerem uma diferença estatisticamente significativa entre os grupos no Índice de Estimativa de Dor Sensorial no Pós-Cirúrgico Imediato apontando que o relato de dor pós-operatória imediata foi menor no grupo que recebeu a informação face a face. CONCLUSÃO: A informação face a face reduziu a dor no pós-operatório. Estas estratégias são importantes para estabelecer respostas eficientes de enfrentamento e aumentar a adesão no pós-operatório.
Highlights
Third molar extraction is one of the commonest invasive practices among dental surgeries and, according to dentists, is a relatively minor surgery implying few complications[1]
This study aimed at evaluating the efficacy of a preparatory procedure with previous face-to-face information about postoperative pain responses and analgesic consumption for patients submitted to third molar extraction
In the PRI-S variable chart it is observed that Control Group (CG) means are higher in preoperative moments (CG = 2.85 – Experimental Group (EG) = 2.64), POI (CG = 6.83 – EG = 4.43) and mediate postoperative period I (MPOI) (CG = 5.04 – EG = 4.35)
Summary
Third molar extraction is one of the commonest invasive practices among dental surgeries and, according to dentists, is a relatively minor surgery implying few complications[1]. Authors suggested that educative intervention played an important role to control and decrease pain, and that pain decrease in EG may be the result of changes in cognitive factors (further understanding and change of beliefs with regard to analgesics) or behavioral factors (acceptance of analgesics, relaxation and breathing practices). From those studies, some papers show that preliminary procedures were not effective to decrease pain responses. This study aimed at evaluating the efficacy of a preparatory procedure with previous face-to-face information about postoperative pain responses and analgesic consumption for patients submitted to third molar extraction
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