Protocolos de medicação pré e pós-operatória para cobertura radicular combinada com enxerto de tecido conjuntivo.
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Palavras-chave

Cobertura de raiz
Cirurgia periodontal
Medicamentos pós-operatórios
Drogas preventivas
Antiinflamatório

Como Citar

Oliveira Giorgetti , A. P. ., de Matos, R. ., Corrêa Viana Casarin, R. ., Prese Pimentel , S. ., Ribeiro Cirano , F. ., & Vieira Ribeiro, F. . (2020). Protocolos de medicação pré e pós-operatória para cobertura radicular combinada com enxerto de tecido conjuntivo. Brazilian Journal of Implantology and Health Sciences, 2(9), 54–69. https://doi.org/10.36557/2674-8169.2020v2n9p54-69

Resumo

Este estudo avaliou o efeito pré e pós-operatório de dexametasona e ibuprofeno na prevenção de dor / desconforto, edema e interferência na vida diária em pacientes submetidos à cobertura radicular combinada com enxerto de tecido conjuntivo subepitelial (CAF + CTG). Vinte pacientes foram aleatoriamente designados da seguinte forma: Grupo AINE: 400mg de ibuprofeno 60 min preemptivo + 400mg de ibuprofeno no pós-operatório; ou Grupo SAID: 4mg de dexametasona 60 min preemptiva + 4mg de dexametasona pós-operatória. A medicação pós-operatória foi administrada 8 e 16 horas após a cirurgia. Cada paciente recebeu questionários com base em uma escala numérica (escala numérica de 101 pontos [NRS-101]) e questões de múltipla escolha (escala de avaliação verbal de quatro pontos [VRS-4]) sobre dor / desconforto transoperatório, de hora em hora para 8 h após a cirurgia e uma vez por dia durante três dias. Também foi respondida a Escala Visual Analógica (EVA) para edema e interferência na vida diária durante o 1º, 2º, 3º e 7º dia. O grau de ansiedade foi avaliado estatisticamente pelo teste Qui-quadrado. Os testes de Mann-Whitney e Friedman foram usados ​​para os demais questionários. O tempo de cirurgia e o número de comprimidos analgésicos consumidos foram comparados usando o teste t de Student. Pacientes que fizeram uso de dexametasona apresentaram tendência a menos dor quando comparados aos indivíduos que ingeriram ibuprofeno, com diferença significativa observada três horas após o procedimento (p <0,05). O uso de dexametasona também promoveu menos edema até o 2º dia e menor interferência na vida diária no terceiro dia quando comparado ao ibuprofeno (p <0,05).

https://doi.org/10.36557/2674-8169.2020v2n9p54-69
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Este artigo é uma cópia com adaptação para o português do Artigo Original "Giorgetti, Ana Paula Oliveira, et al. "Preemptive and Postoperative Medication Protocols for Root Coverage Combined with Connective Tissue Graft." Brazilian dental journal 29.1 (2018): 23-29." Esta Cópia com adaptação para o Português segue os preceitos Creative Commons CC BY 4.0 ( https://creativecommons.org/licenses/by/4.0/deed.pt_BR ) disponibilizado pelo periódico responsável pela publicação original ( https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402018000100023&lng=en&tlng=en ).

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Copyright (c) 2020 Ana Paula Oliveira Giorgetti , Rafaela de Matos, Renato Corrêa Viana Casarin, Suzana Prese Pimentel , Fabiano Ribeiro Cirano , Fernanda Vieira Ribeiro