Introduction: Shedding of deciduous teeth is a natural process occurring together with physiologic resorption via a diversity of molecular and cellular mechanisms, thus, generating an eruption pathway for the permanent tooth and consequently, promoting a physiologic occlusion. Extraction of deciduous teeth, is now considered a major procedure causing fear and anxiety in children during dental treatment. Goal: The aim of this study was to present a complementary technique to accelerate shedding of deciduous teeth. Clinical cases: Description of two clinical cases in two children who demonstrated intense fear associated with the extraction of deciduous teeth presented with mobility and physiologic resorption in 2/3 of the root. The children have accepted the technique application because the deciduous teeth have painlessly fallen out with in two days. Conclusion: The presented aid technique proved to be an alternative to reduce psychological trauma in anxious and fearful’s children. However, additional studies and research are required to further assess and evaluate this technique.
ResumoIntrodução: A esfoliação de dentes decíduos é um processo natural acompanhado da reabsorção radicular fisiológica mediada por diversos mecanismos celulares e moleculares, criando assim uma via de irrupção para o sucessor permanente e consequentemente, proporcionando uma oclusão adequada. A exodontia de dentes decíduos é considerada um dos principais procedimentos causadores de medo e ansiedade nas crianças no que se refere a tratamentos odontológicos. Objetivo: Este estudo apresenta a aplicação de uma técnica auxiliar na aceleração da esfoliação de dentes decíduos anteriores em crianças ansiosas e medrosas. Descrição dos casos: As crianças de 6 anos submetidas a procedimento cirúrgico com uso de anestésico local e fórceps, apresentavam medo e ansiedade para remoção dos dentes decíduos em esfoliação, que apesar da mobilidade avançada e reabsorção fisiológica de mais de 2/3 da raiz, não permitiam a remoção dos elementos pelos responsáveis e resistiam ao procedimento de intervenção. As crianças demonstraram aceitação e satisfação pela técnica, pois os dentes decíduos esfoliaram em dois dias sem dor. Conclusão: A técnica auxiliar apresentada demonstrou ser uma alternativa para evitar traumas psicológicos em crianças ansiosas e medrosas. No entanto, tornam-se necessários estudos e pesquisas para melhor avaliar esta técnica.Palavras-chave: Esfoliação de Dente; Medo; Ansiedade; Odontopediatria.• Artigo submetido para avaliação em 12/03/2016 e aceito para publicação em 19/04/2016 • DOI: 10.17267/2238-2720revbahianaodonto.v7i2.868• Revista Bahiana de Odontologia. 2016 Jun;7(2):118-125 • 119 A COMPLEMENTARY TECHNIQUE IN THE SHEDDING OF DECIDUOUS TEETH FOR CHILDREN WITH FEAR AND ANXIETY• cases report • AbstractIntroduction: Shedding of deciduous teeth is a natural process occurring together with physiologic resorption via a diversity of molecular and cellular mechanisms, thus, generating an eruption pathway for the permanent tooth and consequently, promoting a physiologic occlusion. Extraction of deciduous teeth, is now considered a major procedure causing fear and anxiety in children during dental treatment. Goal: The aim of this study was to present a complementary technique to accelerate shedding of deciduous teeth. Clinical cases: Description of two clinical cases in two children who demonstrated intense fear associated with the extraction of deciduous teeth presented with mobility and physiologic resorption in 2/3 of the root. The children have accepted the technique application because the deciduous teeth have painlessly fallen out with in two days. Conclusion: The presented aid technique proved to be an alternative to reduce psychological trauma in anxious and fearful's children. However, additional studies and research are required to further assess and evaluate this technique.
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