Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.20416
Revista de Odontologia da UNESP
Original Article

Avaliação da eficácia anestésica do Morpheus® através da técnica intrasseptal CaZOE na pulpotomia de dentes decíduos: estudo-piloto

Anesthetic effectiveness evaluation of Morpheus® through intrasseptal technical CaZOE in pulpotomy of deciduous teeth: pilot study

Maria Paula Mendonça SILVEIRA; Renata do Amor COSTA; Klinger de Souza AMORIM; Liane Maciel de Almeida SOUZA; Eliana Mitsue TAKESHITA

http://dx.doi.org/10.1590/1807-2577.20416 Rev. odontol. UNESP, vol.46, n3, p.147-152, 2017
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Resumo

Resumo: Introdução: O medo de sentir dor é um dos principais motivos pelos quais muitos pacientes evitam submeter-se a tratamento dentário, principalmente as crianças. Em vários procedimentos odontopediátricos, o uso de anestésicos locais se faz necessário. O aparelho Morpheus® se propõe a uma introdução da agulha sem dor e anestesia satisfatória com uso de menor volume de anestésico local. Associando-o à técnica CaZOE, o paciente perceberia a pressão antes da dor, podendo assim evitá-la.

Objetivo: Avaliar a eficácia anestésica do Morpheus® através da técnica intrasseptal CaZOE na pulpotomia de molares inferiores decíduos.

Material e método: Dezenove voluntários foram selecionados de acordo com os critérios de inclusão e exclusão. O procedimento foi realizado em sessão única, utilizando 0,9 mL de Articaína 4% com epinefrina 1:100.000, através da técnica anestésica CaZOE, empregando o injetor de anestésicos Morpheus®. Esta foi realizada por um único operador, não envolvido na avaliação dos parâmetros da anestesia, e seguiu as recomendações do fabricante. Para a análise dos dados, foi realizada estatística descritiva.

Resultado: Dos 19 voluntários, 63% foram do sexo feminino e 37%, do masculino. Em pouco mais da metade da amostra (63%), houve sucesso na realização do procedimento. Os casos de insucesso (37%) ocorreram durante a abertura coronária e a amputação da polpa.

Conclusão: A eficácia anestésica do Morpheus® através da técnica intrasseptal CaZOE na pulpotomia de molares inferiores decíduos foi constatada em 63% da amostra. Para que possa ser comprovada a eficácia desse sistema, são necessários mais estudos.

Palavras-chave

Dor, anestesia, pulpotomia

Abstract

Abstract: Introduction: The fear of pain is one of the main reasons why many patients avoid dental treatment, especially children. In several pediatric dentistry procedures, the use of local anesthetic is necessary. Morpheus® system proposes an insertion of the needle painlessly and satisfactory anesthesia with lower volume of local anesthetic. With the CaZOE technique, the patient realizes the pressure before the pain, thus being able to avoid it.

Objective: To evaluate the anesthetic efficacy of Morpheus® through intrasseptal technical CaZOE in pulpotomy of mandibular’s primary molars.

Material and method: Nineteen volunteers were selected according to the inclusion and exclusion criteria. The study was conducted in a single session using 0.9 mL of Articaine 4% with epinephrine 1: 100,000 through anesthetic CaZOE technique, using the Morpheus®. This was carried out by a single operator not involved in the evaluation of anesthesia parameters and followed the manufacturer's recommendations. For data analysis, descriptive statistics was performed.

Result: Of the 19 volunteers, 63% were female and 37% male. In just over half of the sample (63%), was successful in performing the procedure. Cases of failure (37%) occurred during coronary opening and removal of pulp.

Conclusion: The efficacy of Morpheus® through intrasseptal technical CaZOE in pulpotomy of mandibular’s primary molars was noted in 63% of the sample. Further studies should be carried out to prove this efficacy.

Keywords

Pain, anestesia, pulpotomy

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