Atención odontológica con sedación en pacientes adultos mayores de dificil manejo: revisión narrativa sistematizada
Date
2022
Authors
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Publisher
Universidad Finis Terrae (Chile) Facultad de Odontología
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Abstract
Introducción: La atención odontológica con sedación de pacientes adultos mayores de difícil manejo se refiere a la atención odontológica de pacientes de 60 años en adelante, que tengan alguna médica, que los hace perder su autonomía y capacidad de cooperar frente algún tratamiento odontológico, por lo que la única forma de realizar la atención es mediante sedación.
Objetivo: Realizar una revisión narrativa sistematizada utilizando los buscadores académicos PUBMED, EBSCO, MEDLINE, aplicando criterios de inclusión y exclusión, sobre la atención odontológica con sedación en pacientes adultos mayores de difícil manejo.
Método: Se utilizaron los buscadores académicos PUBMED, EBSCO y SCIELO se utilizaron como palabras clave los términos MESCH: Oral sedation, dentistry, Conscious Sedation, dental Care for Disabled, special needs, oral health, geriatric patients, elderly patients, frailty, comprehensive geriatric assesment, aging y sus equivalentes en español. Los artículos encontrados fueron sometidos a criterios de inclusión y exclusión.
Resultados: El midazolam es el medicamento más utilizado para la sedación en pacientes adultos mayores de difícil manejo en odontología. Las indicaciones de la sedación en odontología son: atención de pacientes con odontofobia, enfermedades mentales, dentro de las que figura la demencia, por lo tanto, para los pacientes adultos mayores de difícil manejo. Puede realizarse cualquier tipo de procedimiento odontológico bajo sedación, mientras sea consecuente con el riesgo que conlleva la sedación.
Conclusiones: La atención odontológica con sedación de pacientes mayores de difícil manejo requiere mayor estudio y desarrollo de guías clínicas actualizadas que describan cómo debe ser realizada correctamente, explicando las fases pre, peri y postoperatorias desde el punto de vista odontológico, con el fin de poder entregar a los pacientes adultos mayores un tratamiento seguro y que mejore su calidad de vida.
Introduction: Dental care with sedation for special needs elderly patients refers to dental care for patients 60 years of age and older, who have a medical condition, which makes them lose their autonomy and ability to cooperate with dental care, therefore, the only way to carry out dental care is under sedation. Objective: Realize a systematic narrative review using the academic search engines PUBMED, EBSCO, MEDLINE, applying inclusion and exclusion criteria, on dental care with sedation in elderly patients with difficult management. Method: The academic search engines PUBMED, EBSCO and SCIELO were used, the terms MESCH were used as keywords: Oral Sedation, Dentistry, Conscious Sedation, Dental Care for the Disabled, Special Needs, Oral Health, Geriatric Patient, Older Adult Patient, Frailty, Comprehensive Geriatric Assessment, Aging and their spanish equivalents. The articles found were submitted to inclusion and exclusion criteria. Results: Midazolam is the most prevailing used medication for sedation in older adults who are difficult to manage in dentistry. The indications for sedation in dentistry are: care for patients with odontophobia, mental illnesses, including dementia, therefore, for older adult patients who are difficult to manage. Can perform any type of dental procedure under sedation, as long as it is consistent with the risk that sedation entails. Conclusions: Dental care with sedation of special needs elderly patients requires further study and development of updated clinical guidelines that describe how it should be performed correctly, explaining the pre, peri, and postoperative phases from the dental point of view, in order to be able to provide elderly patients with a safe treatment that improves their quality of life.
Introduction: Dental care with sedation for special needs elderly patients refers to dental care for patients 60 years of age and older, who have a medical condition, which makes them lose their autonomy and ability to cooperate with dental care, therefore, the only way to carry out dental care is under sedation. Objective: Realize a systematic narrative review using the academic search engines PUBMED, EBSCO, MEDLINE, applying inclusion and exclusion criteria, on dental care with sedation in elderly patients with difficult management. Method: The academic search engines PUBMED, EBSCO and SCIELO were used, the terms MESCH were used as keywords: Oral Sedation, Dentistry, Conscious Sedation, Dental Care for the Disabled, Special Needs, Oral Health, Geriatric Patient, Older Adult Patient, Frailty, Comprehensive Geriatric Assessment, Aging and their spanish equivalents. The articles found were submitted to inclusion and exclusion criteria. Results: Midazolam is the most prevailing used medication for sedation in older adults who are difficult to manage in dentistry. The indications for sedation in dentistry are: care for patients with odontophobia, mental illnesses, including dementia, therefore, for older adult patients who are difficult to manage. Can perform any type of dental procedure under sedation, as long as it is consistent with the risk that sedation entails. Conclusions: Dental care with sedation of special needs elderly patients requires further study and development of updated clinical guidelines that describe how it should be performed correctly, explaining the pre, peri, and postoperative phases from the dental point of view, in order to be able to provide elderly patients with a safe treatment that improves their quality of life.
Description
Tesis (Cirujano Dentista)--Universidad Finis Terrae, 2022
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Santiago, Chile
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Citation
Keywords
PACIENTES, ANESTESIA DENTAL, ANCIANOS -- ATENCIÓN DENTAL
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Atribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)