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| Author(s): |
Juana Rosmeri Salas Huamani
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Piracicaba, SP. |
| Institution: | Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba |
| Defense date: | 2016-02-16 |
| Examining board members: |
Paula Midori Castelo;
Maria Fidela de Lima Navarro;
Kamila Rosamilia Kantovitz
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| Advisor: | Taís de Souza Barbosa; Paula Midori Castelo |
| Abstract | |
Aim: This study aimed to evaluate the impact of atraumatic restorative treatment (ART) associated with oral health educational strategy on dental anxiety of Brazilian schoolchildren. Material and Methods: Seventy-eight students with at least one primary molar with dentin caries lesion were divided in two treatment: oral health educational strategy followed by ART (GS+ART), and the other group was directly submitted to ART (GART). Oral health educational strategy consisted of four consecutive sessions, once a week. ART was performed using hand instruments for opening and cleaning the cavities and a high-viscosity glass-ionomer for restoration. Dental anxiety was assessed by measuring the cognitive (modified Venham Picture Test, m-VPT), behavioral (modified Venham Anxiety Scale, m-VAS) and physiological (heart rate, HR; salivary cortisol and alpha-amylase, SC and SAA), Day 1 ¿ baseline, a day preceding ART (SC and SAA); Day 2 ¿ day of treatment, before strategy (m-VPT), before ART (m-VPT, HR, SC, SAA), during the explanation of procedure (HR, m-VAS), at the moment of deepest excavation (HR, m-VAS), at the moment the restoration was applied (HR, m-VAS), after ART (m-VPT, HR, SC, SAA). Data were analyzed using Shapiro-Wilk, Chi-square independence/partition, Mann-Whitney/Kruskal-Wallis and Friedman/Wilcoxon tests. Results: The categories "without anxiety" (m-VPT=0) and "relaxed behavior" (m-VAS=0) were the most frequent in all moments for both groups. Higher HR was observed "before treatment" in comparison with the other moments for both groups. Moreover, in GART, mean of HR "during the explanation of procedure" was similar to the first record, but statistically higher than the others. GART had higher HR "during explanation of procedure" and "at the moment of deepest excavation" than their counterparts. In GART, SAA was significantly higher "before ART" than "after ART". Conclusions: Overall dental anxiety in the studied sample was found to be low and the ART was well accepted irrespective of preceded or not by OHES; however certain anticipation of the dental treatment was observed in both groups, especially in those children not submitted to OHES (AU) | |
| FAPESP's process: | 14/20464-4 - Impact of atraumatic restorative treatment associated with oral health educational strategies on dental anxiety of schoolchildren |
| Grantee: | Juana Rosmeri Salas Huamani |
| Support Opportunities: | Scholarships in Brazil - Master |