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Análise do desconforto infantil após moldagem das arcadas dentárias com método convencional e método digital
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Introdução: A moldagem das arcadas dentárias é um procedimento comum em Odontopediatria, frequentemente associado ao desconforto, ansiedade e reflexo de vómito. Entretanto, com a evolução do fluxo digital em Medicina Dentária, os scanners intraorais surgem como uma alternativa potencialmente mais confortável e menos invasiva em comparação com as técnicas convencionais. Objetivo: Analisar e comparar o desconforto em crianças submetidas à moldagem das arcadas dentárias através de métodos convencionais e digitais, avaliando também <br/>o impacto destas técnicas na ansiedade, conforto e cooperação dos pacientes pediátricos. Materiais e Métodos: Uma revisão sistemática foi realizada de acordo com as diretrizes PRISMA, baseada na questão PICO: “Em crianças submetidas à moldagem das arcadas dentárias, a utilização do método digital comparada ao método convencional reduz o desconforto durante o procedimento?”. A pesquisa foi efetuada nas bases de dados PubMed, Scopus, Web of Science e Cochrane, incluindo estudos publicados entre 2000 e 2026. A seleção dos artigos foi realizada através da plataforma Rayyan e a qualidade metodológica avaliada pela ferramenta RoB 2 da Cochrane Collaboration. Resultados: Dos 172 artigos identificados, 12 estudos foram incluídos na revisão. A maioria demonstrou preferência significativa das crianças pelo método digital, <br/>associada a maior conforto, menor reflexo de vómito, menor ansiedade e menor tempo clínico. Estudos que avaliaram parâmetros fisiológicos verificaram aumento da frequência cardíaca e maior stresse durante as moldagens convencionais com alginato. A avaliação pelo RoB 2 revelou que a maioria dos estudos apresentou “algumas preocupações”, principalmente relacionadas com limitações na randomização e impossibilidade de cegamento. Conclusão: Os scanners intraorais demonstraram ser uma alternativa superior às moldagens convencionais em Odontopediatria, proporcionando maior conforto, menor ansiedade e melhor aceitação pelas crianças. Apesar das limitações metodológicas dos estudos incluídos, a evidência atual apoia a crescente integração do fluxo digital na prática clínica pediátrica.
Introduction: Dental arch impression-taking is a common procedure in Pediatric Dentistry, often associated with discomfort, anxiety, and gag reflex. However, with the evolution of the digital workflow in Dentistry, intraoral scanners have emerged as a potentially more comfortable and less invasive alternative compared with conventional techniques. Objective: To analyse and compare discomfort in children undergoing dental arch impression-taking using conventional and digital methods, while also evaluating the impact of these techniques on anxiety, comfort, and cooperation in pediatric patients. Materials and Methods: A systematic review was conducted in accordance with the PRISMA guidelines, based on the following PICO question: “In children undergoing dental arch impression-taking, does the use of the digital method, compared with the <br/>conventional method, reduce discomfort during the procedure?” The search was carried out in the PubMed, Scopus, Web of Science, and Cochrane databases, including studies published between 2000 and 2026. Article selection was performed using the Rayyan platform, and methodological quality was assessed using the Cochrane Collaboration’s RoB 2 tool. Results: Of the 172 articles identified, 12 studies were included in the review. The majority demonstrated a significant preference among children for the digital method, associated with greater comfort, reduced gag reflex, lower anxiety, and shorter clinical time. Studies that evaluated physiological parameters found increased heart rate and higher stress levels during conventional alginate impressions. Assessment using RoB 2 revealed that most studies presented “some concerns,” mainly related to limitations <br/>in the randomization process and the impossibility of blinding. Conclusion: Intraoral scanners were shown to be a superior alternative to conventional impressions in Pediatric Dentistry, providing greater comfort, lower anxiety, and better acceptance among children. Despite the methodological limitations of the included studies, current evidence supports the growing integration of the digital workflow into pediatric clinical practice.
Introduction: Dental arch impression-taking is a common procedure in Pediatric Dentistry, often associated with discomfort, anxiety, and gag reflex. However, with the evolution of the digital workflow in Dentistry, intraoral scanners have emerged as a potentially more comfortable and less invasive alternative compared with conventional techniques. Objective: To analyse and compare discomfort in children undergoing dental arch impression-taking using conventional and digital methods, while also evaluating the impact of these techniques on anxiety, comfort, and cooperation in pediatric patients. Materials and Methods: A systematic review was conducted in accordance with the PRISMA guidelines, based on the following PICO question: “In children undergoing dental arch impression-taking, does the use of the digital method, compared with the <br/>conventional method, reduce discomfort during the procedure?” The search was carried out in the PubMed, Scopus, Web of Science, and Cochrane databases, including studies published between 2000 and 2026. Article selection was performed using the Rayyan platform, and methodological quality was assessed using the Cochrane Collaboration’s RoB 2 tool. Results: Of the 172 articles identified, 12 studies were included in the review. The majority demonstrated a significant preference among children for the digital method, associated with greater comfort, reduced gag reflex, lower anxiety, and shorter clinical time. Studies that evaluated physiological parameters found increased heart rate and higher stress levels during conventional alginate impressions. Assessment using RoB 2 revealed that most studies presented “some concerns,” mainly related to limitations <br/>in the randomization process and the impossibility of blinding. Conclusion: Intraoral scanners were shown to be a superior alternative to conventional impressions in Pediatric Dentistry, providing greater comfort, lower anxiety, and better acceptance among children. Despite the methodological limitations of the included studies, current evidence supports the growing integration of the digital workflow into pediatric clinical practice.
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Odontopediatria Crianças Impressão digital Conforto do paciente Pediatric dentistry Children Digital impression Patient comfort
Contexto Educativo
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Sem licença CC