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Efeito da sutura e não sutura pós exodontia simples de dentes decíduos na cicatrização : estudo piloto
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Abstract(s)
Introdução: A alta prevalência de cárie e traumatismos dentários em crianças torna a exodontia de dentes decíduos um procedimento comum. A melhor forma de se realizar a hemostasia e a cicatrização pós-operatória, especialmente em crianças, são desafios que possuem baixo nível de evidência científica. A sutura é frequentemente utilizada para melhorar a cicatrização, mas a sua eficácia continua a ser debatida. Objetivos: Avaliar o impacto da sutura na cicatrização após exodontia de dentes decíduos e comparar o desconforto da criança entre os procedimentos com e sem sutura. Materiais e métodos: Realizou-se previamente um estudo piloto com 7 crianças (3-8 anos). Estas foram submetidas à extração de doze dentes decíduos em grupos com e sem sutura. A cicatrização foi avaliada aos 7 e 14 dias, enquanto o desconforto foi avaliado com a Escala de Faces e a Escala de Frankl. Os procedimentos foram realizados por estudantes de Mestrado Integrado na Faculdade de Medicina Dentária da Universidade Católica Portuguesa (FMD-UCP), sob supervisão. Os dados foram analisados de forma descritiva e os pontos favoráveis e desfavoráveis para a realização deste tipo de estudo foram discutidos. Resultados: A maioria das crianças apresentou comportamento positivo durante o procedimento. Aos 7 dias, 4 pacientes retornaram, com cicatrização satisfatória e ausência de sinais inflamatórios significativos. Aos 14 dias, 3 pacientes retornaram, todos com excelente cobertura da ferida e sem sintomas relevantes. A adesão ao acompanhamento foi limitada (57,14% aos 7 dias e 42,86% aos 14 dias). Conclusões: Este estudo piloto destacou a dificuldade em obter uma amostra representativa e a baixa adesão ao seguimento. Embora não haja diferenças significativas entre os grupos, os resultados preliminares sugerem que a exodontia sem sutura pode ser uma alternativa viável. Estudos futuros com amostras maiores e metodologias como o split-mouth são recomendados.
Introduction: The high prevalence of dental caries and dental trauma in children makes the extraction of primary teeth a common procedure. The best way to achieve haemostasis and post-operative healing, especially in children, are challenges that have a low level of scientific evidence. Sutures are often used to improve healing, but their effectiveness is still debated. Objective: To assess the impact of suturing on healing after extraction of deciduous teeth and to compare child’s discomfort between procedures with and without suturing. Materials and methods: A pilot study was carried out with 7 children (aged 3-8 years). They underwent extraction of twelve deciduous teeth in groups with and without sutures. Healing was assessed at 7 and 14 days, while discomfort was evaluated using the Faces Scales and the Frankl Scale. The procedures were carried out by Master´s degree students at the Faculty of Dental Medicine of the Portuguese Catholic University (FMD-UCP), under supervision. The data was analysed descriptively and the favourable and unfavorable points for carrying out this type of study were discussed. Results: Most of the children showed positive behavior during the procedure. At 7 days, 4 patients returned with satisfactory healing and no significant signs of inflammation. At 14 days, 3 patients returned, all with excellent wound coverage and no revelant symptoms. Adherence to follow-up was limited (57.14% at 7 days and 42.86% at 14 days). Conclusions: This pilot study highlighted the difficulty in obtaining a representative sample and low adherence to follow-up. Although there were no significant differences between the groups, the preliminar results suggest that sutureless extraction may be a viable alternative. Future studies with larger samples and methodologies such as split-mouth are recommended.
Introduction: The high prevalence of dental caries and dental trauma in children makes the extraction of primary teeth a common procedure. The best way to achieve haemostasis and post-operative healing, especially in children, are challenges that have a low level of scientific evidence. Sutures are often used to improve healing, but their effectiveness is still debated. Objective: To assess the impact of suturing on healing after extraction of deciduous teeth and to compare child’s discomfort between procedures with and without suturing. Materials and methods: A pilot study was carried out with 7 children (aged 3-8 years). They underwent extraction of twelve deciduous teeth in groups with and without sutures. Healing was assessed at 7 and 14 days, while discomfort was evaluated using the Faces Scales and the Frankl Scale. The procedures were carried out by Master´s degree students at the Faculty of Dental Medicine of the Portuguese Catholic University (FMD-UCP), under supervision. The data was analysed descriptively and the favourable and unfavorable points for carrying out this type of study were discussed. Results: Most of the children showed positive behavior during the procedure. At 7 days, 4 patients returned with satisfactory healing and no significant signs of inflammation. At 14 days, 3 patients returned, all with excellent wound coverage and no revelant symptoms. Adherence to follow-up was limited (57.14% at 7 days and 42.86% at 14 days). Conclusions: This pilot study highlighted the difficulty in obtaining a representative sample and low adherence to follow-up. Although there were no significant differences between the groups, the preliminar results suggest that sutureless extraction may be a viable alternative. Future studies with larger samples and methodologies such as split-mouth are recommended.
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Keywords
Exodontia Dente decíduo Odontopediatria Sutura Cicatrização Estudo piloto Extraction Deciduous tooth Pediatric dentistry Sutures Healing Pilot study
Pedagogical Context
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