Pós-operatório em cirurgia odontológica: desenvolvimento de um aplicativo para monitoramento pós-operatório e ensaio clínico randomizado do efeito de analgesia preemptiva em cirurgias de implantes dentários

Abstract

This study was conducted to evaluate the clinical efficacy of ibuprofen in pain prevention after unit implant surgeries and to develop an operative monitoring application. For the triple-blind, parallel, placebo-controlled and randomized clinical trial, 54 singles implant insertion surgeries were performed. Two groups received two different protocols 1 hour before the surgery: group (1) Ibuprofen (IBU) 600 mg ibuprofen; and (2) placebo group (corn starch). Pain intensity was assessed by means of the visual analogue scale (EVA) printed on paper in 6 strokes (1,6,12,24,48 and 72 hours after surgery). Patients were instructed to take 750 mg paracetamol as rescue medication, if necessary. The occurrence and intensity of the pain was analyzed using an ANOVA variance analysis with repeated measurements using the general linear model procedure. The IBU group had lower EVA scores overall (IBU=0.30, ±0.57, placebo=1.14, ±1.07) and at all times in the intra, intergroup and time/group comparisons than the placebo group (p<0.001). The use of rescue medication was significantly lower and the longer postoperative time in the IBU group was compared to placebo (p=0.002). It was concluded that the single use of ibuprofen was significantly superior in reducing pain after unit implant surgery compared to placebo. In this dissertation, the development of a mobile application, operationalized in the Android® and iOS® systems, called Operational Monitoring Application (AMO), is also presented. The AMO is a means of evaluation that aims the operative monitoring without the need for the user to be physically and/or geographically linked to a professional. In addition, the analysis of the data obtained by the AMO can contribute significantly to research on the subject. The version presented here used the following validated scales: Dental Fear Survey (DFS), Dental Anxiety Scale (DAS), Pain [short version of McGill Pain (QDM)], Visual Analog Scale VAS), Verbal Dental Scale (VDS) and Numerical Rating Scale (NRS) and alerts for medication use and urgencies.