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[Caridex——清醒镇静联合应用。儿童牙科学的一种新方法]

[Caridex--conscious sedation association. A new approach in pedodontics].

作者信息

Caprioglio D, Damia G

出版信息

Dent Cadmos. 1989 Oct 15;57(15):48-50, 53-60, 63-4.

PMID:2641369
Abstract

Psycological approach and analgesia are very important in paediatric dentistry. Sometimes the first is not enough and it is necessary the use of pharmacological methods. They are represented with sure and useful technique like "relative analgesia" with N2O/O2. The use of Caridex method is also very good in operative paediatric dentistry because there is not the necessity of local anesthesia with injection and the use of burns and drills. The AA. have connected together these two methods, and they present some very interesting clinical reports. With Caridex it's possible to remove only decayed dentine saving so the healthy dentine and reducing fear and stress in very young children. The association with relative analgesia permits to do a very early and global therapy in children also very young (24-36 months). The AA. have obtained a reduction of hemotivity, of odontogenous stress, and last but not least with this method there is the opportunity to avoid the general anesthesia.

摘要

心理学方法和镇痛在儿童牙科中非常重要。有时仅靠前者是不够的,还需要使用药理学方法。它们以诸如笑气/氧气“相对镇痛”等可靠且有用的技术为代表。Caridex方法在儿童口腔手术治疗中也非常有效,因为无需注射局部麻醉剂以及使用灼烧和牙钻。作者将这两种方法结合起来,并给出了一些非常有趣的临床报告。使用Caridex可以仅去除龋坏牙本质,从而保留健康牙本质,并减轻幼儿的恐惧和压力。与相对镇痛相结合,即使对于非常年幼(24至36个月)的儿童也可以进行非常早期且全面的治疗。作者通过这种方法降低了血液活性、牙源性应激,最后但同样重要的是,有机会避免全身麻醉。

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1
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Dent Cadmos. 1989 Oct 15;57(15):48-50, 53-60, 63-4.
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An RCT pilot study to test the effects of intravenous midazolam as a conscious sedation technique for anxious children requiring dental treatment--an alternative to general anaesthesia.一项随机对照试验的初步研究,旨在测试静脉注射咪达唑仑作为一种用于需要牙科治疗的焦虑儿童的清醒镇静技术的效果——一种全身麻醉的替代方法。
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