Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology

Introduction: There are different strategies for anxiety control in dentistry. The objective of this study was to determine the efficacy and safety of clonidine medication versus placebo to decrease anxiety and pain in third-molar extraction. Methods: a placebo controlled clinical trial, randomized,...

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Autores:
Bermúdez-Reyes, Patricia
Támara-Eraso, Ana Karina
Vargas, Jorge William
Tipo de recurso:
Article of journal
Fecha de publicación:
2013
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
spa
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/9660
Acceso en línea:
https://revistas.ucc.edu.co/index.php/od/article/view/550
https://hdl.handle.net/20.500.12494/9660
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openAccess
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Derechos de autor 2015 Revista Nacional de Odontología
id COOPER2_48ac8d0b9b004940773cba85beb08ab1
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/9660
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
dc.title.eng.fl_str_mv Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
dc.title.spa.fl_str_mv Eficacia y seguridad de clonidina versus placebo para ansiedad en odontología
dc.title.por.fl_str_mv Eficácia e segurança de clonidina versus placebo para ansiedade em odontologia
title Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
spellingShingle Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
title_short Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
title_full Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
title_fullStr Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
title_full_unstemmed Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
title_sort Efficacy and Safety of Clonidine versus Placebo for Anxiety in Odontology
dc.creator.fl_str_mv Bermúdez-Reyes, Patricia
Támara-Eraso, Ana Karina
Vargas, Jorge William
dc.contributor.author.none.fl_str_mv Bermúdez-Reyes, Patricia
Támara-Eraso, Ana Karina
Vargas, Jorge William
description Introduction: There are different strategies for anxiety control in dentistry. The objective of this study was to determine the efficacy and safety of clonidine medication versus placebo to decrease anxiety and pain in third-molar extraction. Methods: a placebo controlled clinical trial, randomized, triple-blind, parallel group design, included 40 healthy patients aged 14 to 40, who would be undergoing third molar surgery, with a score ≥ 13, in accordance with the Modified Dental Anxiety Scale (mdas); there were 20 patients per group who received 150 mcg clonidine and a control group that received the placebo. The groups were randomized in balanced blocks, and the masking consisted of uniform tableting. Primary outcome: change in anxiety according to mdas; secondary outcome: vital signs, change in the pain scale and side effects. Results: decreased anxiety in both groups, with no significant differences between the clonidine group compared with placebo (p = 0.704); in the experimental group average pressure decreased when compared with the placebo (p = 0.033). Conclusion: clonidine is safe, and even though when compared to the placebo showed no significant anxiety reduction, in the clonidine group a decrease in average arterial pressure was observed, which could reflect reduced anxiety, considering its somatic signs.
publishDate 2013
dc.date.accessioned.none.fl_str_mv 2019-05-14T21:12:59Z
dc.date.available.none.fl_str_mv 2019-05-14T21:12:59Z
dc.date.none.fl_str_mv 2013-12-30
dc.type.none.fl_str_mv Artículo
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
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dc.type.driver.none.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://revistas.ucc.edu.co/index.php/od/article/view/550
10.16925/od.v9i17.550
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12494/9660
url https://revistas.ucc.edu.co/index.php/od/article/view/550
https://hdl.handle.net/20.500.12494/9660
identifier_str_mv 10.16925/od.v9i17.550
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://revistas.ucc.edu.co/index.php/od/article/view/550/534
dc.rights.none.fl_str_mv Derechos de autor 2015 Revista Nacional de Odontología
http://creativecommons.org/licenses/by-nc-nd/4.0
dc.rights.accessrights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Derechos de autor 2015 Revista Nacional de Odontología
http://creativecommons.org/licenses/by-nc-nd/4.0
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Cooperativa de Colombia
dc.source.eng.fl_str_mv Revista Nacional de Odontología; Vol 9 No 17 (2013); 7-15
dc.source.spa.fl_str_mv Revista Nacional de Odontología; Vol. 9 Núm. 17 (2013); 7-15
dc.source.por.fl_str_mv Revista Nacional de Odontología; v. 9 n. 17 (2013); 7-15
dc.source.none.fl_str_mv 2357-4607
1900-3080
institution Universidad Cooperativa de Colombia
repository.name.fl_str_mv Repositorio Institucional Universidad Cooperativa de Colombia
repository.mail.fl_str_mv bdigital@metabiblioteca.com
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spelling Bermúdez-Reyes, PatriciaTámara-Eraso, Ana KarinaVargas, Jorge William2013-12-302019-05-14T21:12:59Z2019-05-14T21:12:59Zhttps://revistas.ucc.edu.co/index.php/od/article/view/55010.16925/od.v9i17.550https://hdl.handle.net/20.500.12494/9660Introduction: There are different strategies for anxiety control in dentistry. The objective of this study was to determine the efficacy and safety of clonidine medication versus placebo to decrease anxiety and pain in third-molar extraction. Methods: a placebo controlled clinical trial, randomized, triple-blind, parallel group design, included 40 healthy patients aged 14 to 40, who would be undergoing third molar surgery, with a score ≥ 13, in accordance with the Modified Dental Anxiety Scale (mdas); there were 20 patients per group who received 150 mcg clonidine and a control group that received the placebo. The groups were randomized in balanced blocks, and the masking consisted of uniform tableting. Primary outcome: change in anxiety according to mdas; secondary outcome: vital signs, change in the pain scale and side effects. Results: decreased anxiety in both groups, with no significant differences between the clonidine group compared with placebo (p = 0.704); in the experimental group average pressure decreased when compared with the placebo (p = 0.033). Conclusion: clonidine is safe, and even though when compared to the placebo showed no significant anxiety reduction, in the clonidine group a decrease in average arterial pressure was observed, which could reflect reduced anxiety, considering its somatic signs.Introducción: para el control de la ansiedad en la atención odontológica existen diferentes estrategias. El objetivo de este trabajo fue determinar la eficacia y la seguridad de la medicación con clonidina versus placebo, para disminuir la ansiedad y el dolor en la extracción de terceros molares. Métodos: ensayo clínico, placebo controlado, aleatorizado, triple ciego y diseño de grupos paralelos; participaron 40 pacientes sanos con edades entre 14 y 40 años, que serían sometidos a cirugía de terceros molares, con puntuación ≥ 13, según la escala de ansiedad dental modificada (mdas); 20 pacientes participaron por grupo y recibieron clonidina de 150 mcg, al control placebo. Se aleatorizaron por bloques balanceados y el enmascaramiento consistió en un tableteado uniforme. Desenlace primario: cambio en la ansiedad, según mdas; secundario: signos vitales, cambio en la escala del dolor y efectos secundarios. Resultados: la ansiedad disminuyó en ambos grupos, sin diferencias significativas entre el grupo clonidina y el grupo placebo (p = 0,704); en el grupo experimental disminuyó la presión media al compararla con la del grupo placebo (p = 0,033). Conclusión: la clonidina es segura, y aunque al compararla con el placebo no mostró diferencias significativas en disminución de la ansiedad, en el grupo que la recibió se observó un descenso en la presión arterial media, lo que puede reflejar menor ansiedad, si consideramos sus signos somáticos.Introdução:para o controle da ansiedade no atendimento odontológico, existem diferentes estratégias. O objetivo deste trabalho foi determinar a eficácia e a segurança do medicamento com clonidina versus placebo, para diminuir a ansiedade e a dor na extração de terceiros molares. Métodos: ensaio clínico, placebo controlado, aleatorizado, triplo-cego e desenho de grupos paralelos; participaram 40 pacientes saudáveis com idade entre 14 e 40 anos, que seriam submetidos à cirurgia de terceiros molares, com pontuação ≥ 13, segundo a escala de ansiedade dental modificada (mdas); 20 pacientes participaram por grupo e receberam clonidina de 150 mcg, ao controle placebo. Aleatorizaram-sepor blocos balanceados e o mascaramento consistiu em um tableteadouniforme. Desenlace primário:mudança na ansiedade, segundomdas;secundário: sinais vitais, mudança na  escala da dor e efeitos secundários.Resultados:a ansiedade diminuiu emambos os grupos, sem diferençassignificativas entre o grupo clonidina e o grupo placebo (p =0,704); nogrupo experimental diminuiu a pressão média ao compará-la com a dogrupoplacebo (p = 0,033).Conclusão:a clonidina é segura e, embora ao compará-la com o placebo não tenha mostrado diferenças significativasna diminuição daansiedade, no grupo que a recebeu, observou-se umdescenso na pressão arterial média, o que poderia refletir uma menor ansiedade, se considerássemos seus sinais somáticos. application/pdfspaUniversidad Cooperativa de Colombiahttps://revistas.ucc.edu.co/index.php/od/article/view/550/534Derechos de autor 2015 Revista Nacional de Odontologíahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revista Nacional de Odontología; Vol 9 No 17 (2013); 7-15Revista Nacional de Odontología; Vol. 9 Núm. 17 (2013); 7-15Revista Nacional de Odontología; v. 9 n. 17 (2013); 7-152357-46071900-3080Efficacy and Safety of Clonidine versus Placebo for Anxiety in OdontologyEficacia y seguridad de clonidina versus placebo para ansiedad en odontologíaEficácia e segurança de clonidina versus placebo para ansiedade em odontologiaArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionPublication20.500.12494/9660oai:repository.ucc.edu.co:20.500.12494/96602024-07-16 13:32:30.455metadata.onlyhttps://repository.ucc.edu.coRepositorio Institucional Universidad Cooperativa de Colombiabdigital@metabiblioteca.com