title: Behavioral and physiological changes in children with Down syndrome using mechanical and chemomechanical (Carisolv) caries removal methods.
abstract: This study compared behavioral and physiological changes during caries removal in children with Down syndrome when using a chemomechanical caries removal technique (Carisolv) and a conventional method of caries removal. Twenty children (ASA class 1) between 5 and 12 years of age participated in the study; 10 subjects had Down syndrome and 10 were healthy controls. The behavioral and physiological assessments were carried out during five stages of dental treatment: (1) 5 minutes before local anesthesia; (2) during local anesthesia; (3) during caries removal; (4) immediately after restoration; and (5) 5 minutes after the end of the treatment. The caries removal step resulted in the greatest behavioral and physiological changes. Except for oxygen saturation, statistically significant differences in heart rate (p<0.05) were recorded between children with Down syndrome and the control children.
authors.affiliation: Department of Pediatric Dentistry, School of Dentistry, University Cruzeiro do Sul, São Paulo, Brazil. renataguare@uol.com.br
authors.forename: Renata de Oliveira
authors.initials: Rde O
authors.lastname: Guaré
authors.forename: Ana Lídia
authors.initials: AL
authors.lastname: Ciamponi
authors.forename: Marcelo Munhões
authors.initials: MM
authors.lastname: Romano
mesh_terms: D000704:Analysis of Variance; D000766:Anesthesia, Dental / Q000379:methods / Q000523:psychology; D001794:Blood Pressure; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D016854:Dental Anxiety / Q000517:prevention & control / Q000523:psychology; D003730:Dental Care for Persons with Disabilities / Q000379:methods* / Q000523:psychology; D003731:Dental Caries / Q000523:psychology / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000379:methods* / Q000523:psychology; D004314:Down Syndrome / Q000523:psychology*; D005260:Female; D018698:Glutamic Acid / Q000627:therapeutic use*; D006339:Heart Rate; D006801:Humans; D007930:Leucine / Q000627:therapeutic use*; D008239:Lysine / Q000627:therapeutic use*; D008297:Male; D012016:Reference Values; D013315:Stress, Psychological / Q000503:physiopathology / Q000517:prevention & control / Q000523:psychology
chemical_list: C119934:Carisolv; D018698:Glutamic Acid; D007930:Leucine; D008239:Lysine