Estudo dos acupontos estômago 6 e estômago 7 no controle álgico da pulpite irreversível sintomática

Abstract

Nunes, AB. Study of acupoints stomach 6 and stomach 7 on the algic control of symptomatic irreversible pulpits [dissertation]. São Paulo: Universidade de São Paulo, Faculdade de Odontologia; 2014. Versão Corrigida. The term odontalgia emcompasses several diseases capable to cause pain, including symptomatic irreversible pulpitis (SIP), characterized by an inflammatory peak which irreversibly affects the cells of the dental pulp, causing excruciating pain. The definitive treatment is preferably carried out by pulpectomy, or on the inability of it, through the exodonty. Until one of these therapies is established, acupuncture (a technique of traditional Chinese medicine through which thin needles are inserted into specific points of the human body aiming treat and prevent diseases) and pharmacotherapy may provisionally promote pain control. The drugs are capable of generating partial analgesia, but with a quota of side effects and contraindications, while acupuncture has few contraindications, low risk and proven analgesic efficacy in several algic conditions. According to the textbooks, many acupuncture points bring forward analgesic effectiveness in odontalgias, including the SIP. However, no studies that supported these conclusions were found. The aim of this study is to verify the existence of propensity of acupuncture analgesia through two points of easy access and application: stomach 6 (ST6) and stomach 7 (ST7), exclusively in individuals of SIP in just one tooth. The study was conducted in the Department of Emergency Dental FOUSP, following cross-over design in a single session, randomized, double-blind. It is observed that ST6 and ST7 points have a tendency to reduce the pain of SIP whether used before or after the respective placebo. Thus it suggests the need for further studies confirming its effectiveness, in order to enable the precise diagnostic and the breath for patients with one of the most intense odontalgias that are known.