Sentimentos, Percepções e Manifestações de Pacientes e Profissionais Sobre a Cirurgia Ambulatorial de Terceiros Molares

Abstract

RESUMO DESCRIPTORS DESCRITORESTerceiro molar; Procedimentos cirúrgicos ambulatórios; Sentimentos; Manifestações neurocomportamentais. Molar; Ambulatory surgical procedures; Emotions; Neurobehavioral manifestations. Feelings, Perceptions and Manifestations of Patients and Professionals on the Third Molar Surgery Performed in Outpatient EnvironmentObjective: To evaluate the feelings, perceptions and manifestations of patients subjected to impacted mandibular third molar surgery and of the professionals who performed the extractions. Method: This study was conducted according to the naturalistic paradigm. The sample included 10 patients subjected to impacted mandibular third molar extraction performed under local anesthesia at private dental offices, and 10 dentists (5 specialized in Oral and Maxillofacial Surgery and Traumatology and 5 general dentists). Results:One of the spontaneous manifestations of patients and professionals alike referred to surgery duration. Many of the interviewees seemed to associate the quality of the treatment and the professional's skills to shorter surgical times. It was observed that patient satisfaction was quite related to the information given before the surgical intervention. The results indicated that when the patient was properly informed about the surgical procedure to be performed, increased patient/professional satisfaction was observed. Fear was a frequently mentioned feeling by patients. In some cases, fear is related to the instruments and anesthesia and in other situations it is related to the possibility of feeling pain, due to conversations with other people and report of their experiences, and even to the situation itself or the professional's appearance. The professionals showed willingness to understand their patients in their duality -body and mind -even though many times they did not appear skilled for this. Conclusion:There is an intrinsic relationship between the individual's feelings and behaviors. Therefore, a greater interaction between the Human and Social Sciences (Psychology) and Health Sciences (Dentistry) is needed in order to improve the patient/ professional interrelation, increasing the satisfaction of both parts in case of surgical procedures. Objetivo: Avaliar sentimentos, percepções e manifestações de pacientes submetidos a exodontias de terceiros molares inferiores retidos e dos profissionais que as realizaram.Método: Essa pesquisa foi desenvolvida de acordo com o paradigma naturalista. A amostra foi composta por dez pacientes submetidos à exodontia de terceiros molares retidos, sob anestesia local, realizada em consultórios odontológicos particulares, e por dez cirurgiões-dentistas, sendo cinco deles especialistas em Cirurgia e Traumatologia Bucomaxilofacial e cinco clínico-gerais. Resultados: Uma das manifestações espontâneas, tanto de pacientes como de profissionais, foi relacionada com tempo o cirúrgico. Muitos entrevistados parecem associar a qualidade do tratamento e a competência do profissional a tempos cirúrgicos mais curtos. Obse...