Variaciones de los signos vitales asociados a la atención odontológica en pacientes pediátricos entre 6 a 9 años en la clínica de la Universidad Santo Tomás sede Floridablanca

Abstract

Introduction. Today it is known that children create different emotions at the time of the dental consultation, which causes changes in vital signs, this study was conducted to observe variations in vital signs of temperature, respiratory rate, pressure arterial and pulse, in the patients of the integral clinic of the child in the Santo Tomas University of Floridablanca, with the purpose of knowing what type of procedure modifies these signs more and in this way facilitate better management of these patients by the dentist. Objective. To determine the variation of the vital signs, present in pediatric patients between 6 to 9 years old when faced with the emotions generated by dental care in the clinic of the Santo Tomás University, Floridablanca. Materials and methods. An observational, analytical, cross-sectional study of a population of 60 children was designed using a non-probabilistic, intentional sampling, and sociodemographic variables such as gender, age, other variables such as child behavior, child fear, and dental procedures were evaluated. and vital signs; Statistical analysis was performed in the Stata / MP statistical package version 14.2, using measures of central tendency and dispersion, Student's t or Wilcoxon and Anova or Kruskall Wallis ranges. Results 38% correspond to girls and 22% to boys, the steel crown procedure represented greater variability in vital signs with increasing respiratory rate (X: 25.75 ± 2.06), pulse (87.5 ± 9), blood pressure in systole (X: 114 ± 4.61) and diastole (X: 74.75 ± 6.02); comparing it with tooth extraction that gave us results of respiratory rate (22 ± 2.96), pulse (84.85 ± 15.14), blood pressure in systole (103.64 ± 10.83) and diastole (74.28 ± 6 , 05). Conclusions. The vital signs of pulse, blood pressure, temperature and respiratory rate in pediatric patients showed that the emotions presented by the child, such as fear and behavior, influence the variation in vital signs between the before and after each taking in dental care, according to the sociodemographic variables it was observed that the sample reached a greater participation of the female gender than the male. When taking vital signs, a variation of them was observed before and after the dental procedure, but these changes were kept within normal ranges without showing pathological alterations. Through this study, it was determined that the procedure that caused the greatest variation in vital signs in children it was the steel crown, for this reason at the time of this treatment it is recommended to establish confidence in the patient-dentist relationship. This research allowed us to understand that there are various factors that can produce changes in the patient and in the care of a pediatric patient, it is important to develop comprehensive management, improving the techniques used and reinforcing our knowledge to provide better quality of care.