Revisão sistemática sobre manejo do comportamento para o atendimento odontológico de pacientes com deficiência auditiva.

Abstract

INTRODUCTION: hearing (DA) is the absence, loss or substantial reduction of the sense of hearing. Hearing loss is a very common sensory deficit and cause great disadvantage. The dental care depends on communication, ensuring the success of the procedure. The patients require a differentiated dental treatment due to the limitations imposed by their disabilities. AIM: to describe behavior management strategies for the dental care for patients with hearing loss through a systematic review of the literature. METHODOLOGY: the databases consulted were Medline, Pubmed, LILACS, SCIELO, Google Scholar and the CAPES Journals, with the keywords "Dental Care" "hearing", "hearing loss", "behavior" "hearing-impaired", "deaf". We have included articles in Portuguese and English, of the last 10 years for which there was full access article. RESULTS: 526 articles were found, being 488 in Google Scholar, 13 in PubMed, MedLine, 18 2 in LILACS and 5 in CAPES Journals. Removed redundant cross-references, appearing in more than one base, 5 were selected articles (Google Scholar 1 and 4 of the LILACS). Based on the methodology, it was possible to select 5 papers related to the topic of study, and behavior management strategies found were: exploration of the senses of touch, sight and taste, training to surgeons for use of or presence of sign language interpreters, use of transparent visors to facilitate lip reading, use of pictorial material; use of handmade toy, inclusion of the guidelines, quick consultations; decrease of sounds in the environment; not performing sudden movements, removing the hearing aid when using burs which produce high noise, and in case of non cooperation: use of medicine or stabilization of patients, and use devices for oral opening, and general anesthesia. CONCLUSION: there are few recommendations in literature regarding behavior management in the dental care of patients. There is a need, therefore, to carry out research in carefully controlled conditions, to provide scientific evidence to support the recommendations of existing clinics, in addition to the need to develop teaching programs of management strategies of patient behavior to provide new skills for students and dentists.