DENTAL KAYGI VE AĞRI YÖNETİMİNDE NONFARMAKOLOJİK BİR YÖNTEM; AROMATERAPİ: DERLEME

Year 2023, Volume: 10 Issue: 1, 124 - 129, 27.04.2023

Büşra Mutlu , Aysun Avşar

https://doi.org/10.15311/selcukdentj.1228320

Abstract

Aromaterapi, bitkilerden elde edilen esansiyel yağların kimyasal içeriklerine bağlı olarak
değişen terapötik özelliklerine göre, fiziksel ve psikolojik olarak iyileştirmek amacıyla
kullanılmasıdır. Uzun bir tarihsel geçmişe sahip olan ve günümüzde tamamlayıcı alternatif tıp
tedavilerinden biri olarak kullanılan aromaterapinin uygulaması kolaydır, maaliyeti düşüktür
ve yan etkisi yok denecek kadar azdır. Aromaterapi oral absorbsiyon, masaj ve inhalasyon
yoluyla uygulanabilir. Uçucu yağlar inhale edildiklerinde burundaki reseptörler kokuları
elektriksel impulslara çevirerek elektrokimyasal mesajları oluştururlar. Bu mesajlar olfaktör
yol ile limbik sisteme iletilir, hipotalamus aracılığıyla koku alma sisteminden beyne sinyaller
gönderilmesiyle seratonin ve dopamin gibi nörotransmitterler salgılanmasını gerçekleştirirler.
Bunun sonucunda depresyon ve anksiyeteyi düzenleyerek analjezik ve anksiyolitik etki
gösterirler. Aromaterapinin anksiyolitik ve analjezik etkisinden faydalanmak amacıyla tıp ve
diş hekimliği alanında kullanımı yaygınlaşmıştır. Onkoloji tedavisi gören ve opere edilen
hastaların anksiyete ve ağrı yönetiminde sıklıkla tamamlayıcı ve alternatif bir yöntem olarak
tercih edilen aromaterapinin diş hekimliğinde tedavilerin karşısındaki en büyük küresel
engellerden biri olan dental kaygının yönetiminde kullanımı son yıllarda artmıştır. Dental kaygı
diş tedavileri konusunda anormal bir korku veya endişe olarak tanımlanmıştır ve çocuk
hastalarda görülme sıklığı % 5-20 arasında değişmektedir. Günümüze dek yapılan çalışmalarla
dental kaygıyı yönetmek amacıyla farmakolojik ve nonfarmakolojik çeşitli davranış
yönlendirme teknikleri literatüre kazandırılmıştır. Dental kaygının yönetimindeki
nonfarmakolojik güncel yaklaşımlardan biri olan aromaterapi kaygılı hastalarda ağrı duyarlılığı
daha fazla gözlendiği için ağrı kontrolünde de kullanılabilmektedir.

Keywords

aromaterapi, uçucu yağlar, dental kaygı

References

• 1) Ebrahimi H, Mardani A, Basirinezhad MH, Hamidzadeh A, Eskandari F. Te effects of Lavender and Chamomile essential oil inhalation aromatherapy on depression, anxiety and stress in older community-dwelling people: A randomized controlled trial. Explore. 2021;18: 272-278
• 2) Huang H, Wang Q, Guan X. Effect of aromatherapy on preoperative anxiety in adult patients: A meta-analysis of randomized controlled trials. Complementary therapies in clinical practice. 2021; 42: 20-28
• 3) Pasupuleti SC, Hassan A. Evaluation of Effectiveness of Aromatherapy in Managing Anxious Paediatric Dental Patient: An In-Vivo study. 2022; 4(4): 1-8
• 4)https://www.resmigazete.gov.tr/eskiler/2014/10/20141027-3.html. (Ziyaret tarihi: 19.12.2022)
• 5) Baltacı N, Tülek Deniz H. Tamamlayıcı ve bütünleşik bir bakım uygulaması: Aromaterapi. International Social Sciences Studies Journal 2019; 5(32): 1802-1809.
• 6) Sadlon A, Lamson D. Immune modifying and antimicrobial effects of eucalyptus oil and simple inhalation devices. Alternative Med Rev. 2010; 15: 33-47
• 7) Tatlı İİ. Doğal Aromaterapötik Yağlar ile Cilt Terapisi. Türkiye Klinikleri J Cosm Dermatol-Special Topics 2012; 5(4): 46
• 8)Pasupuleti SC, Hassan A. Evaluation of Effectiveness of Aromatherapy in Managing Anxious Paediatric Dental Patient: An In-Vivo study. 2022; 4(4): 1-8
• 9)Brahms JC. Aroma, touch and well-being: Following the mind to wellness. International Journal of Cosmetic Science 2004; 26: 168-170
• 10) Petersen D. What's hot and what's not: US trends in aromatherapy essential oil choices. Paper presented at: Asian Aroma Ingredients Congress & Expo, Bali, Indonesia. 2012.
• 11)Hudson CM. Bütün Yönleriyle Masaj. Gökçeoğlu N. edıtor. Aromaterapi ve Masaj. Dost Kitabevi Yayınları, 1998; 6-20.
• 12) Groppo FC, Ramacciato JC, Simoes RP, Florio FM, Sartoratto A. Antimicrobial activity of garlic, tea tree oil, and chlorhexi-dine against oral microorganisms. International Dental Journal. 2002; 52: 433–437.
• 13) Miller L, Miller B. Ayurveda Aromaterapi. Bölüm Çeviri: Önce S. Bölüm: Aromatiklerin ilk kullanımları. Kitap: Ayurveda Aromaterapi. Türkçe 1. Baskı. Bilim Teknik Yayıncılık, İstanbul 2001; ss 85-462. 132.
• 14) Buckle J. Clinical Aromatherapy; Essencial Oils in Healthcare. Churchill Livingstone, 2015; 2-90.
• 15) Chang WP, Lin CC. Changes in the sleep-wake rhythm, sleep quality, mood, and quality of life of patients receiving treatment for lung cancer: a longitudinal study. Chronobiol Int 2017; 34(4):451–61
• 16) Ayçeman N. Doğanın şifalı dokunuşu: Aromaterapi. 1.Baskı. Konya: İnci Offset; 2008; 44
• 17) Yilmaz M. Evaluation of sleep disorders in nonmetastatic breast cancer patients based on Pittsburgh sleep quality index. J Cancer Res Ther 2020; 16(6):1274–8.
• 18) Granek L, Nakash O, Ariad S, Shapira S, Ben-David MA. Oncology health care professionals’ perspectives on the causes of mental health distress in cancer patients. Psychooncology. 2019;28(8):1695–701.
• 19) Tisserand, R., Young, R., (2014). Essential Oil Safety A Guide For Health Care Professionals (Second edition) : 40 – 57
• 20) Teskereci G, Kulakaç Ö. Kanserde aromaterapi masajı: Sistematik literatür incelemesi. Florence Nightingale Hemşirelik Dergisi. 2018;26(2):115-30
• 21) Ho SSM, Kwong ANL, Wan KWS, Ho RML, Chow KM. Experiences of aromatherapy massage among adult female cancer patients: a qualitative study. J Clin Nurs. 2017;26(23-24):4519–26
• 22) Lee SH, Kim JY, Yeo S, Kim SH, Lim S. Meta-analysis of massage therapy on cancer pain. Integr Cancer Ther. 2015;14(4):297-304.
• 23) Clemo-Crosby AC, Day J, Stidston C, McGinley S, Powell RJ. Aromatherapy massage for breast cancer patients: A randomised controlled trial. J Nurs Womens Health. 2018; 3 (144) :2577-1450
• 24) Law, R. M., Ngo, M. A., Maibach, H. I. (2020), Twenty clinically pertinent factors/observations for percutaneus absorption in humans. American Journal of Clinical Dermatology, 2021 (1), 85 – 95.
• 25) Chang WP, Lin CC. Changes in the sleep-wake rhythm, sleep quality, mood, and quality of life of patients receiving treatment for lung cancer: a longitudinal study. Chronobiol Int 2017;34(4):451–61
• 26) ] Yilmaz M. Evaluation of sleep disorders in nonmetastatic breast cancer patients based on Pittsburgh sleep quality index. J Cancer Res Ther 2020;16(6):1274–8.
• 27) Granek L, Nakash O, Ariad S, Shapira S, Ben-David MA. Oncology health care professionals’ perspectives on the causes of mental health distress in cancer patients. Psychooncology. 2019;28(8):1695–701.
• 28) Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis. Pain Res Treat 2016; 8158693
• 29) Farrar AJ, Farrar FC. Clinical aromatherapy. Nurs Clin North Am 2020;55(4): 489–504
• 30) Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis. Pain Res Treat 2016; 8158693
• 31) Dyer J, Cleary L, Ragsdale-Lowe M, McNeill S, Osland C. The use of aromasticks at a cancer centre: A retrospective audit. Compl Ther Clin Pract 2014; 20 (4): 203-206.
• 32) Akbari F, Rezaei M, Khatony A. Effect of peppermint essence on the pain and anxiety caused by intravenous catheterization in cardiac patients : A randomized controlled trial. J Pain Res 2019; 12:2933-2939.
• 33) Hekmatpou D, Pourandish Y, Farahani PV, Parvizrad R. The effect of aromatherapy with orange essential oil on anxiety and pain in patients with fractured limbs admitted to an emergency ward: A randomized clinical trial. Cent Eur J Nurs Midwifery 2017; 8(4):717-722.
• 34) Asgari MR, Vafaei-Moghadam A, Babamohamadi H Ghorbani R, Esmaeili R. Comparing acupressure with aromatherapy using Citrus aurantium in terms of their effectiveness in sleep quality in patients undergoing percutaneous coronary interventions: A randomized clinical trial. Complement Ther Clin Pract 2019; 38:1-7.
• 35) Van Vuuren S, Rapper S. Odoriferous Therapy: Identifying the Antimicrobial Potential of Essential Oils against Pathogens of the Respiratory Tract. Chemistry & Biodiversity 2020; 17(6): 10-102
• 36) Kilina AV, Kolesnikova MB. The Efficacy of the Application of Essential Oils for the Prevention of Acute Respiratory Diseases in Organized Groups of Children, Vestn Otorinolaringol 2011, (5):51-4.
• 37) M. Kritsidima, T. Newton and K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised-controlled trial,AsimakopoulouCommunity Dent. Oral Epidemiol. 2010; 38 (1): 83-87
• 38) J. Smallwood. Aromatherapy and behaviour disturbances in dementia: a randomized controlled trial Int J Geriatr Psychiatry, 2001; 16(10): 1010-3
• 39) U. Berggren and G. Meynert Dental fear and avoidance: Causes, symptoms, and consequences J Am Dent Assoc, 1984;109: 238- 247
• 40) O. Vassend Anxiety, pain and discomfort associated with dental treatment Behav Res Ther, 1993; 31: 651-659
• 41) Liu Y, Gu Z, Wang Y. Effect of audiovisual distraction on the management of dental anxiety in children: a systematic review. Int J Paediatr Dent 2019; 29: 14‐21
• 42) Eitner S, Schultze-Mosgau S, Heckmann J, Wichmann M, Holst S.Changes in neurophysiologic parameters in a patient with dental anxiety by hypnosis during surgical treatment. J Oral Rehabil. 2006 33(7): 496-500.
• 43)Attar RH, Baghdadi ZD. Comparative efficacy of active and passive distraction during restorative treatment in children using an iPad versus audiovisual eyeglasses: a randomised controlled trial. Eur Arch Paediatr Dent 2015;16:1-8.
• 44) Sullivan C, Schneider PE, Musselman RJ, Dummett CJ, Gardiner D. The effect of virtual reality during dental treatment on child anxiety and behavior. ASDC J Dent Child 2000;67:193-6.
• 45) M. Zabirunnisa, J. Gadagi, P. Gadde, J. Koneru, N. Myla, C. Thatimatla, Dental patient anxiety: possible deal with Lavender fragrance, J. Res. Pharm. Pract. 2014; 3: 100–103.
• 46) Premkumar, K. S., Syed Aafaque, J., Sumalatha, S., & Narendran, N. Effect of aromatherapy on dental anxiety among orthodontic patients: A randomized controlled trial. Cureus, 2019; 11 (8): e5306.
• 47) Jafarzadeh M, Arman S, Pour FF, Effect of aromatherapy with orange essential oil on salivary cortisol and pulse rate in children during dental treatment: a randomized controlled clinical trial. Adv Biomed Res 2013; 6: 2277-9175.
• 48) Ghaderi F, Solhjou N The effects of lavender aromatherapy on stress and pain perception in children during dental treatment: A randomized clinical trial. Complementary Therapies in Clinical Practice 2020; 40: 101182
• 49) James J, Retnakuamri N, Vadakkepurayil K, Kumar A.T, Tom A. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent. 2021; 14(2): 249–253.
• 50) I. Arslan, S. Aydinoglu, N.B. Karan, Can lavender oil inhalation help to overcome dental anxiety and pain in children? A randomized clinical trial, Eur. J. Pediatr. 2020; 179(6): 985-992.
• 51) Un Lam C, Hsu CS, Yee R, Koh D, Lee YS, Chong MF et al. “Early-life Factors Affect Risk of Pain and Fever in Infants During Teething Periods.” Clin Oral Investig, 2016; 20 (8), 1861-1870.
• 52) Arıkan D, Çelebioğlu A, Tüfekci FG. (2013). Çocukluk Dönemlerinde Büyüme ve Gelişme. Conk Z, Başbakkal Z, Bal Yılmaz H, Bolışık B (Ed.), Pediatri Hemşireliği. 1. Baskı, Akademisyen Tıp Kitabevi, Ankara, s. 53-99.
• 53) Witt N, Coynor S, Edwards C, Bradshaw H.“A Guide To Pain Assessment and Management in The Neonate.” Curr Emerg Hosp Med Rep, 2016; 4: 1-10.
• 54) Tsang AKL.“Teething, Teething Pain and Teething Remedies.” International Dentistry South Africa, 2010; 12 (5): 48-61