Frankenmolen F W, Berendsen W J
Vakgroep Preventieve en Sociale Tandheelkunde en Pedodontologie, Katholieke Universiteit Nijmegen, postbus 9101, 6500 HB Nijmegen.
Ned Tijdschr Tandheelkd. 1996 May;103(5):190-4.
Pain belief and pain thresholds vary greatly in children and mentally disabled persons. Whereas adults may tolerate discomfort and remain cooperative, children and mentally disabled persons become frightened when they are hurt and will not cooperate further. Effective pain control is a prerequisite for their successful treatment. There are several ways of producing dental anaesthesia, of which local anaesthesia remains the most widely used technique. The main issue is the preparation of the child and the parents for local anaesthesia. This article offers tools for this preparation, administering and control of local anaesthesia in children and mentally disabled persons.
疼痛信念和疼痛阈值在儿童和智力残疾者中差异很大。成年人可能能够忍受不适并保持合作,而儿童和智力残疾者在受伤时会感到害怕,并且不会进一步配合。有效的疼痛控制是他们成功治疗的前提条件。产生牙科麻醉有几种方法,其中局部麻醉仍然是使用最广泛的技术。主要问题是让儿童及其父母为局部麻醉做好准备。本文提供了在儿童和智力残疾者中进行这种准备、实施和控制局部麻醉的方法。