Costa Luciane R, Harrison Rosamund, Aleksejuniene Jolanta, Nouri M-Reza, Gartner Anita
Faculty of Dentistry, Federal University of Goias, Goiania, Goiás, Brazil.
Pediatr Dent. 2011 Jul-Aug;33(4):321-6.
This study, conducted in ambulatory surgical centers, was a response to queries from pediatric dentists who wondered if postoperative discomfort in their patients treated for early childhood caries under general anesthesia was related to specific dental procedures. The purpose of this study was to identify factors related to the occurrence and severity of postoperative discomfort.
Subjects were children younger than 7 years old. The faces, legs, activity, cry, consolability pain assessment tool measured discomfort immediately postoperatively; the dental discomfort questionnaire (DDQ-8) measured discomfort preoperatively and after treatment. Data was analyzed with bivariate tests and hierarchical linear multiple regression.
Of the 160 participants (52.9±15.0 months old), approximately 51% had preoperative dental discomfort (DDQ-8 score=>3). The proportion with discomfort had significantly decreased to 27% by days 2 to 5. Immediate discomfort in recovery was influenced by number of crowns and space maintainers and inversely by the length of postoperative sleep. Dental discomfort in the first week postoperatively was predicted by amount of preoperative discomfort, length of sleep in recovery, and not resuming a regular diet on Day 1.
In these children, discomfort after treatment was mild, decreased over time, and, other than immediately postoperatively, was not related to specific dental procedures.
本研究在门诊手术中心开展，旨在回应儿科牙医的疑问，即接受全身麻醉治疗幼儿龋齿的患者术后不适是否与特定牙科手术有关。本研究的目的是确定与术后不适的发生和严重程度相关的因素。
研究对象为7岁以下儿童。面部、腿部、活动、哭闹、安抚性疼痛评估工具在术后立即测量不适程度；牙科不适问卷（DDQ - 8）在术前和治疗后测量不适程度。数据采用双变量检验和分层线性多元回归分析。
160名参与者（年龄52.9±15.0个月）中，约51%术前有牙科不适（DDQ - 8评分>3）。到第2至5天，不适比例显著降至27%。恢复时的即时不适受牙冠和间隙保持器数量的影响，与术后睡眠时间呈负相关。术后第一周的牙科不适可通过术前不适程度、恢复时的睡眠时间以及术后第1天未恢复正常饮食来预测。
在这些儿童中，治疗后的不适较轻，随时间推移而减轻，且除术后即刻外，与特定牙科手术无关。
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