Singh Vikram, Singh Shamsher, Sharma Swati, Diwanji Amish, Diana Wahengbam, Patel Chhaya, Manek Pranav V
Department of Pedodontics and Preventive Dentistry, Vyas Dental College and Hospital, Rajasthan University of Health Sciences, Rajasthan, India.
Department of Dentistry, Primary Health Care Corporation, Qatar.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2330-S2332. doi: 10.4103/jpbs.jpbs_244_24. Epub 2024 May 24.
Pain management in pediatric dentistry is crucial for ensuring positive treatment outcomes and reducing patient suffering. This study aimed to evaluate postoperative discomfort and analgesic usage among pediatric dental patients undergoing various procedures in India.
A cross-sectional study was conducted at a tertiary care dental hospital in India from June 2023 to December 2023. A total of 150 pediatric patients aged 2-18 years who underwent different dental procedures were included. Data on postoperative discomfort and analgesic usage were collected immediately following the procedure and during follow-up phone calls.
Significant differences were found in immediate postoperative discomfort following pulpotomy ( = 0.03). Patients receiving primary stainless steel crowns (SSCs) alone or in combination with pulpotomy were significantly more likely to report discomfort ( < 0.001 and < 0.05, respectively). No significant associations were observed between discomfort and sealants, preventive resin restorations, 1- or 2-surface restorations, or extractions. Over-the-counter analgesic usage was prevalent, particularly following SSC placement.
This study highlights the variability in postoperative discomfort among pediatric dental patients undergoing different procedures in India. Tailored pain management strategies based on specific procedures are essential to minimize discomfort and improve patient outcomes in pediatric dentistry.
儿童牙科中的疼痛管理对于确保积极的治疗效果和减轻患者痛苦至关重要。本研究旨在评估印度接受各种牙科手术的儿童牙科患者术后的不适情况和镇痛药物使用情况。
于2023年6月至2023年12月在印度一家三级护理牙科医院进行了一项横断面研究。共纳入150名年龄在2至18岁之间接受不同牙科手术的儿童患者。术后不适和镇痛药物使用的数据在手术后立即以及随访电话中收集。
在牙髓切断术后的即刻术后不适方面发现了显著差异( = 0.03)。单独接受初级不锈钢冠(SSC)或与牙髓切断术联合接受SSC的患者报告不适的可能性显著更高(分别为 < 0.001和 < 0.05)。在不适与窝沟封闭剂、预防性树脂修复、单面或双面修复或拔牙之间未观察到显著关联。非处方镇痛药物的使用很普遍,尤其是在放置SSC之后。
本研究突出了印度接受不同牙科手术的儿童牙科患者术后不适的变异性。基于特定手术制定的疼痛管理策略对于在儿童牙科中尽量减少不适并改善患者治疗效果至关重要。