Virda Mira, Panda Anup, Kataria Kanu
Department of Pediatric and Preventive Dentistry, College of Dental Sciences and Research Centre, Ahmedabad, Gujarat, India.
Department of Anesthesia, Shalby Multi-specialty Hospital, Ahmedabad, Gujarat, India.
Int J Clin Pediatr Dent. 2024 Aug;17(8):913-917. doi: 10.5005/jp-journals-10005-2915.
Efforts have been made to minimize pain, prevent the development of needle fear, and promote positive experiences for children. The present study is designed to evaluate the effect of premedication with Ibugesic Plus before the administration of local anesthesia and extraction in children.
The aim of the study is to assess the efficacy of preemptive analgesia on pain perception during local anesthesia administration and extraction in pediatric patients.
A total of 104 patients aged 7-10 years were selected who needed primary molar extraction. Group -Ibugesic Plus syrup was given 30 minutes prior to extraction. Group II-Placebo solution (B-Folcin syrup) was given 30 minutes prior to extraction. Pain level, pulse rate, and SpO were assessed using the Wong-Baker Faces Pain Rating Scale (WBFS) and pulse oximeter after injection, after extraction, and postoperatively.
The highest scores of pain were recorded after the time of injection and extraction. The patients who received preemptive analgesics (group I) reported significantly less pain than the placebo group (group II) at the time immediately after injection, after extraction, and 2 hours after extraction.
The present study showed that preemptive analgesic administration may be considered a routine and rational pain management strategy in primary tooth extraction procedures in children.
Preemptive analgesia can be given to patients prior to dental procedures to reduce postoperative pain.
Virda M, Panda A, Kataria K. Effect of Preemptive Analgesia on Pain Perception in Children: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2024;17(8):913-917.
人们一直在努力将儿童的疼痛降至最低，防止针头恐惧的产生，并促进积极的就医体验。本研究旨在评估在儿童进行局部麻醉和拔牙前使用布洛芬复合制剂进行预处理的效果。
本研究的目的是评估超前镇痛对小儿患者局部麻醉给药和拔牙过程中疼痛感知的疗效。
选取104例7-10岁需要拔除第一恒磨牙的患者。第一组在拔牙前30分钟给予布洛芬复合糖浆。第二组在拔牙前30分钟给予安慰剂溶液（复合维生素B糖浆）。在注射后、拔牙后及术后，使用面部表情疼痛评分量表（WBFS）和脉搏血氧仪评估疼痛程度、脉搏率和血氧饱和度。
注射和拔牙后的疼痛评分最高。接受超前镇痛的患者（第一组）在注射后即刻、拔牙后及拔牙后2小时的疼痛明显低于安慰剂组（第二组）。
本研究表明，超前镇痛给药可被视为儿童乳牙拔除术中一种常规且合理的疼痛管理策略。
在牙科手术前可对患者进行超前镇痛以减轻术后疼痛。
Virda M, Panda A, Kataria K. 超前镇痛对儿童疼痛感知的影响：一项随机对照试验。《国际临床儿科牙科学杂志》2024；17(8):913-917。
