Effect of Intrapapillary Local Anesthetic on Postoperative Pain Following Dental Treatment Under General Anesthesia in Pediatric Patients.
Dental pain
General anesthesia
Intrapapillary
Local anesthesia: Infiltration
Pediatric
Journal
Anesthesia progress
ISSN: 1878-7177
Titre abrégé: Anesth Prog
Pays: United States
ID NLM: 0043533
Informations de publication
Date de publication:
01 12 2021
01 12 2021
Historique:
received:
07
01
2021
accepted:
23
03
2021
entrez:
15
12
2021
pubmed:
16
12
2021
medline:
9
3
2022
Statut:
ppublish
Résumé
This randomized, prospective, blinded study compared pain in children following dental treatment under general anesthesia (GA) using 1 of 2 established analgesia methods. Patients age 4 to 7 years were randomly assigned to a control group (intravenous [IV] analgesics) or experimental group (IV analgesics and intrapapillary local anesthetic infiltrations) between July 2017 and February 2018. During recovery from surgery, Faces, Legs, Activity, Cry, and Consolability (FLACC) scores were recorded upon regaining consciousness and reassessed every 15 minutes until discharge. Overall pain occurrence (FLACC ≥1) and moderate/severe pain occurrence (FLACC ≥4) were analyzed using mixed effects logistic regression (N = 88). The experimental group had a 17% lower overall pain occurrence than the control group (16 vs 33%; p = .02). Moderate/severe pain occurrence between the groups was not significant (9 vs 22%; p = .23). The dental treatment subjects received (number of completed stainless steel crowns, extractions, and/or pulpotomies) did not significantly affect pain occurrence. Local anesthesia intrapapillary infiltrations around stainless steel crowns decrease overall pain occurrence but not moderate/severe pain occurrence following dental treatment under GA in pediatric patients.
Identifiants
pubmed: 34911068
pii: 475599
doi: 10.2344/anpr-68-02-06
pmc: PMC8674845
doi:
Substances chimiques
Anesthetics, Local
0
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
206-213Informations de copyright
© 2021 by the American Dental Society of Anesthesiology.
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