Post-operative pain and use of analgesic agents in children following intrasulcular anaesthesia and various operative procedures
Post-operative pain and use of analgesic agents in children following intrasulcular anaesthesia and various operative procedures
复制标题
DOI：
10.1038/bdj.2007.81
复制
发表时间：
2007-03-01
影响因子：
2.6
通讯作者：
Eli, I.
中科院分区：
文献类型：
--
作者：
Ashkenazi, M.;Blumer, S.;Eli, I.
目的了解儿童牙科手术后疼痛及止痛药的使用情况。通过计算机化的递送系统进行牙齿麻醉，可以是龈内（CDS-IS）或局部浸润（CDS-IF）。术后疼痛和镇痛药的使用信息在治疗后24小时内通过电话获得。结果PDP的总发病率为38%。60.9%发生PDP的儿童接受了镇痛剂治疗。疼痛的发生率和严重程度与牙科手术的类型显著相关。根管治疗后发生率最高（62.5%），预成冠后发生率最高（60.8%）。有疼痛或脓肿病史的患牙PDP发生率明显高于有修复或龋坏病史的患牙（P < 0.01）。疼痛的发生率与修复材料、修复范围、深度或类型（咬合与近端）、多次修复、性别、CDS麻醉模式或牙科治疗期间麻醉的有效性无关。结论儿童患者使用PDP和镇痛药的情况较为普遍，尤其是在根管充填、根管预备和根管拔除后。CDS-IS与PDP增加无关。
Aim To characterise post-operative pain (PDP) and use of analgesic agents in children.Methods The study consisted of 472 children, who received routine dental treatment. Teeth were anaesthetised by a computerised delivery system, either intrasulculary (CDS-IS) or by local infiltration (CDS-IF). Information regarding post-operative pain and use of analgesic agents was obtained by a telephone call within 24 hours after treatment.Results The overall incidence of PDP was 38%. 60.9% of the children who experienced PDP were given an analgesic agent. Incidence and severity of pain were significantly associated with type of dental procedure. The highest incidence was found after root canal treatment (62.5%) and preformed crowns (60.8%). A higher incidence of PDP was found in teeth with history of pain or abscess as compared to teeth with restoration or caries ( p < 0.01). Incidence of pain was not associated with restoration material, extension, depth or type ( occlusal vs proximal) of restoration, multiple restoration, gender, mode of CDS anaesthesia, or effectiveness of anaesthesia during dental treatment. Analgesic drugs were given mainly after preformed crowns, root canal filling and extractions.Conclusions PDP and analgesic use in children is common, especially after root canal filling, preformed crowns and extractions. CDS-IS is not associated with increased PDP.