Dental pain and associated factors in Brazilian preschoolers

Souza, João Gabriel Silva; Martins, Andreá Maria Eleutério de Barros Lima

doi:10.1016/j.rppede.2016.03.002

Cited by 16 publications

(24 citation statements)

References 25 publications

(21 reference statements)

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“…Another aspect that could justify this situation is a better perception of pain [3]. However, no studies performed in emergency services analyzed the association between the type of pain and age, and it was not possible to compare our results with similar studies, in which this association was not found.…”

Section: Discussioncontrasting

confidence: 55%

“…Odontogenic pain still has a high prevalence in the world population and a high negative impact on children's quality of life [1][2][3]. Such impact interferes in their feeding, locomotion, social interactions [4], absenteeism from school [5,6], sleep and recreational activities [7].…”

Section: Introductionmentioning

confidence: 99%

“…Dental or odontogenic pain is one of the main reasons for the demand by pediatric patients for dental care, especially in emergency services [2,3,[9][10][11][12][13][14]. The sensation of pain is personal and subjective, varying from individual to individual, since it is based in one's own history, sociocultural context, personality type, age, cognitive-developmental phase, and so forth [15].…”

Section: Introductionmentioning

confidence: 99%

“…In spite of the growing interest on the subject, most studies are population-based in preschoolers [3,4,14] or about the profile of children treated in dental emergency services [9,11,12,18], without, however, verifying the factors associated with the reported conditions. Studies about dental pain in health services for children are rare [3].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of odontogenic pain and associated factors in children treated at a pediatric dental emergency service

Muller

Silva

Dadalto

et al. 2018

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: To describe the prevalence and to analyze the factors associated with odontogenic pain among children at a pediatric dental emergency service. METHODS: The retrospective cross-sectional study was performed using the clinical records of children (0 to 12 years old) attended from 2003 to 2010 at the Pediatric Dentistry Emergency Service of the Universidade Federal do Espírito Santo. The information was collected by a researcher, and a structured form was used to collect all data from patients' records. A bivariate analysis of the absolute and relative frequencies of odontogenic pain (spontaneous and induced) and associated factors (age, gender, diagnosis, treatment and referrals) was performed with the chi-square or Fisher tests (p<0.05). RESULTS: Of the 574 records examined, 308 (53.7%) had reported odontogenic pain. The majority of the individuals were male (51.0%) between 4 and 8 years of age (40.9%). Odontogenic pain affected more frequently the deciduous tooth (76.9%), with induced dental pain (54.5%), diagnosed with dental caries (54.5%), which was treated with extraction (21.4%), and referred to another clinic (59.7%). The type of odontogenic pain was not associated with gender, age group or affected tissue (p>0.05), but there was a higher prevalence of spontaneous pain in children with caries in a deciduous tooth with pulpal involvement, who were treated with endodontic medication and endodontic treatment (p<0.05). Among children with induced pain, there was a higher prevalence of trauma and decay in deciduous and permanent teeth without pulpal involvement, and they received temporary restoration and were referred to the trauma project (p<0.05). CONCLUSION: There was higher prevalence of odontogenic pain in children between 4-8 years of age, with deciduous dentition and dental caries. The type of odontogenic pain was associated with diagnosis, treatment and referral, but was not associated with gender and age.Keywords: dental care for children; toothache; pediatric dentistry.Prevalência de dor odontogênica e fatores associados em crianças atendidas em pronto-socorro odontopediátrico RESUMO OBJETIVO: Descrever a prevalência e analisar os fatores associados à dor odontogênica em crianças em um serviço de urgência odontopediátrica. MÉTODOS: O estudo transversal retrospectivo foi realizado utilizando os registros clínicos de crianças (0 a 12 anos) atendidos de 2003 a 2010 no Serviço de Urgência em Odontopediatria da Universidade Federal do Espírito Santo. As informações foram coletadas, de forma estruturada, por um pesquisador a partir dos registros dos pacientes. Análise bivariada das frequências absolutas e relativas da dor odontogênica (espontânea e induzida) e os fatores associados (idade, sexo, diagnóstico, tratamento e referências) foi realizada com os testes de qui-quadrado ou Fisher (p<0,05). RESULTADOS: Dos 574 registros examinados, 308 (53,7%) relataram dor odontogênica. A maioria dos indivíduos era do sexo masculino (51,0%) entre 4 e 8 anos de idade (40,9%). A dor odontogênica af...

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Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of odontogenic pain and associated factors in children treated at a pediatric dental emergency service

Muller

Silva

Dadalto

et al. 2018

Rev. Odonto Ciênc. (Online)

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“…Toothache still causes negative impact on individuals' quality of life [20][21][22], therefore a greater orientation for pain relief and trauma care in PEDS is in fact expected [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

Dental emergencies in public health services: what is the role of the Dental Surgeon?

Rios

Queiroz

2017

Rev. Odonto Ciênc. (Online)

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OBJECTIVE: To assess the opinions of Brazilian dental surgeons (DS) about their roles in Public Emergency Dental Services (PEDS). METHODS: A cross-sectional study was conducted with an intentional sample of 44 DS who worked at the PEDS in a large municipality in the central-western region of Brazil, in 2013. To collect data we designed, pretested and applied a self-administered questionnaire with Likert scale assertions about the DS duties, referral of patients and execution of dental procedures in PEDS. Post-hoc tests revealed an instrument's reliability of 91%. RESULTS: As their main duty, DS pointed out providing relief to patients' complaints in cases of dental pain and trauma. Regarding referral of patients, they considered typically that they should refer to services at a higher complexity level those patients exhibiting infections in advanced stages under risk of disseminations. Most of them disagreed with performing dental restorations in emergency consultations, while the majority stated that they should mainly perform intraoral abscesses drainage, alveolitis and haemorrhage treatment. CONCLUSION: To provide pain and trauma relief to patients was pointed out by DS as their key role in PEDS, as well as to refer at-risk patients to high-level complexity services and to perform procedures aimed at solving emergency situations, instead of providing restorative treatment to patients.Key words: Public Health Dentistry; Dental Health Services; Emergencies; Public Health Policy; Dental CareUrgências odontológicas em serviços públicos de saúde: qual o papel do Cirurgião-Dentista? RESUMO OBJETIVO: Avaliar a opinião de cirurgiões-dentistas (CD) brasileiros sobre o papel deles em Serviços Odontológicos Públicos de Urgência (SOU). METODOLOGIA: Um estudo transversal foi realizado com uma amostra intencional de 44 CD que trabalhavam em SOU em um município de grande porte na região centro-oeste do Brasil, em 2013. Para coletar os dados foi elaborado, pré-testado e aplicado um questionário autoexplicativo com escala Likert e asserções sobre as atribuições dos CD, encaminhamento de pacientes e execução de procedimentos odontológicos nos SOU. Testes posteriores revelaram uma confiabilidade deste instrumento de 91%. RESULTADOS: Como sua principal atribuição, os CD apontaram que devem buscar aliviar as queixas dos pacientes em casos de dor e trauma dental. Com relação ao encaminhamento de pacientes, eles consideraram tipicamente que deveriam referenciar para serviços de maior complexidade aqueles pacientes com infecções em estágios avançados com risco de disseminação. Muitos deles discordavam com a realização de restauração dental nas consultas de urgência, enquanto que a maioria considerou que deveria executar drenagem intraoral de abscessos, tratamento de alveolite e hemorragia. CONCLUSÃO: Os CD reconheceram que prover alívio aos pacientes com dor e trauma é o seu principal papel nos SOU, além de referenciar pacientes de risco para unidades de maior complexidade e realizar procedimentos clínicos voltados à resolu...

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Narrative review of the prevalence and distribution of acute pain in children in the self‐care setting

Shinde

Kanabar

Miles

2022

Paediatric and Neonatal Pain

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Acute pain among children is common, yet it may be underestimated and undertreated if the pain is not recognized. Assessing and managing pediatric pain can be complicated, and as such, measuring the prevalence of acute pain in children can be challenging. We sought to provide a consolidated review of the available data on the prevalence of commonly occurring acute pain in children in the self-care setting. An extensive literature search was performed to determine the prevalence of acute pain at multiple bodily locations in children aged between 3 months and 18 years. We considered the influence of age, sex, and sociodemographic factors on prevalence estimates. We also sought to identify some of the challenges involved in assessing and managing pediatric pain, thus shedding light on areas where there may be clinical and medical unmet needs. In general, a high prevalence of acute pain in children was detected, particularly headache, menstruation-related pain, and dental and back pain. Older age, female sex, and lower socioeconomic status were associated with increased pain prevalence. Risk factors were identified for all pain types and included psychological issues, stress, and unhealthy lifestyle habits. Owing to the heterogeneity in study populations, the prevalence estimates varied widely; there was also heterogeneity in the pain assessment tools utilized. The paucity of information regarding pain prevalence appears to be out of proportion with the burden of acute pain in children. This could indicate that clinicians may not be equipped with an optimal pain management strategy to guide their practice, especially regarding the use of developmentally appropriate pain assessment tools, without which prevalence data may not be captured. If acute pain is not accurately identified, it cannot be optimally treated.Further investigation is required to determine how the information from prevalence studies translates to the real-world setting.

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Dental pain and associated factors in Brazilian preschoolers

Cited by 16 publications

References 25 publications

Prevalence of odontogenic pain and associated factors in children treated at a pediatric dental emergency service

Prevalence of odontogenic pain and associated factors in children treated at a pediatric dental emergency service

Dental emergencies in public health services: what is the role of the Dental Surgeon?

Narrative review of the prevalence and distribution of acute pain in children in the self‐care setting

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