Determinants of parental report of dental pain and discomfort in preschool children—The Dental Discomfort Questionnaire

Felipak, Patricia Kochany; Menoncin, Bruna Letícia Vessoni; Reyes, Magdalena Raquel Torres; Costa, Luciane Rezende; Souza, Juliana Feltrin de; Menezes, José Vitor Nogara Borges de

doi:10.1111/ipd.12614

Cited by 11 publications

(21 citation statements)

References 28 publications

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“…We observed that children living in an unfavorable socioeconomic environment did experience more postoperative pain and were more likely to receive analgesics. The impact of socioeconomic status on pain was previously described (Dorner et al, 2011;Felipak et al, 2020). Subjects living in less affluent socioeconomic areas reported higher prevalence of pain compared to others.…”

Section: Discussionmentioning

confidence: 91%

Post‐operative discomforts in children after extraction of primary teeth

Baillargeau

Lopez-Cazaux

Charles

et al. 2020

Clinical & Exp Dental Res

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Objectives This prospective observational study aimed to evaluate discomfort after extraction of deciduous teeth under local anesthesia. The primary objective was to describe the prevalence of post‐extraction pain (PEP), post‐extraction bleeding (PEB), post‐extraction biting injury (PEBI), and analgesic usage in children. The secondary objective was to define whether it is possible to determine a profile of patients or a type of extraction procedure predictive to PEP, administration of analgesics, PEB, or PEBI. Methods One hundred and twenty‐five children, aged 3–13 years, with indications of at least one deciduous tooth extraction, were included. Immediately after extraction, information concerning the patient and the extraction were collected. Eighteen to 32 hr after extraction, parents were called by phone to request reports concerning the onset and intensity of PEP assessed using the Wong‐Baker Faces (WBF) scale, the administration of paracetamol (acetaminophen) to their children, and the appearance of PEB and/or PEBI. Results Of the children, 37.3% reported PEP (WBF ≥2), but 23.3% of these children did not receive any analgesic drugs to help relieve pain. Pain appeared before 3 hr after extraction in 69% of the children. Higher incidences of PEP and usage of analgesics were found both in the group of children with unfavorable socioeconomic level compared to favorable level and in the group with pre‐operative pain compared to no pre‐operative pain (p < .05). Conclusions About a third of the children reported pain after extraction, but the instructions for pain relief were not followed by all parents. The socioeconomic level of the young patient and the pain felt during the extraction were important predictors of discomfort. Therefore, our study could help the dentist to provide information on predicted post‐operative discomfort and to allow suitable care depending on the patient's profile or procedure.

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Section: Discussionmentioning

confidence: 91%

Post‐operative discomforts in children after extraction of primary teeth

Baillargeau

Lopez-Cazaux

Charles

et al. 2020

Clinical & Exp Dental Res

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“…Unfortunately, two children were absent on the days scheduled for the clinical examinations. Thus, the final sample was composed of 376 preschoolers [2].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, the occurrence of dental pain/discomfort impacts the family routine [5,24]. Studies that used the same assessment tool for this outcome also found an association between higher scores and the prevalence/severity of dental caries [2,25,26].…”

Section: Discussionmentioning

confidence: 99%

“…The version of the DDQ translated and validated for Brazilian Portuguese (DDQ-B) is composed of seven questions addressing parental perceptions of behaviors related to dental pain or discomfort, specifically with children five years old or younger. The possible answers are "never" (0), "sometimes" (1), and "always" (2). The final score of the instrument ranges from 0 to 14, with higher scores indicating a greater frequency of behaviors related to pain or discomfort of a dental origin [21].…”

Section: Dental Discomfort Questionnaire (Ddq-b)mentioning

confidence: 99%

“…Dental caries is the most prevalent oral disease in childhood [1] and can cause pain, discomfort [2], sleeping problems, limited chewing function, nutritional problems, and school absenteeism, exerting a negative impact on the quality of life of children and the routine of their families [3,4]. Moreover, dental pain and discomfort are the main reasons why children visit a dentist, often for urgent care [5].…”

Section: Introductionmentioning

confidence: 99%

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Daily Toothbrushing Frequency and the Association with Parental Report of Dental Pain and Discomfort in Preschool Children

Menoncin

Felipak

Fraiz

et al. 2022

Pesqui. Bras. Odontopediatria Clín. Integr.

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Objective: To evaluate the impact of daily toothbrushing frequency on parental reports of dental pain and discomfort in preschoolers. Material and Methods: An observational cross-sectional study was conducted involving 376 children between four and five years of age at public preschools in the city of Campo Magro, Brazil. Parents/guardians answered a socioeconomic questionnaire that contained a single question on the child's daily toothbrushing frequency and the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Statistical analysis involved bivariate and multivariate Poisson regression analyses (α=0.05).Results: After the adjustments in the multivariate analysis, the prevalence of dental pain and discomfort was lower among children whose last visit to the dentist was for prevention (PR = 4.42; 95% CI: 1.75-11.14; p=0.002) and those with a higher daily toothbrushing frequency (PR = 2.13; 95% CI: 1.12-4.05; p=0.021). Conclusion: A lower toothbrushing frequency is associated with parental reports of dental pain and discomfort in preschoolers. Educational and preventive measures that stimulate an increase in daily toothbrushing frequency can contribute to a better oral health status in preschoolers, consequently, less prevalence of dental pain and discomfort.

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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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Determinants of parental report of dental pain and discomfort in preschool children—The Dental Discomfort Questionnaire

Cited by 11 publications

References 28 publications

Post‐operative discomforts in children after extraction of primary teeth

Post‐operative discomforts in children after extraction of primary teeth

Daily Toothbrushing Frequency and the Association with Parental Report of Dental Pain and Discomfort in Preschool Children

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

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