Postoperative pain profile in 10–15-year-olds after bilateral extraction of maxillary premolars

Berlin, Henrik; List, Thomas; Ridell, Karin; Davidson, Thomas; Toft, Danijela; Klingberg, Gunilla

doi:10.1007/s40368-019-00425-9

Eur Arch Paediatr Dent

2019

DOI: 10.1007/s40368-019-00425-9

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Postoperative pain profile in 10–15-year-olds after bilateral extraction of maxillary premolars

Henrik Berlin

Thomas List

Karin Ridell

et al.

Abstract: Purpose To study pain perception in 10-15-year-olds, during and after uncomplicated extractions of bilateral maxillary premolars. The study investigated pain's natural course and made comparisons between the first and second extractions. Methods 31 Swedish children in need of orthodontic treatment were identified and consecutively enrolled. Tooth extractions followed a standardised protocol and the two teeth were extracted with at least 10 days between. The participants rated pain intensity using visual analog… Show more

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Cited by 4 publications

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Despite the fact that all children should have the right to optimal pain prevention in dental care, literature show that children commonly encounter dental pain (pain from teeth and their supporting tissues, pain experienced in connection with dental treatment, and pain that occurs after dental treatment). [1][2][3][4] Pain experienced during dental treatment is known to have potentially long-term negative consequences, including dental anxiety and even avoidance of dental care. 5,6 Over a longer perspective this can impact negatively on

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confidence: 99%

Undergraduate dental students' perceptions of dental pain in children – A grounded theory study

Roxner,

Hallberg,

Berlin

et al. 2024

Eur J Dental Education

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IntroductionThere is an underuse of pain management strategies in dental care for children, possibly owing to perceived stress and discomfort when treating children, which has also been reported by dental students. The aim of this study was to explore how undergraduate dental students experience and understand pain related to dental treatment in children.Materials and MethodsInterviews were held with 21 Swedish dental students, from 3 dental schools, all in their final 2 years of education. The interviews were transcribed verbatim and analysed according to Grounded Theory.ResultsA core category, seeking guidance to avoid pain, was identified and related to 6 conceptual categories. The students used different strategies to manage pain prevention in child dentistry and to become skilled dentists. They described high levels of stress, as well as having high expectations on themselves when treating children. The stress led to a surface learning approach, something the students were not fully aware of.ConclusionAll children should have the right to be ensured optimal pain prevention in dental care. The basis for this is laid during undergraduate education. Thus, pain management in child dentistry is an area in need of special attention in this respect. The academic staff has an important role in supporting their students in their process to gain an identity as professional dentists. To ensure that students incorporate an understanding of the importance of pain prevention when treating children there is a need to create more integration between theory and clinical training in undergraduate education.

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confidence: 99%

Undergraduate dental students' perceptions of dental pain in children – A grounded theory study

Roxner,

Hallberg,

Berlin

et al. 2024

Eur J Dental Education

Self Cite

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Cryotherapy and pain intensity during endodontic treatment of mandibular first permanent molars with symptomatic irreversible pulpitis: A randomized controlled trial

Elheeny,

Sermani,

Saliab

et al. 2023

Clin Oral Invest

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Objectives The study aimed to assess the effectiveness of cryotherapy application after inferior alveolar nerve block (IANB) administration of the mandibular first permanent molars with symptomatic irreversible pulpitis (SIP) in adolescence. The secondary outcome was to compare the need for supplemental intraligamentary injection (ILI). Materials and methods The study was designed as a randomized clinical trial including 152 participants aged from 10 to 17 years who were randomly assigned to two equal groups; cryotherapy plus IANB (intervention group) and the control group (conventional INAB). Both groups received 3.6 mL of 4% articaine. For the intervention group, ice packs were applied in the buccal vestibule of the mandibular first permanent molar for 5 min. Endodontic procedures started after 20 min for efficiently anesthetized teeth. The intraoperative pain intensity was measured using the visual analogue scale (VAS). The Mann–Whitney (U) and chi-square tests were applied to analyze data. The significance level was set to 0.05. Results There was a significant reduction in the overall intraoperative VAS mean in the cryotherapy group compared to that in the control group (p = 0.004). The success rate was significantly higher in the cryotherapy group (59.2%) compared to the control group (40.8%). The frequency of extra ILI was 50% and 67.1% in the cryotherapy and control groups, respectively (p = 0.032). Conclusions The cryotherapy application boosted the efficacy of pulpal anesthesia of the mandibular first permanent molars with SIP in patients below the age of 18 years. Additional anesthesia was still necessary for optimal control over pain. Clinical relevance Pain control during endodontic treatment of primary molars with irreversible pulpitis (IP) is a significant factor in a child’s behavior in the dental office. Although the inferior alveolar nerve block (IANB) is the most commonly used technique to anaesthetize mandibular dentition, we found its success rate to be relatively low during endodontic treatment of primary molars with IP. Cryotherapy is a new approach that significantly improves the efficacy of IANB. Clinical trial registration The trial was registered at ClinicalTrials.gov (reference no. NCT05267847).

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A grounded theory study on Swedish 10 to 16-year-olds’ perceptions of pain in conjunction with orthodontically indicated tooth extraction

Berlin

Hallberg

Ridell

et al. 2022

Acta Odontologica Scandinavica

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Postoperative pain profile in 10–15-year-olds after bilateral extraction of maxillary premolars

Cited by 4 publications

References 26 publications

Undergraduate dental students' perceptions of dental pain in children – A grounded theory study

Undergraduate dental students' perceptions of dental pain in children – A grounded theory study

Cryotherapy and pain intensity during endodontic treatment of mandibular first permanent molars with symptomatic irreversible pulpitis: A randomized controlled trial

A grounded theory study on Swedish 10 to 16-year-olds’ perceptions of pain in conjunction with orthodontically indicated tooth extraction

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