• About
  • Editorial Board
  • Current Issue
  • Archive
Search
EJPD
  • About
  • Editorial Board
  • Current Issue
  • Archive
  • Sioi
  • Guidelines for Authors
  • Article submission
  • Terms of use
  • Privacy
Home Pain-related complaints of paediatric patients after dental treatment under general anaesthesia

Pain-related complaints of paediatric patients after dental treatment under general anaesthesia

Authors:

  • A. Radacsi
    Department of Dentistry, Oral and Maxillofacial Surgery, Medical School and Clinical Center, University of Pecs, Hungary
  • K. Katona
    Department of Dentistry, Oral and Maxillofacial Surgery, Medical School and Clinical Center, University of Pecs, Hungary
  • N. Farkas
    Institute of Bioanalysis, Medical School, University of Pecs, Hungary
  • T. Kovesi
    Department of Anesthesiology and Intensive Therapy, Medical School and Clinical Centre, University of Pecs, Hungary
  • I. Szanto
    Department of Dentistry, Oral and Maxillofacial Surgery, Medical School and Clinical Center, University of Pecs, Hungary
  • B. Sandor
    Department of Dentistry, Oral and Maxillofacial Surgery, Medical School and Clinical Center, University of Pecs, Hungary

DOI:

https://doi.org/10.23804/ejpd.2023.24.01.11

ABSTRACT


Aim

To identify factors related to postoperative pain and to recognise strategies to reduce this pain after dental treatment under general anaesthesia.

Methods

Cross-sectional observational study. Children treated under general ansesthesia reported pain daily using the Wong Baker FACES® Pain Rating Scale. Their parents/caregivers filled in a related Yes/No questionnaire during hospitalisation and the first postoperative week. The duration and severity of pain were evaluated in relation to various factors.

Results

Postoperative intravenous opioid administration was more effective (all: p = 0.02; extraction: p = 0.04) than NSAIDs (all: p = 0.74; extraction: p = 0.78) in pain management. Compared to younger patients, older patients reported increased pain during the postoperative week (duration: p = 0.04; severity: p = 0.04). Treatment time (pain duration all: p < 0.01; extraction: p < 0.01, pain severity all: p = 0.01; extraction: p < 0.01), airway management (pain duration all: p = 0.02; extraction: p = 0.02) severity (all: p = 0.02; extraction: p = 0.02), and class of extracted primary teeth (anterior extraction only, severity of pain (p = 0.03) significantly influenced pain during the postoperative week. Questionnaires to parents revealed prolonged pain among females.

Conclusion

A well-established protocol is indicated to reduce operation time. Patients and their parents should be informed about the possibility of constantly subsiding postoperative pain that may last for a week. As additional local anaesthesia during general anaesthesia (GA) does not provide postoperative pain reduction in deciduous tooth extraction cases, its administration could be omitted.

PLUMX METRICS

Download PDF

Publication date:

February /2023

Keywords:

Analgesics, Postoperative pain, children, general anaesthesia

Issue:

Vol.24 – n.1/2023

Page:

61 – 68

Publisher:

Ariesdue

Topic:

Analgesia sedationan and medical emergencies for Pediatric dental patient

Cite:


Harvard: A. Radacsi, K. Katona, N. Farkas, T. Kovesi, I. Szanto, B. Sandor (2023) "Pain-related complaints of paediatric patients after dental treatment under general anaesthesia", European Journal of Paediatric Dentistry, 24(1), pp61-68. doi: 10.23804/ejpd.2023.24.01.11
Vancouver: A. Radacsi, K. Katona, N. Farkas, T. Kovesi, I. Szanto, B. Sandor. Pain-related complaints of paediatric patients after dental treatment under general anaesthesia. European Journal of Paediatric Dentistry [Internet]. 2023Feb.24 [cited 2023Mar.21];24(1):61-68. Available from: https://www.ejpd.eu/abstract-pubmed/pain-related-complaints-of-paediatric-patients-after-dental-treatment-under-general-anaesthesia/
MLA: A. Radacsi, K. Katona, N. Farkas, T. Kovesi, I. Szanto, B. Sandor Pain-related complaints of paediatric patients after dental treatment under general anaesthesia. European Journal of Paediatric Dentistry. 2023;24(1):61-68

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Facebook
Twitter
Pinterest
Linkedin
WhatsApp
Email
Print
    Cristina Calchera
    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    powered by Ariesdue

    CONTACT US
    • About
    • Editorial Board
    • Current Issue
    • Archive
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
    /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - inizio */ /* ----------------------------------------- */ /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - fine */ /* ----------------------------------------- */