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Procedural pain in routine dental care for children: a part of the Swedish BITA study

Artikel i vetenskaplig tidskrift
Författare M. Ghanei
K. Arnrup
Agneta Robertson
Publicerad i European Archives of Paediatric Dentistry
Volym 19
Nummer/häfte 5
Sidor 365-372
ISSN 1818-6300
Publiceringsår 2018
Publicerad vid Institutionen för odontologi
Sidor 365-372
Språk en
Länkar dx.doi.org/10.1007/s40368-018-0368-...
Ämnesord Pain, Dental, Children, Discomfort, discomfort, dentist, B 450, S-40530 Gothenburg, Sweden., Dentistry, Oral Surgery & Medicine
Ämneskategorier Odontologi

Sammanfattning

Aim To investigate the frequency and reported intensity levels of dental treatment pain and discomfort in children, in conjunction with regular dental visits. Methods The study included 2363 children in four different age cohorts. Data was collected from structured interviews by dental personnel regarding pain experiences or discomfort after treatments, including analgesia, extractions, operative treatments and radiographic examinations. Results One-third of all treatment occasions were experienced as painful and/or causing discomfort. Treatment sessions including analgesia were assessed as painful in 49.7% of occasions, with injection being the most common given reason for pain. Extraction was painful in 62.4% of occasions, with injection as the main reason for pain. Operative treatments were assessed as painful in 38.8% of occasions, with drilling as the most common reason for pain and discomfort. Pain was reported in approximately 19% of all radiographic examinations. Conclusions Injection was the major reason for pain during treatment, including injection and extraction, while drilling was the most common cause of pain during restorative treatment. Dentists should try to minimise the experience of pain and discomfort by using all available measures to perform pain-free and effective dental injections.

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