Strategies for Pain Management after Extraction of Primary Teeth: A Systematic Review of Randomized Clinical Trials.

Autor:	Rodrigues J; Graduate Program in Dentistry, Ibirapuera University, São Paulo (SP), Brazil., Palma LF; Department of Pathology, Federal University of São Paulo, São Paulo (SP), Brazil., da Silva GS; Graduate Program in Dentistry, Ibirapuera University, São Paulo (SP), Brazil., França LS; Graduate Program in Dentistry, Cruzeiro do Sul University, São Paulo (SP), Brazil., Alves LA; Cruzeiro do Sul University Graduate Program in Dentistry São Paulo Brazil., Raggio DP; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo (SP), Brazil., Tedesco TK; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo (SP), Brazil.
Jazyk:	angličtina
Zdroj:	Current pediatric reviews [Curr Pediatr Rev] 2024 Aug 13. Date of Electronic Publication: 2024 Aug 13.
DOI:	10.2174/0115733963292710240725051920
Abstrakt:	Background: In dental extractions, particularly when local anesthesia is used, it usually offers analgesic relief for a few hours. However, pain can become a notable concern in the immediate postoperative period due to the trauma experienced by both soft and hard oral tissues. Objectives: This systematic review aimed to evaluate the most effective strategies for managing postoperative pain in primary tooth extractions. Methods: Two examiners conducted a search across five electronic databases: MEDLINE (via PubMed), Embase, Scopus, Web of Science, CENTRAL, and OpenGray. Studies were included if they met the following criteria after reviewing their titles and abstracts: they involved children and evaluated pain management following primary tooth extraction. Subsequently, articles that described extractions performed under any form of sedation, were not conducted under local anesthesia, in an outpatient setting, and in children aged 0 to 12 years, or were not randomized controlled trials, were excluded. Results: The search yielded 374 relevant articles, of which 9 were included. Among these, 5 utilized preoperative medications as a pain management strategy, one evaluated low-level laser therapy (LLLT) postoperatively, one assessed calendula drops postoperatively, and another explored virtual reality during the procedure and arnica in solution both pre and postoperatively. Conclusion: Among all the strategies evaluated, the strategy involving analgesics administered 30 minutes before tooth extractions was supported by better-designed studies. However, there is a high risk of bias. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)
Databáze:	MEDLINE
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