Pain Management in Pediatric Pulpectomy: A Retrospective Analysis of Analgesic Prescriptions for 6-12 Year Olds Original Research
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Abstract
Background: Pain is a common sign that follows the majority of pulpectomy treatments. NSAIDs (non-steroidal anti-inflammatory medications) are among the analgesics used most frequently to treat pain. They give long-lasting analgesia with a brief onset. Furthermore, it is advised to finish endodontic procedures in a single visit because this lowers the likelihood of leakage through the temporary cement and flare-up rates.
Aim: To evaluate the most often recommended analgesics for children aged 6 to 12 following a pulpectomy procedure
Materials and Methods: A total of 1066 patient records, ranging in age from 6 to 12 years, undergoing pulpectomy procedures were gathered from the OPD data of a Private Dental College and were entered into an excel spreadsheet. The data was assessed based on the patients' age and gender using a SPSS software for the analysis, and results were formulated
Result: Of the 1066 records evaluated, it was noted that dentists preferred to prescribe Ibugesic Plus to 20.20% of children under the age of six. 37.50% of children in the age of 6 years got a single visit primary pulpectomy procedure. Furthermore, 30.34% of the girls took Ibugesic Plus, and 39.04% of total children had a single primary pulpectomy.
Conclusion: Analgesics that are typically chosen for people in the 6–12 age range are Ibugesic Plus. Furthermore, the primary pulpectomy single-visit operation is the most commonly suggested treatment for these age groups.
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References
Menhinick KA, Gutmann JL, Regan JD, Taylor SE, Buschang PH. The efficacy of pain control following nonsurgical root canal treatment using ibuprofen or a combination of ibuprofen and acetaminophen in a randomized, double-blind, placebo-controlled study. Int Endod J [Internet]. 2004 Aug;37(8):531–41. Available from: http://dx.doi.org/10.1111/j.1365-2591.2004.00836.x
T. M, H. W. Opioid Analgesics [Internet]. Pain Management - Current Issues and Opinions. 2012. Available from: http://dx.doi.org/10.5772/29035
Meek IL, Van de Laar MAFJ, Vonkeman HE. Non-Steroidal Anti-Inflammatory Drugs: An Overview of Cardiovascular Risks [Internet]. Vol. 3, Pharmaceuticals. 2010. p. 2146–62. Available from: http://dx.doi.org/10.3390/ph3072146
Kalant H, Grant DM, Mitchell J. Principles of Medical Pharmacology [Internet]. W B Saunders Company Canada Limited; 2007. 1022 p. Available from: https://books.google.com/books/about/Principles_of_Medical_Pharmacology.html?hl=&id=kbETAQAAMAAJ
Sathorn C, Parashos P, Messer H. Australian endodontists’ perceptions of single and multiple visit root canal treatment [Internet]. Vol. 42, International Endodontic Journal. 2009. p. 811–8. Available from: http://dx.doi.org/10.1111/j.1365-2591.2009.01587.x
Al Kandari A. Current Concepts in Endodontics [Internet]. 1997. 304 p. Available from: https://books.google.com/books/about/Current_Concepts_in_Endodontics.html?hl=&id=Sv1pAAAAMAAJ
Subramanyam D, Gurunathan D, Gaayathri R, Vishnu Priya V. Comparative evaluation of salivary malondialdehyde levels as a marker of lipid peroxidation in early childhood caries [Internet]. Vol. 12, European Journal of Dentistry. 2018. p. 067–70. Available from: http://dx.doi.org/10.4103/ejd.ejd_266_17
Ramadurai N, Gurunathan D, Victor Samuel A, Subramanian E, Rodrigues SJL. Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial [Internet]. Vol. 23, Clinical Oral Investigations. 2019. p. 3543–50. Available from: http://dx.doi.org/10.1007/s00784-018-2775-5
Ramakrishnan M, Dhanalakshmi R, Subramanian EMG. Survival rate of different fixed posterior space maintainers used in Paediatric Dentistry - A systematic review. Saudi Dent J [Internet]. 2019 Apr;31(2):165–72. Available from: http://dx.doi.org/10.1016/j.sdentj.2019.02.037
Princeton B, Santhakumar P, Prathap L. Awareness on Preventive Measures taken by Health Care Professionals Attending COVID-19 Patients among Dental Students [Internet]. Vol. 14, European Journal of Dentistry. 2020. p. S105–9. Available from: http://dx.doi.org/10.1055/s-0040-1721296
K. H, G. V. Study of gastrointestinal toxicity of selective COX-2 inhibitors in comparison with conventional NSAIDs [Internet]. International Journal of Research in Medical Sciences. 2016. p. 5180–4. Available from: http://dx.doi.org/10.18203/2320-6012.ijrms20164010
Tripathi KD. Chapter-34 Opioid Analgesics and Antagonists [Internet]. Essentials of Medical Pharmacology. 2013. p. 469–85. Available from: http://dx.doi.org/10.5005/jp/books/12021_36
Gagliani M, Colombo M, Maddalone M, Figini L, Gorni F, Lodi G. Single versus multiple visits for endodontic treatment of permanent teeth [Internet]. Cochrane Database of Systematic Reviews. 2005. Available from: http://dx.doi.org/10.1002/14651858.cd005296
Siqueira JF. Microbial causes of endodontic flare-ups [Internet]. Vol. 36, International Endodontic Journal. 2003. p. 453–63. Available from: http://dx.doi.org/10.1046/j.1365-2591.2003.00671.x
Trope M. Flare-up rate of single-visit endodontics [Internet]. Vol. 24, International Endodontic Journal. 1991. p. 24–7. Available from: http://dx.doi.org/10.1111/j.1365-2591.1991.tb00866.x
Yoldas O, Topuz A, Sehnaz Isçi A, Oztunc H. Postoperative pain after endodontic retreatment: Single- versus two-visit treatment [Internet]. Vol. 98, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004. p. 483–7. Available from: http://dx.doi.org/10.1016/j.tripleo.2004.03.009
Stevens RH, Grossman LI. Evaluation of the antimicrobial potential of calcium hydroxide as an intracanal medicament [Internet]. Vol. 9, Journal of Endodontics. 1983. p. 372–4. Available from: http://dx.doi.org/10.1016/s0099-2399(83)80187-3
Safavi KE, Spangberg LS, Langeland K. Root canal dentinal tubule disinfection. J Endod [Internet]. 1990 May;16(5):207–10. Available from: http://dx.doi.org/10.1016/s0099-2399(06)81670-5
Fouad A. Endodontic Microbiology [Internet]. John Wiley & Sons; 2009. 368 p. Available from: https://books.google.com/books/about/Endodontic_Microbiology.html?hl=&id=R5SfiVrS2J0C
Wolcott J, Rossman LE, Hasselgren G. Management of Endodontic Emergencies [Internet]. Cohen’s Pathways of the Pulp. 2011. p. 40–8. Available from: http://dx.doi.org/10.1016/b978-0-323-06489-7.00002-3
Hersh EV, Dionne RA. Nonopioid Analgesics [Internet]. Pharmacology and Therapeutics for Dentistry. 2017. p. 257–75. Available from: http://dx.doi.org/10.1016/b978-0-323-39307-2.00017-5