Efficacy of Preemptive Analgesia on Postoperative Pain Control in Children Who Underwent Full-Mouth Dental Rehabilitation Under General Anesthesia: A Randomized Controlled Clinical Trial

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dc.authoriddemir, pınar/0000-0003-2030-5429
dc.authorwosiddemir, pınar/AAE-7027-2020
dc.contributor.authorKeles, Sultan
dc.contributor.authorKocaturk, Ozlem
dc.contributor.authorDemir, Pinar
dc.date.accessioned2024-08-04T20:51:36Z
dc.date.available2024-08-04T20:51:36Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAims: To evaluate the efficacy of intravenous preemptive analgesia on postoperative pain in children undergoing dental rehabilitation under general anesthesia. Methods: In this prospective randomized clinical trial, 70 children aged 3 to 7 years were scheduled for dental treatment and randomized into two groups: the control group or the preemptive group. Patients received 15 mg/kg of intravenous paracetamol either before the start of treatment (preemptive group, n = 35) or at the end of treatment (control group, n = 35). Postoperative pain scores were recorded at 1, 2, 4, 6, 8, 12, and 24 hours using the Wong-Baker FACES Pain Rating Scale (WBFS). Additionally, the need for rescue analgesic and the total opioid consumption of the patients were recorded during the first 24 hours postoperative. Results: The pain scores in the preemptive group were significantly lower than those in the control group at the postanesthesia care unit and at 2, 4, and 8 hours postoperative (P <.05). However, there were no statistically significant differences in pain scores between groups at 12 and 24 hours postoperative. Need for rescue analgesics and total intravenous fentanyl consumption were significantly higher in the control group than in the preemptive group (P <.05). The percentage of children who received medication for pain relief at home was higher in the control group than in the preemptive group, but the difference was not statistically significant (P >.05). Conclusion: Preemptive use of intravenous paracetamol reduces postoperative pain scores and postoperative opioid consumption. However, there is a need to evaluate pain levels in children who receive comprehensive dental treatment under general anesthesia after hospital discharge for effective postoperative pain control.en_US
dc.identifier.doi10.11607/ofph.2960
dc.identifier.endpage302en_US
dc.identifier.issn2333-0384
dc.identifier.issn2333-0376
dc.identifier.issue4en_US
dc.identifier.pmid34990498en_US
dc.identifier.scopus2-s2.0-85123269147en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage297en_US
dc.identifier.urihttps://doi.org/10.11607/ofph.2960
dc.identifier.urihttps://hdl.handle.net/11616/100429
dc.identifier.volume35en_US
dc.identifier.wosWOS:000753692200006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherQuintessence Publishing Co Incen_US
dc.relation.ispartofJournal of Oral & Facial Pain and Headacheen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectchildrenen_US
dc.subjectdental treatmenten_US
dc.subjectgeneral anesthesiaen_US
dc.subjectopioiden_US
dc.subjectpostoperative painen_US
dc.titleEfficacy of Preemptive Analgesia on Postoperative Pain Control in Children Who Underwent Full-Mouth Dental Rehabilitation Under General Anesthesia: A Randomized Controlled Clinical Trialen_US
dc.typeArticleen_US

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