Pain, discomfort, and use of analgesics following the extraction of primary canines in children with palatally displaced canines

• Published in: International journal of paediatric dentistry 2012-01, Vol.22 (1), p.17-26
• Main Authors: NAOUMOVA, JULIA, KJELLBERG, HEIDRUN, KUROL, JÜRI, MOHLIN, BENGT
• Format: Article
• Language: English
• Subjects: Adolescent; Analgesics; Analgesics - therapeutic use; Case-Control Studies; Child; Cuspid - surgery; Dental Anxiety - complications; Dental Anxiety - diagnosis; Dentistry; Female; Humans; Male; Matched-Pair Analysis; Odontologi; Pain; Pain - complications; Pain - diagnosis; Pain - drug therapy; Pain - psychology; Pain Measurement; Reference Values; Tooth Eruption, Ectopic - complications; Tooth Eruption, Ectopic - surgery; Tooth Extraction - adverse effects; Tooth Extraction - psychology; Tooth, Deciduous; Tooth, Impacted - complications; Tooth, Impacted - surgery
• ISSN: 0960-7439; 1365-263X; 1365-263X
• DOI: 10.1111/j.1365-263X.2011.01152.x

International Journal of Paediatric Dentistry 2011; 22: 17–26 Background.  Pain following the extraction of the primary canine in children with palatally displaced canines (PDC) as an interceptive treatment has not been investigated. Aims.  To describe pain, discomfort, dental anxiety, and use of analgesics following the extraction of primary canines in children with PDC. Design.  Forty‐four children, aged 10–13 with PDC, were included. Pain intensity, discomfort, and analgesic consumption were rated the first evening and 1 week after the extraction of the primary canine. Dental anxiety was assessed pre‐extraction, using the dental anxiety scale (DAS). A matched reference group also completed the DAS. Results.  No significant differences were found between the study and the reference group regarding the pre‐extraction assessments. Post‐extraction pain and discomfort was low. The experience of the injection was graded worse than the extraction, and more pain was rated at the evening post‐extraction than during the extraction. Analgesics were used only the first evening. High correlation was detected between DAS and pain during injection and extraction. Conclusions.  The experience of pain and discomfort during and after extraction of the primary canines is low, despite that 42% of the children used analgesics. Therefore, appropriate analgesics and recommendation doses pre‐ and post‐extraction should be prescribed.