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08.04.2019 | Original Scientific Article Open Access

Postoperative pain profile in 10–15-year-olds after bilateral extraction of maxillary premolars

Zeitschrift:
European Archives of Paediatric Dentistry
Autoren:
H. Berlin, T. List, K. Ridell, T. Davidson, D. Toft, G. Klingberg
Wichtige Hinweise

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Abstract

Purpose

To study pain perception in 10–15-year-olds, during and after uncomplicated extractions of bilateral maxillary premolars. The study investigated pain’s natural course and made comparisons between the first and second extractions.

Methods

31 Swedish children in need of orthodontic treatment were identified and consecutively enrolled. Tooth extractions followed a standardised protocol and the two teeth were extracted with at least 10 days between. The participants rated pain intensity using visual analogue scale (VAS) at 14 different time points from treatment and 7 days forward.

Results

The pain intensity profile followed the same pattern for all patients. Pain intensity peaked 2 h after extractions (mean VASPI 27.3, SD 20.8; median 23.0) when moderate pain intensity (VASPI ≥ 40) was registered for 16 (28%) of 57 cases. After that, there was a rapid decrease in pain intensity notable already at 4 h after extractions. There were no statistically significant differences in any VASPI measurements between the first and second extractions, sexes, or different age groups.

Conclusions

The majority of the participants who undergo uncomplicated bilateral extraction of maxillary premolars experience mild to moderate levels of postoperative pain during a short period of time, with no differences between the first and second extractions. Bilateral tooth extractions is a suitable model for further studies on pain management.

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