Effect of Preemptive Analgesia on Pain Perception in Children: A Randomized Controlled Trial

Area of Science:

• Pediatric Dentistry
• Pain Management
• Anesthesiology

Background:

• Minimizing pain and needle fear in children undergoing dental procedures is crucial.
• Positive experiences are essential for pediatric dental patients.
• This study evaluates premedication with Ibugesic Plus for local anesthesia and extraction in children.

Purpose of the Study:

• To assess the efficacy of preemptive analgesia in managing pain during local anesthesia administration and extraction.
• To evaluate the impact of Ibugesic Plus on pain perception in pediatric patients.
• To compare pain levels between children receiving preemptive analgesia and a placebo.

Main Methods:

• A randomized controlled trial involving 104 children aged 7-10 years requiring primary molar extraction.
• Group I received Ibugesic Plus syrup 30 minutes before extraction; Group II received a placebo (B-Folcin syrup).
• Pain levels, pulse rate, and SpO2 were measured using the Wong-Baker Faces Pain Rating Scale and pulse oximeter post-injection, post-extraction, and postoperatively.

Main Results:

• Pain scores were highest immediately after injection and extraction.
• Children receiving preemptive analgesics (Group I) reported significantly lower pain scores compared to the placebo group (Group II).
• Pain reduction was observed immediately after injection, after extraction, and 2 hours postoperatively.

Conclusions:

• Preemptive analgesic administration, such as with Ibugesic Plus, is an effective pain management strategy for primary tooth extractions.
• This approach can be considered a routine and rational method for managing pain in pediatric dental procedures.
• Preemptive analgesia can reduce postoperative pain in children undergoing dental treatments.