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

Mira Virda1, Anup Panda1, Kanu Kataria2

  • 1Department of Pediatric and Preventive Dentistry, College of Dental Sciences and Research Centre, Ahmedabad, Gujarat, India.

International Journal of Clinical Pediatric Dentistry
|October 7, 2024
PubMed

Insights

Preemptive analgesia with Ibugesic Plus significantly reduced pain during and after primary tooth extraction in children. This approach offers a rational strategy for pediatric dental pain management, improving patient experience.

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.
Abstract

Keywords:
IbuprofenPostoperative pain.Preemptive analgesia

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