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Risk factors associated with acute dental pain in children
R E Primosch1, D L Nichols, F J Courts
1Department of Pediatric Dentistry, University of Florida College of Dentistry, Gainesville, USA.
ASDC Journal of Dentistry for Children
|July 1, 1996
Summary
Chronologic age is the sole factor linked to postextraction pain in children. Preexisting pain did not predict postextraction pain after primary tooth extraction.
Area of Science:
- Pediatric Dentistry
- Pain Management
- Oral Surgery
Background:
- Assessing pain in children is challenging.
- Understanding factors influencing pain after primary tooth extraction is crucial for effective management.
Purpose of the Study:
- To identify variables associated with preexisting and postextraction pain in children undergoing primary tooth extraction.
- To inform clinical decisions regarding analgesic use.
Main Methods:
- Sixty-two children (ages 2-10) were studied.
- Parental reports of pain (preexisting and postextraction) were collected.
- Variables analyzed included age, sex, race, extraction details, tooth characteristics, and pain history.
Main Results:
- No association found between preexisting pain and postextraction pain.
- Females, primary molars, and osseous defects showed a trend towards association with preexisting pain.
- Complete root formation and soft tissue inflammation were significant predictors of preexisting pain.
- Chronologic age was the only variable significantly associated with postextraction pain.
Conclusions:
- Chronologic age is a key factor in predicting postextraction pain in pediatric dental patients.
- Preexisting pain is not a reliable indicator of postextraction pain.
- Findings can aid clinicians in determining the need for analgesics after primary tooth extractions.