Time to complain about pain: Children's self-reported procedural pain in a randomised control trial of Hall and conventional stainless steel crown techniques.
Int J Paediatr Dent
; 33(4): 382-393, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-36841968
ABSTRACT
BACKGROUND:
Children's pain in dentistry has undesirable short- and long-term consequences; therefore, less invasive treatments merit consideration.AIM:
To investigate procedural pain scores for two treatments for carious primary molars in New Zealand primary care.DESIGN:
This study was a split-mouth randomised control trial, with secondary outcome analysis. Children (4-8 years) with proximal carious lesions on matched primary molars had one tooth treated with the Hall technique (HT) and one treated with a conventional stainless steel crown (CT); treatment type and order of treatment were randomly allocated (allocation concealment). The Wong-Baker self-report pain scale measured pretreatment dental pain, procedural pain at each treatment and post-operative pain.RESULTS:
Data were analysed for 103 children 49 children had the HT first and 54 children had the CT first. Procedural pain scores did not differ by treatment type, with 71.8% and 76.7% of children reporting low pain for the HT and the CT, respectively. Fewer children reported low procedural pain for the second treatment than the first (p = .047). Most children reported low procedural pain for both treatments (58.3%), although 41.7% experienced moderate-high procedural pain with at least one treatment.CONCLUSIONS:
The HT caused pain for as many children as the CT. There is an opportunity for better dental pain management in this setting.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Assistência Odontológica para Crianças
/
Cárie Dentária
/
Dor Processual
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article