背景:在拔牙中,特别是当使用局部麻醉时,它通常提供几个小时的镇痛缓解。然而,由于口腔软组织和硬组织都经历了创伤,疼痛在术后即刻可能成为一个值得注意的问题。
目的:本系统综述旨在评估治疗乳牙拔除术后疼痛的最有效策略。
方法:两名考官在五个电子数据库中进行了搜索:MEDLINE(通过PubMed),Embase,Scopus,WebofScience,中部,OpenGray在审查其标题和摘要后,如果他们符合以下标准,则包括研究:他们涉及儿童并评估了拔牙后的疼痛管理。随后,描述在任何形式的镇静下进行的萃取的文章,不是在局部麻醉下进行的,在门诊环境中,在0至12岁的儿童中,或者不是随机对照试验,被排除在外。
结果:搜索产生了374篇相关文章,其中包括9个。其中,5使用术前药物作为疼痛管理策略,一位评估了低强度激光治疗(LLLT)术后,一项评估后的金盏花脱落,另一个人在手术过程中探索了虚拟现实,并在手术前和术后进行了解决。
结论:在所有评估的策略中,在拔牙前30分钟使用镇痛药的策略得到了设计更好的研究的支持.然而,偏见的风险很高。
BACKGROUND: In dental extractions, particularly when local anesthesia is used, it usually offers analgesic relief for a few hours. However, pain can become a notable concern in the immediate postoperative period due to the trauma experienced by both soft and hard oral tissues.
OBJECTIVE: This systematic
review aimed to evaluate the most effective strategies for managing postoperative pain in primary tooth extractions.
METHODS: Two examiners conducted a search across five electronic databases: MEDLINE (via PubMed), Embase, Scopus, Web of Science, CENTRAL, and OpenGray. Studies were included if they met the following criteria after reviewing their titles and abstracts: they involved children and evaluated pain management following primary tooth extraction. Subsequently, articles that described extractions performed under any form of sedation, were not conducted under local anesthesia, in an outpatient setting, and in children aged 0 to 12 years, or were not randomized controlled trials, were excluded.
RESULTS: The search yielded 374 relevant articles, of which 9 were included. Among these, 5 utilized preoperative medications as a pain management strategy, one evaluated low-level laser therapy (LLLT) postoperatively, one assessed calendula drops postoperatively, and another explored virtual reality during the procedure and arnica in solution both pre and postoperatively.
CONCLUSIONS: Among all the strategies evaluated, the strategy involving analgesics administered 30 minutes before tooth extractions was supported by better-designed studies. However, there is a high risk of bias.