Post-extraction Bleeding (PEB), Post-extraction Lip or Cheek Biting Injury (PEBI), Post-extraction Pain (PEP), Tooth Removal
Conditions
Keywords
temporary tooth, pain, analgesic, paracetamol, acetaminophen
Brief summary
This prospective observational study aim to evaluate discomforts after extraction of temporary tooth under local anesthesia. The first objective is to describe the prevalence of the post-extraction pain (PEP), post-extraction bleeding (PEB), post-extraction biting injury (PEBI) in children, and the analgesic usage. The secondary objective is to define whether it is possible to determine a profile of patients or a type of extraction's procedure predictive to PEP and administration of analgesics, PEB or PEBI.
Detailed description
125 children in range of 2-15 years indicated for tooth extractions will be included in this study. Informed consent will be obtained from all individual participants included in this study. Immediately after extraction and until the following day, parents will be asked to assess the post-operative discomforts and to administrate paracetamol (acetaminophen) as soon as the child expressed a pain score ≥2 evaluated on the faces pain scale-revised (FPS-R). A structured form is designed to obtained information regarding the patient's age, gender, socioeconomic level, and cooperation of the child before and during anesthesia or extraction, influence of accompanying person, number of previous extraction, dental hygiene. Moreover, details about the type of extraction; the indication of extraction (tooth decay, orthodontic treatment, obstacle, infection and traumatism), the type of tooth (incisor-canine or molar), the degree of root resorption, number of doses of local anesthetic, and presence of preexisting or per-operative pain are also collected.
Interventions
OTHERNo intervention
No intervention
Sponsors
Nantes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
2 Years to 15 Years
Inclusion criteria
* children in range of 2-15 years indicated for tooth extractions under local anesthesia.
Exclusion criteria
* patient under analgesic the day of the appointment or under non steroidal anti-inflammatory agents through 8 days before the extraction; * contraindication to paracetamol/acetaminophen; * incomplete mental health; * extraction under sedation (including nitrous oxide/oxygen) and under general anesthesia. * extractions of permanent tooth; Child was also excluded from the study if parents could not be reached by phone within 32 hours after extraction and if the parents don't speak French.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevalence and severity of pain after extraction of deciduous teeth | 32 hours post-operatively | pain evaluated on the EVA faces pain scale-revised |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determination of a profile of patients predictive to PEP and administration of analgesics, PEB or PEBI | Day 1 | % of patient's by class of: age, gender, socioeconomic level, and cooperation of the child before and during anesthesia or extraction, influence of accompanying person, number of previous extraction, dental hygiene. |
| Determination of a profile of a type of extraction's procedure predictive to PEP and administration of analgesics, PEB or PEBI | Day 1 | % of patient's by class of: type of extraction; the indication of extraction (tooth decay, orthodontic treatment, obstacle, infection and traumatism), the type of tooth (incisor-canine or molar), the degree of root resorption, number of doses of local anesthetic, and presence of preexisting or per-operative pain are also collected immediately after the tooth extraction. |
Countries
France
Outcome results
None listed