Postoperative Pain Following Vital Pulp Therapy in Carious Permanent Teeth of Children and Adolescents: A Prospective Cohort Study.

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2025-01-19 DOI:10.1111/ipd.13292

Parattanan Pradittapong, Papimon Chompu-Inwai, Nattakan Chaipattanawan, Areerat Nirunsittirat, Phichayut Phinyo, Chanika Manmontri

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引用次数: 0

Abstract

Background: Vital pulp therapy (VPT) is one of the treatments recommended for vital deep carious permanent molars. However, postoperative pain remains underexplored in children and adolescents who have undergone VPT.

Aim: This study investigated the incidence, intensity, duration, temporal pattern, and analgesic intake of postoperative pain following VPT in children and adolescents. Additionally, factors associated with postoperative pain incidence were explored.

Design: A prospective cohort study was conducted in 159 patients aged 6-18 years, involving 174 VPT-treated teeth. Pain intensity, measured with the Wong-Baker FACES Pain Scale (WBFPS), and analgesic intake were recorded daily for 7 days post treatment.

Results: Over the 7-day period, 40.23% of patients experienced postoperative pain. Mean pain intensity decreased from 3.43 ± 1.96 on Day 1 to 1.26 ± 1.71 on Day 2. About 52.86% of patients were pain-free between Days 1 and 2, and over 97% were pain-free by Day 7. Analgesics were taken by 25.86% of patients. Compared with the protective liners group, the more invasive types of VPT were associated with higher odds of pain.

Conclusion: Postoperative pain following VPT was common; however, it was mild, controllable with analgesics, and resolved in most patients. The more invasive VPT types were linked to an increased incidence of pain.

查看原文本刊更多论文

儿童和青少年龋齿恒牙生命髓治疗术后疼痛：一项前瞻性队列研究。

背景：重要牙髓治疗（VPT）是治疗重要深龋恒磨牙的推荐治疗方法之一。然而，儿童和青少年接受VPT后的术后疼痛仍未得到充分研究。目的：本研究探讨儿童和青少年VPT术后疼痛的发生率、强度、持续时间、时间模式和镇痛药物的摄入。此外，我们还探讨了与术后疼痛发生率相关的因素。设计：对159例6-18岁的患者进行前瞻性队列研究，涉及174颗vpt治疗的牙齿。治疗后7天，每天用Wong-Baker FACES疼痛量表（WBFPS）测量疼痛强度，并记录镇痛药的摄入量。结果：术后7天，40.23%的患者出现术后疼痛。平均疼痛强度由第1天的3.43±1.96降至第2天的1.26±1.71。约52.86%的患者在第1 ~ 2天无痛，超过97%的患者在第7天无痛。25.86%的患者使用镇痛药。与保护衬垫组相比，更有侵入性的VPT类型与更高的疼痛几率相关。结论：VPT术后疼痛较为常见；然而，它是轻微的，镇痛药物控制，并在大多数患者缓解。侵入性越强的VPT类型与疼痛发生率增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.