Prevalence of odontogenic pain and associated factors in children treated at a pediatric dental emergency service

Abstract

OBJECTIVE: To describe the prevalence and to analyze the factors associated with odontogenic pain among children at a pediatric dental emergency service. METHODS: The retrospective cross-sectional study was performed using the clinical records of children (0 to 12 years old) attended from 2003 to 2010 at the Pediatric Dentistry Emergency Service of the Universidade Federal do Espírito Santo. The information was collected by a researcher, and a structured form was used to collect all data from patients' records. A bivariate analysis of the absolute and relative frequencies of odontogenic pain (spontaneous and induced) and associated factors (age, gender, diagnosis, treatment and referrals) was performed with the chi-square or Fisher tests (p<0.05). RESULTS: Of the 574 records examined, 308 (53.7%) had reported odontogenic pain. The majority of the individuals were male (51.0%) between 4 and 8 years of age (40.9%). Odontogenic pain affected more frequently the deciduous tooth (76.9%), with induced dental pain (54.5%), diagnosed with dental caries (54.5%), which was treated with extraction (21.4%), and referred to another clinic (59.7%). The type of odontogenic pain was not associated with gender, age group or affected tissue (p>0.05), but there was a higher prevalence of spontaneous pain in children with caries in a deciduous tooth with pulpal involvement, who were treated with endodontic medication and endodontic treatment (p<0.05). Among children with induced pain, there was a higher prevalence of trauma and decay in deciduous and permanent teeth without pulpal involvement, and they received temporary restoration and were referred to the trauma project (p<0.05). CONCLUSION: There was higher prevalence of odontogenic pain in children between 4-8 years of age, with deciduous dentition and dental caries. The type of odontogenic pain was associated with diagnosis, treatment and referral, but was not associated with gender and age.Keywords: dental care for children; toothache; pediatric dentistry.Prevalência de dor odontogênica e fatores associados em crianças atendidas em pronto-socorro odontopediátrico RESUMO OBJETIVO: Descrever a prevalência e analisar os fatores associados à dor odontogênica em crianças em um serviço de urgência odontopediátrica. MÉTODOS: O estudo transversal retrospectivo foi realizado utilizando os registros clínicos de crianças (0 a 12 anos) atendidos de 2003 a 2010 no Serviço de Urgência em Odontopediatria da Universidade Federal do Espírito Santo. As informações foram coletadas, de forma estruturada, por um pesquisador a partir dos registros dos pacientes. Análise bivariada das frequências absolutas e relativas da dor odontogênica (espontânea e induzida) e os fatores associados (idade, sexo, diagnóstico, tratamento e referências) foi realizada com os testes de qui-quadrado ou Fisher (p<0,05). RESULTADOS: Dos 574 registros examinados, 308 (53,7%) relataram dor odontogênica. A maioria dos indivíduos era do sexo masculino (51,0%) entre 4 e 8 anos de idade (40,9%). A dor odontogênica af...

Representações Sociais de Estudantes de Odontologia sobre o Atendimento em Clínica Odontopediátrica

“…Evidentemente, essa exposição dos acadêmicos para executar todos os procedimentos é necessária para desenvolver habilidades clínicas e competências essenciais, com o intuito de aumentar a confiança para atender crianças como profissionais generalistas (Rodd et al, 2010;Spiritoso et al, 2015;Sonbol, Abu-Ghazaleh, & Al-Bitar, 2017), considerando que estes não devem necessariamente conhecer os pormenores de cada especialidade, mas ter uma visão geral para oferecer resolubilidade na maioria dos casos (Lage, Almeida, Vasconcelos, Assaf, & Robles, 2017). Em contrapartida, tem sido discutido que a formação do cirurgião-dentista pode estar inadequada na prática clínica devido à redução do número de crianças na triagem das faculdades e à menor quantidade das necessidades de tratamento (Vyawahare et al, 2013;Casamassimo & Seale, 2015), fato este que não se constatou como contratempo no presente estudo, devido à grande procura por atendimento de urgência odontopediátrica nessa mesma clínica (Muller et al, 2017).…”

Enhanced Recovery of Local Anesthesia in Pediatric Patients: The Impact of Photobiomodulation on Reversing Anesthesia Effects

“…Children can also refuse consent, which means they do not agree to participate. The age at which consent is requested varies and can be as young as 7 years old [ 2 ]. Consent is not required by law, but in our study we required children who were developmentally and cognitively able to participate in decision making.…”

“…Although local anesthesia (LA) is used as an important tool for reducing pain and anxiety, paradoxically, pain during needle insertion and loss of normal sensations secondary to anesthesia frequently causes non-compliance in children. It has been demonstrated that its effect lasts longer than the maximum time required for the most common dental procedures to be completed [ 2 ]. However, this prolonged soft-tissue anesthesia is inconvenient, unnecessary, or detrimental, especially in children, and a higher risk of self-injury has been reported, but there have been few studies on acceleration of recovery to normal sensation.…”

“…Adequate profound anesthesia is the foremost requirement for starting any dental procedure and relieves pain, especially when dealing with children [ 8 ]. The only drawback associated with local anesthesia (LA) is that occurrence of soft-tissue anesthesia can persist for 3 to 5 hours, while the procedure itself usually lasts for less than an hour [ 2 ]. Patients experience limitation of function in terms of speech difficulty, drinking, and eating.…”

Odontogenic Pain and Its Associated Factors in Children of Peshawar, Pakistan

“…Differences in pain experience are explained, among other things, by differences in pain threshold and tolerance. In addition, it is related to sensitivity (extension and localization of tissue lesion), genetic (related to the nociceptive system and pain modulation) cultural (learning, experience, symbolic meaning of pain (4). Oral diseases can cause pain, suffering, and mental distress that can cause harm to people (5).…”