Post Operative Pain and Pain Management in Children After Dental Extractions Under General Anaesthesia

Authors

  • Sudeep Madhusudan Chaudhari
  • Anusuya Mishra
  • Ankit Santosh Mahajan
  • Saurabh Singh
  • Ruchika Choudhary

Keywords:

Postoperative pain,, GA, ASA

Abstract

Background-The purpose of this research sought to ascertain the frequency, intensity, and length of postoperative discomfort among kids receiving general anaesthesia for dental procedures.

Methodology-Thirty-three American Society of Anaesthesiology (ASA) Class I and II children aged four to six who needed several dental treatments, including at least one tooth extraction, pulpectomy, and/or pulpotomy of the primary dentition, were included in this prospective cross-sectional research investigation. Children with developmental delays, cognitive impairments, premature births, psychiatric drug usage, or documented starting pain or painkiller use were excluded.

Results-According to the findings, 48.5% of patients experienced moderate-to-severe postoperative pain, which is characterised as FPS-R ≥ 6. Pain subsided over 3 days. Postoperative pain scores increased significantly from baseline (P < .001, Wilcoxon matched pairs signed rank test). Moderately good correlation between the 2 pain measures existed 2 and 12 hours from discharge (Spearman rhos correlation coefficients of 0.604 and 0.603, P < .005).

Conclusion-Children do experience moderate-to-severe pain postoperatively. Although parents successfully used pain scales, they infrequently administered analgesics.

Downloads

Download data is not yet available.

References

Townsend JA, Ganzberg S, Thikkurissy S. The effect of local anesthetic on quality of recovery characteristics following dental rehabilitation under general anesthesia in children. Anesth Prog. 2009;56:115–22.

Versloot J. Pain in Pediatric Dentistry [PhD thesis] Amsterdam, Netherlands: University of Amsterdam;; 2007. pp. 1–167. Franck L, Greenberg C, Stevens B. Pain assessment in infants and children. Pediatr Clin North Am. 2000;47:1–32.

Franck L, Greenberg C, Stevens B. Pain assessment in infants and children. Pediatr Clin North Am. 2000;47:1–32.

Farsi N, Ba'akdah R, Boker A, Almushayt A. Postoperative complications of pediatric dental general anesthesia procedure provided in Jeddah hospitals, Saudi Arabia. BMC Oral Health. 2009;9:6.

19.Jensen B. Post-operative pain and pain management in children after dental extractions under general anaesthesia. Eur Arch Paediatr Dent. 2012;13:119–125.

Chambers CT, Finley GA, McGrath PJ, Walsh TM. The parents' postoperative pain measure: replication and extension to 2–6-year-old children. Pain. 2003;105:437–443.

Hester N, Foster R, Jordan-Marsh M, Ely E, Vojir C, Miller K. Putting pain assessment into practice. In: Finley G, McGrath P, editors. Measurement of Pain in Infants and Children. Seattle, Wash: IASP Press;; 1998. pp. 179–198

Downloads

Published

2025-09-17

How to Cite

1.
Chaudhari SM, Mishra A, Mahajan AS, Singh S, Choudhary R. Post Operative Pain and Pain Management in Children After Dental Extractions Under General Anaesthesia. J Neonatal Surg [Internet]. 2025Sep.17 [cited 2025Oct.14];14(32S):8506-10. Available from: https://jneonatalsurg.com/index.php/jns/article/view/9168