EVALUATION OF ANALGESIC USE IN PATIENTS PRESENTING TO PEDIATRIC DENTAL CLINIC WITH PAIN

Yıl 2023, Cilt: 3 Sayı: 3, 124 - 129, 29.12.2023

Esra Hato , Merve Erkmen Almaz

https://doi.org/10.61139/ijdor.1351116

Öz

AIM: The aim of this study was to evaluate the use of analgesics, the doses used and the level of knowledge of patients about analgesics in patients presenting with pain to the pediatric dentistry clinic.
MATERIALS AND METHODS: A questionnaire was applied to the parents of 120 children aged 3-15 years who referred to Kırıkkale University Faculty of Dentistry, Department of Pediatric Dentistry, with pain. The questionnaire included following data; the duration of the pain, the type and dose of the analgesic used, the intensity of the pain before and following analgesic use based on the VAS scale, knowledge about the maximum daily dose of the analgesic used. The data were analyzed statistically with Chi-square and Mann-Whitney U test.
RESULTS: One hundred and twenty patients were included in the study. The mean age of children using analgesics was 8.2±2.6 years. Paracetamol was the most frequently used analgesic in this population (64,2%) followed by ibuprofen (45%). 18,3% of children were taking more than one analgesic. Although 66,6% of the parents were unaware of the maximum daily dose, only three of the children exceeded this limit (using paracetamol). Also 65% of the parents were unaware of side effects of the analgesics. Parents taking analgesics on medical advice were not more aware of the maximum daily dose.
CONCLUSIONS:
A large portion of the parents were unaware of the maximum daily dose and side effects of analgesics used in children. Dentists treating cases with pain should inform patients about the use of analgesics, side effects and maximum doses.

Anahtar Kelimeler

Dentalpain, Children, Analgesics

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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PEDODONTİ KLİNİĞİNE AĞRI ŞİKAYETİYLE BAŞVURAN HASTALARDA ANALJEZİK KULLANIMININ DEĞERLENDİRİLMESİ

Öz

AMAÇ: Bu çalışmanın amacı, çocuk diş hekimliği kliniğine ağrı şikayeti ile başvuran
hastalarda analjezik kullanımını, kullanılan dozları ve hastaların analjezikler hakkındaki bilgi
düzeylerini değerlendirmektir.
Materyal&Metot: ........... Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği
Anabilim Dalı'na ağrı şikayeti ile başvuran 3-15 yaş arası 120 çocuğun ebeveynlerine anket
uygulandı. Ankette ağrının süresi, kullanılan analjezik türü ve dozu, VAS skalasına göre
analjezik kullanımı öncesi ve sonrası ağrı şiddeti, kullanılan analjeziklerin günlük maksimum
dozu hakkında bilgi belirlemeye yönelik soruları içermektedir. Veriler istatistiksel olarak ki-
kare ve Mann-Whitney U testi ile analiz edildi.
Sonuç: Çalışmaya 120 hasta dahil edildi. Analjezik kullanan çocukların yaş ortalaması
8,2±2,6 idi. Bu popülasyonda en sık kullanılan analjezik parasetamol (%64,2) idi, bunu
ibuprofen (%45) takip etti. Çocukların %18,3'ü birden fazla analjezik kullanıyordu.
Ebeveynlerin %66,6'sı günlük maksimum dozu bilmemesine rağmen, çocukların sadece üçü
(parasetamol kullanarak) günlük maksimum dozu aşmıştır. Ayrıca ebeveynlerin %65'i
analjeziklerin yan etkileri hakkında bilgi sahibi olmadığı görüldü. Hastaların yaklaşık
yarısının (%50,8) 3 günden fazla ağrı ile bekledikten sonra pedodonti kliniğine ağrı ile
başvurdukları görüldü.
Sonuç: Ebeveynlerin büyük bir kısmı çocuklarda kullanılan analjeziklerin günlük maksimum
dozunu ve yan etkilerini bilmemektedir. Ağrılı hastaları tedavi eden diş hekimleri, hastalara
analjezik kullanımı, analjeziklerin yan etkileri ve maksimum doz konusunda bilgi vermelidir.

Anahtar Kelimeler

diş ağrısı, çocuk, ağrı kesici

Proje Numarası

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Kaynakça

• 1. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, vd. The revised IASP definition of pain: Concepts, challenges, and compromises. Pain. 2020;161(9):1976.
• 2. Santos PS, Barasuol JC, Moccelini BS, Magno MB, Bolan M, Martins-Junior PA, vd. Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig. 2022;26(2):1105-19.
• 3. Freire da Silva-Júnior I, Drawanz Hartwig A, Leão Goettems M, Sousa Azevedo M. Comparative Study of Dental Pain Between Children With and Without a History of Maltreatment. J Oral Facial Pain Headache. 2019;33(3).
• 4. Hommez G, Ongena B, Cauwels R, De Paepe P, Christiaens V, Jacquet W. Analgesia (mis) usage on a dental emergency service: a patient survey. Clin Oral Investig. 2018;22:1297-302.
• 5. Hernandez-Juyol M, Job-Quesada JR. Dentistry and self-medication: a current challenge. Med Oral Organo Of Soc Espanola Med Oral Acad Iberoam Patol Med Bucal. 2002;7(5):344-7.
• 6. Sen Tunc E, Aksoy E, Arslan HN, Kaya Z. Evaluation of parents’ knowledge, attitudes, and practices regarding self-medication for their children’s dental problems during the COVID-19 pandemic: a cross-sectional survey. BMC Oral Health. 2021;21(1):1-7.
• 7. Cazacu I, Mogosan C, Loghin F. Safety issues of current analgesics: an update. Clujul Med. 2015;88(2):128. 8. Hargreaves K, Abbott PV. Drugs for pain management in dentistry. Aust Dent J. 2005;50:S14-22.
• 9. Vogel J, Heard KJ, Carlson C, Lange C, Mitchell G. Dental pain as a risk factor for accidental acetaminophen overdose: a case-control study. Am J Emerg Med. 2011;29(9):1125-9.
• 10. Heard KJ, Ries NL, Dart RC, Bogdan GM, Zallen RD, Daly F. Overuse of non-prescription analgesics by dental clinic patients. BMC Oral Health. 2008;8(1):1-5.
• 11. George I, Meldrum J. A study to assess the prevalence of unintentional paracetamol overdose among patients presenting in dental pain in primary care. Br Dent J. 2020;1-4.
• 12. Ashley PF, Parekh S, Moles DR, Anand P, MacDonald LC. Preoperative analgesics for additional pain relief in children and adolescents having dental treatment. Cochrane Database Syst Rev. 2016;(8).
• 13. Bahrololoomi Z, Amrollahi N. Effects of Acetaminophen and Ibuprofen on Pulpal Anaesthesia Immediately after Pulpectomy of Primary Maxillary Molars. Iran Endod J. 2019;14(2):104-9.
• 14. Quiles JMO, García GGB, Chellew K, Vicens EP, Marín AR, Carrasco MPN. Identification of degrees of anxiety in children with three-and five-face facial scales. Psicothema. 2013;446-51.
• 15. Brilhante VOM, Costa LR, Corrêa-Faria P. Evaluating the agreement between children and their parents on dental pain in children using the self-reported method. Int J Paediatr Dent. 2022;32(5):686-92.
• 16. Siddique I, Mahmood H, Mohammed-Ali R. Paracetamol overdose secondary to dental pain: a case series. Br Dent J. 2015;219(6):E6-E6.
• 17. Paulino MR, Clementino MA, Santos HB de P, Batista MIH de M, Carvalho AAT, Nonaka CFW, vd. Self-Medication for toothache and its associated factors in children and adolescents. Pesqui Bras Em Odontopediatria E Clínica Integrada. 2019;19.
• 18. Pape E, Collin C, Camelot F, Javot L, Petitpain N, Puskarczyk E, vd. Paracetamol misuse and dental pain: results from the French observational DAntaLor study. J Oral Facial Pain Headache J Oral Facial Pain Headache. 2019;33(1):123-9.
• 19. Macit M, Karaman M, Parlak M. Bireylerin akılcı ilaç kullanım bilgi düzeylerinin incelenmesi. İstanbul Gelişim Üniversitesi Sos Bilim Derg. 2019;6(2):372-87.
• 20. Pergolizzi JV, Magnusson P, LeQuang JA, Breve F, Taylor R, Wollmuth C, vd. Can NSAIDs and acetaminophen effectively replace opioid treatment options for acute pain? Expert Opin Pharmacother. 2021;22(9):1119-26. 21. González-Ponce HA, Rincón-Sánchez AR, Jaramillo-Juárez F, Moshage H. Natural dietary pigments: potential mediators against hepatic damage induced by over-the-counter non-steroidal anti-inflammatory and analgesic drugs. Nutrients. 2018;10(2):117.
• 22. Zenouaki MMMEM, Elarabi MHZAS. Evaluation and Management of Dental Pain in Children Motivating Emergency Consultation at the Dental Consultation and Treatment Center of Casablanca. J Pediatr. 2021;7(3):00-00.
• 23. Begum MR, Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. J Med Case Rep Rev. 2019;2(11).
• 24. Nusstein JM, Beck M. Comparison of preoperative pain and medication use in emergency patients presenting with irreversible pulpitis or teeth with necrotic pulps. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2003;96(2):207-14.