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Original Research

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Preemptive Analgesia by Paracetamol, Ibuprofen or Placebo in Pediatric Dental Care: A Randomized Controlled Study

  • Johnny Kharouba1,*
  • Tal Ratson1
  • Mostafa Somri2,3
  • Sigalit Blumer1

1Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

2Department of Anesthesia, Bnai Zion Medical Center,Haifa, Israel

3Bruce Rappaport Faculty of Medicine. The Technion Institute of Technology Haifa, Israel

DOI: 10.17796/1053-4625-43.1.10 Vol.43,Issue 1,January 2019 pp.51-55

Published: 01 January 2019

*Corresponding Author(s): Johnny Kharouba E-mail: johny156@013net.net

Abstract

Objective: To compare postoperative pain among children who received an oral dose of paracetamol, ibuprofen or a placebo, prior to tooth extractions. Study design: Thirty minutes prior to dental treatment, children received a liquid dosage, fruit flavored and orange colored, of paracetamol, ibuprofen, or a placebo. Data accessed included children's dental history, their behavior, and their feeling of pain or anxiety according to Wong-Baker FACES: before treatment, following local anesthesia, and following treatment. Parents were interviewed by telephone regarding their children's need for a postoperative analgesia (paracetamol or ibuprofen), and their feeling of pain at four and 24 hours posttreatment. Results: Parents reported administering paracetamol or nurofen following the dental procedure to 9/43 (21%), 2/33 (6%) and 12/29 (41%) of the children in the preemptive paracetamol, ibuprofen, and placebo groups, respectively. For the 3 groups, mean pain assessment were similar: around the middle of the Wong-Baker FACES scale at baseline, slightly higher following local anesthesia, and low (pain-free) at four and 24 hours postoperative. Conclusion: Children who received paracetamol or ibuprofen prior to tooth extractions were less likely to need an analgesic following treatment, compared to children who received a placebo.

Keywords

Preemptive analgesia; Postoperative pain; Ibuprofen; Paracetamol

Cite and Share

Johnny Kharouba,Tal Ratson,Mostafa Somri,Sigalit Blumer. Preemptive Analgesia by Paracetamol, Ibuprofen or Placebo in Pediatric Dental Care: A Randomized Controlled Study. Journal of Clinical Pediatric Dentistry. 2019. 43(1);51-55.

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