Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Assessment of Pain Perception in Children During Local Anesthesia and Tooth Extraction Procedures: A Clinical Study
Çocuklarda Lokal Anestezi ve Diş Çekimi İşlemlerinde Oluşan Ağrı Algısının Değerlendirilmesi: Klinik Çalışma
Elif GÜL AYDINa , Neslihan YILMAZb , Esra Ceren TUĞUTLUc
aKocaeli Health and Technology University Faculty of Dentistry, Department of Pedodontics, Kocaeli, Türkiye
bSakarya University Faculty of Dentistry, Department of Pedodontics, Sakarya, Türkiye
cYıldırım Beyazıt University Faculty of Dentistry, Department of Pedodontics, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(2):205-10
doi: 10.5336/dentalsci.2023-98929
Article Language: EN
Full Text
ABSTRACT
 Objective: Evaluation and comparison of pain in pediatric patients following local anesthesia administration and primary tooth extraction using the Wong-Baker Faces Pain Rating Scale (WBS). Material and Methods: A total of 90 children (age between 4-11 years) whose teeth were indicated for extraction for various reasons were included in the study. Before dental treatments, behavioral management was given to all children with the tell-show-do technique. Following topical anesthesia, local anesthetics were applied to the relevant area, and tooth extractions were performed. Perceived pain after local anesthesia and tooth extraction was recorded separately by asking the patients using the WBS. Mean values and standard deviations were calculated and comparisons between groups were made with the MannWhitney U test. Results: The mean WBS value was 4.49, with the highest palatal infiltration anesthesia. Following this, 3.8 in the mandibular block, 3.42 in lingual, 2.3 in buccal infiltration anesthesia, and 1.2 in tooth extraction respectively. There was no statistically significant difference between the genders in the WBS values after tooth extraction, mandibular block anesthesia, buccal, palatal and lingual infiltration anesthesia (p>0.05). Conclusion: As a result of this study, palatal infiltration and mandibular block anesthesia were identified as the most painful anesthesia techniques perceived by children.

Keywords: Local anesthesia; pain perception; pain measurement; pediatric dentistry; tooth extraction
ÖZET
 Amaç: Bu çalışmanın amacı, çocuk hastalarda lokal anestezi uygulanması ve süt diş çekimi sonrası meydana gelen ağrının Wong-Baker Yüzler Ağrı Ölçeği ile değerlendirilmesi ve karşılaştırılmasıdır. Gereç ve Yöntemler: Çeşitli sebeplerle dişlerine çekim endikasyonu konan 90 çocuk (4-11 yaş aralığında) çalışmaya dâhil edildi. Dental tedaviler öncesi tüm çocuklara anlat-göster-uygula tekniği ile davranış yönlendirmesi yapıldı. Topikal anestezi uygulaması sonrası ilgili bölgeye lokal anestezik uygulandı ve diş çekimleri gerçekleştirildi. Lokal anestezi uygulamasını ve diş çekimlerini takiben, algılanan ağrılar Wong-Baker Yüzler Ağrı Ölçeği ile hastalara sorularak kaydedildi. Verilerin istatistiksel analizinde ortalama değerler, standart sapmalar hesaplandı, ayrıca gruplar arası karşılaştırmalar Mann-Whitney U testi ile yapıldı. Bulgular: Ortalama Wong-Baker Yüzler Ağrı Ölçeği skoru, en yüksek palatal infiltrasyon anestezisi uygulandığında 4,49 olarak tespit edildi. Bunu sırasıyla mandibular blok anestezisi (3,8), lingual infiltrasyon anestezisi (3,42), bukkal infiltrasyon anestezi (2,3) ve diş çekimi (1,2) takip etti. Cinsiyetler arasında, diş çekimi, mandibular blok anestezisi, bukkal, palatal ve lingual infiltrasyon anestezileri sonrası kaydedilen skorlarda istatistiksel olarak anlamlı fark bulunmadı (p>0,05). Sonuç: Palatal infiltrasyon ve mandibular blok anestezisi çocuklar tarafından en ağrılı hissedilen anestezi yöntemleri olarak bulundu.

Anahtar Kelimeler: Lokal anestezi; ağrı algısı; ağrı ölçümü; çocuk diş hekimliği; diş çekimi
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