International journal of paediatric dentistry
-
Int J Paediatr Dent · Jul 2007
Randomized Controlled TrialRandomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction.
Children still experience pain upon waking following dental extraction under general anaesthesia. Local anaesthetic has been shown to reduce this pain, but needs to be administered via a method that causes minimum injury or distress to the child. ⋯ Intraligamental lignocaine used for dental extraction under general anaesthesia in young children initially causes less pain after recovery, but this difference is not sustained over the first hour after dental extraction.
-
Int J Paediatr Dent · May 2007
Randomized Controlled Trial Comparative StudyA comparison of paracetamol, ibuprofen or their combination for pain relief following extractions in children under general anaesthesia: a randomized controlled trial.
This study was designed to compare the effectiveness of different oral analgesics for relieving pain and distress in children following the extraction of teeth under general anaesthesia (GA). The analgesics included paracetamol alone, ibuprofen alone, and paracetamol and ibuprofen in combination. ⋯ This study provides evidence to support the oral administration of ibuprofen alone or in combination with paracetamol for postoperative analgesia in children who are having teeth extracted under GA.
-
Int J Paediatr Dent · Mar 2007
Comparative StudyExposure to nitrous oxide in a paediatric dental unit.
The aim of this study was to evaluate the 8-h time-weighted average (8-h TWA) exposure to nitrous oxide of dentists working in a paediatric dental unit, and to relate this to various operator, patient and environmental factors. ⋯ This study found that the recommended 8-h TWA was achieved in only 38% of treatment episodes, despite the use of active scavenging.
-
Int J Paediatr Dent · Jan 2007
Review Case ReportsImpalement injuries of the oral cavity in children: a case report and survey of the literature.
Impalement injuries of the soft palate and oropharynx are common in children, especially those of preschool age. These injuries are particularly common in toddlers, given their propensity to fall easily while carrying objects in their mouths. Although most of these injuries do not have lasting sequelae, some can have devastating neurological complications, and consequently, careful assessment of the patient during the early stages of trauma is imperative. Close follow-up for up to 72 h, and parental counselling and instruction should be considered as part of their immediate care. ⋯ A survey of the literature confirms that most injuries of this kind can be treated conservatively, and in many cases, without surgical intervention. However, careful assessment by an experienced clinician is necessary to rule out other complications. The present paper discusses the prevalence, management and complications associated with impalement injuries of the oral cavity in children.
-
Int J Paediatr Dent · Jan 2007
The use of theatre time for paediatric dentistry under general anaesthesia.
The aim of this paper was to determine the use of theatre time for all procedures performed under general anaesthetic on a paediatric dental list. ⋯ Overall, 85.9% of theatre sessions for dental procedures under general anaesthetic in children finished early or on time. Where lists finished late, the duration of the pre-anaesthetic time appeared to be the significant factor.