POST-OPERATIVE PAIN FOLLOWING FULL MOUTH REHABILITATION AND STAINLESS STEEL CROWNS PLACEMENT IN CHILDREN WITH EARLY CHILDHOOD CARIES: A PRAGMATIC BEFORE AND AFTER STUDY.

Document Type : Original Article

Authors

1 Paediatric dentistry and dental public health department, Faculty of dentistry, Ahram Canadian University,

2 Paediatric dentistry and dental public health department, Faculty of dentistry, Cairo University, Cairo, Egypt

Abstract

Abstract:

Aim: This study investigated pain/discomfort& swelling complaints in children with carious primary molars before and after receiving stainless steel crowns (SSCs) as full mouth rehabilitation under general anaesthesia (GA).
Methodology: This before-and-after study was conducted on 90 children. They were 2-6 years old and needed complete oral rehabilitation under general anaesthesia. Before and after anaesthesia during follow-up appointments at 4 weeks, and 6 months, pain/discomfort & swelling were assessed by a questionnaire given to each parent and if reported pain at any recall period further assessment is needed in the following follow-ups. A total of 457 crowns were involved.
Results: In the current study 82(91.1%) children continued the first follow-up (1 month). Four participants (5.5%) out of 82 complained of pain on both sides post-operatively at the 4-week follow-up and none of them complained of swelling. With 73 participants (81.1%) completed the 2nd follow-up period (6 months). 69 out of the 73 study participants (94.5%) reported no pain, and 71 out of 73 participants (97.3%) reported no swelling. There was a statistically significant difference between preoperative and postoperative pain/discomfort &swelling (P < 0.0001).
Conclusion: With 94.5% of participants reporting no pain, the quality of life for the participants significantly improved.
Keywords: Early Childhood Caries, Stainless Steel Crowns, Full Mouth Rehabilitation, General Anaesthesia, Pain, Discomfort& Swelling.

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