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Pain and fear in connection to orthodontic extractions of deciduous canines
Postgrad Dent Educ Ctr, Dept Orthodont, SE-70111 Orebro, Sweden; Karolinska Inst, Div Orthodont, Dept Dent Med, Huddinge, Sweden.
Örebro University, School of Health and Medical Sciences. Postgrad Dent Educ Ctr, Dept Paediat Dent, SE-70111 Orebro, Sweden.
Dept Paediat Dent, Vasteras, Sweden.
Dept Paediat Dent, Vasteras, Sweden.
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2010 (English)In: International Journal of Paediatric Dentistry, ISSN 0960-7439, E-ISSN 1365-263X, Vol. 20, no 3, p. 193-200Article in journal (Refereed) Published
Abstract [en]

Background. Interceptive extractions of deciduous canines are, from a patient perspective, poorly investigated. Aims. To describe pain, discomfort, and dental fear in connection to extractions of the deciduous canines, indicated as an orthodontic treatment procedure. Design. Thirty-two Swedish children aged 7-9 years had all four deciduous canines extracted over three occasions. The children rated procedural and postoperative pain on visual analogue scales. Acceptance of injections and extractions was assessed by the treating dentists. Analgesic consumption and recovery time for drinking and eating was reported by parents. Dental fear was assessed using the Children's Fear Survey Schedule questionnaire. Results. Procedural pain showed low median levels, although some individuals reported high values. Boys reported significantly more pain at appointments when two (as opposed to one) canines were extracted. Postoperative pain levels were low and use of analgesics sparse. Dental fear paralleled norm values and did not increase from pre- to post-extraction. Conclusions. Pain management routines during extractions of this kind should be revised. Single tooth extractions seem to be preferable to extractions of two canines at the same appointment. Extraction of four deciduous canines should not cause major postoperative inconvenience; these extractions neither triggered nor increased dental fear.

Place, publisher, year, edition, pages
2010. Vol. 20, no 3, p. 193-200
National Category
Medical and Health Sciences
Research subject
Medicine
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URN: urn:nbn:se:oru:diva-12980DOI: 10.1111/j.1365-263X.2010.01040.xISI: 000276403400005OAI: oai:DiVA.org:oru-12980DiVA, id: diva2:382943
Available from: 2011-01-03 Created: 2011-01-03 Last updated: 2017-12-11Bibliographically approved

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Arnrup, Kristina

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