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2000
Volume 21, Issue 4
  • ISSN: 1573-3963
  • E-ISSN: 1875-6336

Abstract

Background

In dental extractions, particularly when local anesthesia is used, it usually offers analgesic relief for a few hours. However, pain can become a notable concern in the immediate postoperative period due to the trauma experienced by both soft and hard oral tissues.

Objectives

This systematic review aimed to evaluate the most effective strategies for managing postoperative pain in primary tooth extractions.

 Methods

Two examiners conducted a search across electronic databases: MEDLINE ( PubMed), Embase, Scopus, Web of Science, CENTRAL, and OpenGray. Studies were included if they met the following criteria after reviewing their titles and abstracts: they involved children and evaluated pain management following primary tooth extraction. Subsequently, articles that described extractions performed under any form of sedation, were not conducted under local anesthesia, in an outpatient setting, and in children aged 0 to 12 years, or were not randomized controlled trials, were excluded.

Results

The search yielded 374 relevant articles, of which 9 were included. Among these, 5 utilized preoperative medications as a pain management strategy, one evaluated low-level laser therapy (LLLT) postoperatively, one assessed calendula drops postoperatively, and another explored virtual reality during the procedure and arnica in solution both pre and postoperatively.

Conclusion

Among all the strategies evaluated, the strategy involving analgesics administered 30 minutes before tooth extractions was supported by better-designed studies. However, there is a high risk of bias.

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2025-09-08

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Strategies for Pain Management after Extraction of Primary Teeth: A Systematic Review of Randomized Clinical Trials
Curr Pediatr Rev 21, 374 (2025); https://doi.org/10.2174/0115733963292710240725051920
/content/journals/cpr/10.2174/0115733963292710240725051920
/content/journals/cpr/10.2174/0115733963292710240725051920
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  • Article Type:     Review Article
Keyword(s): Children; dental extractions; pain control; pediatric dentistry; primary teeth; systematic review

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