Abstract
There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents. To conduct a systematic review (SR) and health technology assessment (HTA) of oral analgesics administered after dental treatment to prevent postoperative pain in children and adolescents aged 3-19 years. A PICO-protocol was constructed and registered in PROSPERO (CRD42017075589). Searches were conducted in PubMed, Cochrane, Scopus, Cinahl, and EMBASE, November 2018. The researchers (reading in pairs) assessed identified studies independently, according to the defined inclusion and exclusion criteria, following the PRISMA-statement. 3,963 scientific papers were identified, whereof 216 read in full text. None met the inclusion criteria, leading to an empty SR. Ethical issues were identified related to the recognized knowledge gap in terms of challenges to conduct studies that are well-designed from methodological as well as ethical perspectives. There is no scientific support for the use or rejection of oral analgesics administered after dental treatment in order to prevent or reduce postoperative pain in children and adolescents. Thus, no guidelines can be formulated on this issue based solely on scientific evidence. Well-designed studies on how to prevent pain from developing after dental treatment in children and adolescents is urgently needed.
Highlights
Many patients associate dental treatment with pain
There is no scientific support for the use or rejection of oral analgesics administered after dental treatment in order to prevent or reduce postoperative pain in children and adolescents
No guidelines can be formulated on this issue based solely on scientific evidence
Summary
There are several reasons for this, and depending on the underlying diagnosis and type of treatment, the risk of pain is realistic and should be tackled. This is especially important in children and adolescents, as they may be more vulnerable to pain owing to their level of cognitive reasoning and understanding [1]. Painful dental treatment experiences have been identified as essential components in the development of dental fear and anxiety [3, 4], which affects approximately 9% of the paediatric population [3]. There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents
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