Best clinical practice guidance for local analgesia in paediatric dentistry : an EAPD policy document

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Best clinical practice guidance for local analgesia in paediatric dentistry : an EAPD policy document

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Publication Article, review peer-reviewed scientific
Title Best clinical practice guidance for local analgesia in paediatric dentistry : an EAPD policy document
Author Kühnisch, Jan ; Daubländer, Monica ; Klingberg, Gunilla ; Dougall, A ; Spyridonos Loizides, M ; Stratigaki, E ; Amar, JL ; Anttonen, V ; Duggal, Monty ; Gizani, S
Date 2017
English abstract
BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) proposes this best-practice guidance to help practitioners to decide when and how to use local analgesia to control pain in children, adolescents, and medically compromised individuals during the delivery of oral health care. METHODS: A search of different databases was conducted using all terms relevant to the subject. Relevant papers were identified after a review of their titles, abstracts or full papers. Three workshops were held during the corresponding EAPD interim seminar in Torino (Italy) in 2017. Several statements were agreed upon and, furthermore, knowledge gaps were identified. RESULTS: An important outcome was that when local analgesia administered appropriately-correct choice of agent(s) and dosage, proper route of administration-it is, firstly, clinically effective for pain-control in treating children and, secondly, it carries a very low risk of morbidity including adverse or side-effects. Furthermore, several gaps in knowledge were identified during the workshop which indicates future research needs. Most importantly it remains unsatisfactory that in several European countries the most frequently used injectable local analgesic agent, articaine, is not approved for usage in children below the age of 4 years. CONCLUSION: When considering the dental demand to treat vulnerable (medically compromised) children and adolescents in a safe, painless, less-invasive and effective way, there seems to be an urgent need to close these gaps in knowledge.
DOI https://doi.org/10.1007/s40368-017-0311-y (link to publisher's fulltext.)
Publisher Springer
Host/Issue European Archives of Paediatric Dentistry;5
Volume 18
ISSN 1818-6300
Pages 313-321
Language eng (iso)
Subject child
adolescent
dentistry
injection
local analgesia
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/23850 Permalink to this page
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