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Best clinical practice guidance for local analgesia in paediatric dentistry: an EAPD policy document
Department of Operative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians University of Munich, Munich, Germany.
Department of Oral Surgery, University Medical Centre Mainz, Mainz, Germany.
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0002-1371-8770
Department of Child and Public Dental Health, Trinity College, Dublin, Republic of Ireland; Dublin Dental University Hospital, Dublin, Republic of Ireland.
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2017 (English)In: European Archives of Paediatric Dentistry, ISSN 1818-6300, E-ISSN 1996-9805, Vol. 18, no 5, p. 313-321Article, review/survey (Refereed)
Abstract [en]

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.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 18, no 5, p. 313-321
Keywords [en]
child, adolescent, dentistry, injection, local analgesia
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-16200DOI: 10.1007/s40368-017-0311-yISI: 000413470300001PubMedID: 29022286Scopus ID: 2-s2.0-85032182675Local ID: 23850OAI: oai:DiVA.org:mau-16200DiVA, id: diva2:1419716
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-06-17Bibliographically approved

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Klingberg, Gunilla

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