Dental pain in pediatric dentistry - Assessment tools

Dental pain interferes with the patient's quality of life, and is usually caused by caries, but can also be caused by trauma. The control of dental pain in pediatric dentistry is considered a challenge for the operator.

Clinical and radiographic evaluation is essential to determine the origin of the pain, which may be of dental origin or of the adjacent structures. Currently there are instruments that help us assess dental pain in children.

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We share an article that reviews the important aspects of pain in pediatric dentistry, and the tools for a correct evaluation today.

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Darmawan Setijanto. Dental Pain Among Children and Adolescents. Systematic Reviews in Pharmacy Vol 11, Issue 5, May-Jun2020

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Are Antibiotics Enough To Treat A Tooth Infection?

Dental caries is a multifactorial infection, with a very high prevalence in the world, which destroys dental tissue and compromises the dental pulp, generating the much feared dental pain.

Night pain is one of the characteristic signs of dental infection and one of the reasons for most consultation in dental emergencies. The evaluation is clinical and radiological to determine the degree of involvement of caries.

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The administration of antibiotics is necessary to control the pain and the evolution of the infection, but is it enough? The answer below...

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Management of antibiotics in odontogenic infections in pediatric dentistry

Odontogenic infections in children spread rapidly in various areas of the head and neck. That is why it is important for the specialist to take immediate action to avoid putting the patient's life at risk.

Antibiotic treatment in pediatric dentistry should be carried out taking into account the pharmacodynamic characteristics of the pediatric patient. The pediatric dentist must know the drug and the recommended doses to avoid adverse reactions or resistance.

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We share two videos on the correct use and management of the most used antibiotics in infections of odontogenic origin in pediatric dentistry.

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Trigeminal Neuralgia: Clinical features and pharmacological and surgical treatment

Trigeminal neuralgia is a disorder of the trigeminal nerve that is characterized by painful and recurrent episodes at the facial level. Patients refer to this pain as a short-lived electric shock.

The treatment is pharmacological, but surgical treatment should be considered if the pain is not controlled or when the side effects of the drugs are not tolerated.

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We share an interesting guide on the clinical features, diagnosis, pharmacological and surgical treatment of trigeminal neuralgia.

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Lambru G, Zakrzewska J, Matharu M. Pract Neurol 2021;21:392–402.


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Fuente: Youtube / JJ Medicine

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Pharmacological treatment of oral infections in pediatric dentistry - Recommendations and dose calculation

When the pediatric patient presents an oral infection, antibiotics should be administered with the objective of controlling the infection and avoiding serious consequences at a systematic level. The correct management of antibiotics is a challenge for many pediatric dentists.

In comparison, the metabolism of a drug in a child is different from that of an adult, so the administration of an antibiotic should be taking into account the diagnosis, age and weight of the pediatric patient.

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The article that we share offers us a review of the proper use of antibiotics in pediatric dentistry, considerations that we must take into account when prescribing antibiotics, and recommendations to calculate the dose in pediatric dentistry.

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Management of acute orofacial infection of odontogenic origin in children - Diagnosis, clinic and pharmacology

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Monika Khoja, et al. Use or Misuse of Antibiotics in Pediatric Dentistry!!!. J Dental Sci 2019, 4(2): 000224.

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Pharmacological management of the behavior of the pediatric patient: Nitrous Oxide and General Anesthesia

When pediatric patients attend their dental appointment, it can create a feeling of fear and stress that influences their behavior during the procedure. There are two types of behavior management: pharmacological and non-pharmacological.

When non-pharmacological behavior management techniques have been tried without results, we can use pharmacological methods: conscious sedation and general anesthesia.

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We share two videos that teach us the use of nitrous oxide and general anesthesia as a method of pharmacological control in pediatric patients, touching on topics such as: indications, contraindications, dosage and recommendations.

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Antimicrobial therapies for odontogenic infections in children and adolescents

Oral infections are common in children and adolescents, and treatment must be treated in an effective and timely manner. Infectious processes occur when there is an imbalance in the patient's oral flora.

The use of antibiotics must be rational to avoid drug resistance of microorganisms (microbial resistance). Odontogenic infections can arise from caries or a periodontal problem, sometimes they can be due to dental trauma or iatrogenesis.

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We share a literature review that establishes guidelines for antimicrobial therapy in infections of odontogenic origin and clinical recommendations.

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Antimicrobial therapies for odontogenic infections in children and adolescents. Literature review and clinical recomendations was published in J Oral Res 2014; 3(1): 50-56 (DOI: 10.17126/joralres.2014.013).

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Update on antibiotic prophylaxis in pediatric patients

Antibiotic prophylaxis aims to prevent the presence of a new infection from a therapeutic procedure. This preventive action is more important if the patient is immunocompromised.

In pediatric dentistry or general dentistry, the general health status of the child must be known, as well as his or her history and the severity of the infection, in order to determine the correct administration of antibiotics.

Enlaces Patrocinados

We share an article that explains the importance of antibiotic prophylaxis, and the pharmacological management that we must consider in common dental procedures.

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Planells-del Pozo P, Barra-Soto MJ, Santa Eulalia-Troisfontaines E. Antibiotic prophylaxis in pediatric odontology. An update. Med Oral Patol Oral Cir Bucal 2006;11:E352-7. © Medicina Oral S. L. C.I.F. B 96689336 - ISSN 1698-6946

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Pharmacologic management for pediatric dental patients

The dentist must know the different methods of managing the behavior of the pediatric patient, but there are special occasions when these techniques are not enough.

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In cases where the pediatric patient has a conduct disorder or a mental disability, pharmacological sedation techniques are used to perform the scheduled dental treatment.

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We share an article that tells us about pharmacological management in pediatric patients, as well as the care that the operator must have.

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Beau D. Meyer, DDS, MPH / Jung-Wei Chen, DDS, MS, PhD / Jessica Y. Lee, DDS, MPH, PhD (2018). Pharmacologic management for pediatric dental patients in the 21st century.

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How do medications affect your oral health?

Perhaps not everyone knows it, but drugs can also affect oral health, so it is important that they are prescribed by a health professional. Self-medication can influence general and oral health.

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PDF 🔽 Guideline on use of antibiotic therapy for pediatric dental patients ... The use of antibiotic prophylaxis for dental patients at risk for infection is addressed in a separate best practices document

The dentist must know the adverse reactions that some medications present, in order to identify them and recommend the appropriate treatment.

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Learn which medications can affect your oral health and what is the best way to prevent its consequences.

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Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: A review

During dental care we can find pediatric patients who experience fear and anxiety during the consultation. Behavior management techniques will help us control the behavior of these types of patients.

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In special cases it is necessary to use conscious sedation. This method is proven to help minimize the infant's anxiety and fear during the dental procedure.

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The article that we share analyzes various aspects of the different types of drugs that are used for conscious sedation, their combinations, advantages and doses.

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° Gazal, Giath & Fareed, Wamiq & Zafar, Muhammad & Al Samadani, Khalid. (2015). Pain and anxiety management for pediatric dental procedures using various combinations of sedative drugs: A review. Saudi Pharmaceutical Journal. 10.1016/j.jsps.2014.04.004.

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What are the medicines used in pediatric dentistry?

During pediatric dentistry, a series of drugs are used to control pain, inflammation and infections that the pediatric patient may present. It is important that the pediatric dentist and general dentist know the management of drugs in children.

When a drug is to be prescribed, it is important that the professional knows the drug, as well as the necessary dose to be administered, in this way we avoid bacterial resistance.

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We share with you an interesting video from the AtoZ Kidsdental channel that tells us about the drugs most used in pediatric dentistry.



This video explains why and teaches you how to do it safely using a simple 4 step method.

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Pediatric dentists must adjust the dose to the child's age and weight, as well as to know the characteristics (pharmacokinetics and pharmacodynamics) of the drugs to be prescribed.

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The prescription of drugs in pregnant and lactating women is another of the doubts that the dentist presents, because it involves some risks that may occur in the development of the fetus.

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We make 10 dental articles available to the professional community so that it can be shared among colleagues and patients. In this way we contribute to the dissemination of education.

🎯 Dental articles, PDF articles, tips, videos and more

► Antibiotics and its use in pediatric dentistry: A review

► How To Determine a Child's Medication Dose

► Guideline on use of antibiotic therapy for pediatric dental patients

► Antibiotics: Use and misuse in pediatric dentistry

► Antibiotic prescriptions in pediatric dentistry: A review

Antibiotic prescriptions in pediatric dentistry: A review

In medicine as well as in dentistry, antibiotics are used as part of infectious treatments, but it is also known that there is a tendency to overuse of this drug for conditions not indicated.

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The consequence of this indiscriminate use of antibiotics is the appearance of resistance in pediatric patients (the ability of bacteria to survive the presence of an antibiotic).

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If we add to this the mismanagement of doses in children, we are facing a serious problem, since we create more resistant bacteria, this currently forces us to adjust the doses of medications.

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The work we are sharing with you is a review that aims to highlight the clinical indications for prescribing antibiotics for orofacial infections in pediatric care.



° Goel, Dhirja & Goel, GauravKumar & Chaudhary, Seema & Jain, Deshraj. (2020). Antibiotic prescriptions in pediatric dentistry: A review. Journal of Family Medicine and Primary Care. 9. 473. 10.4103/jfmpc.jfmpc_1097_19.

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Antibiotics and its use in pediatric dentistry: A review

Antibiotics are commonly used in dentistry for prophylactic as well as for therapeutic purposes. Very often antibiotics are used in unwarranted situations, which may give rise to resistant bacterial strains.

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Good knowledge about the indications of antibiotics is the need of the hour in prescribing antibiotics for dental conditions. The purpose of this review article is to provide information on proper use of antibiotics in pediatric dental practice for control of oral infection, and in the management of children with systemic conditions which may alter disease resistance and healing response.

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Introduction: Antibiotics are among the most frequently prescribed medication for the treatment as well as prevention of bacterial infection in modern medicine. Antibiotics cure disease by killing, injuring, or inhibiting the growth of bacteria at very low concentrations.

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The word antibiotic came from the word “antibiosis” a term coined in 1889 by Louis Pasteur which means a process by which life could be used to destroy life.The term antibiotic was first used in 1942 by Selman Waksman and his collaborators in journal articles to describe any substance produced by a microorganism that is antagonistic to the growth of other microorganisms in high dilution.



° Annamalai, S., & Baghkomeh, P.N. (2018). Antibiotics and its use in pediatric dentistry : A review.

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How To Determine a Child's Medication Dose

Determining the dose in pediatric patients is sometimes complicated, this happens in both medical and dental practice. In pediatric practice medication dosages are calculated based on the child’s weight making the dosages much more precise.

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All the necessary data should be taken to be able to calculate the dose in children. Many take the adult dose as a reference, but this could lead to problems such as poisoning or drug resistance.



This video explains why and teaches you how to do it safely using a simple 4 step method. Thanks to the RN Kid channel that offers us a very simple way to calculate the doses in children

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