卡萨布兰卡牙科咨询和治疗中心对儿童牙痛的评估和管理

Mouna Elasmar
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摘要

目的:本研究的目的是确定在卡萨布兰卡牙科咨询和治疗中心护理的4至15岁儿童以牙痛为主诉的原因、特征、治疗方法及其评价。材料和方法:这是一项描述性横断面研究,研究对象为150名年龄在4至15岁之间的儿童,他们在卡萨布兰卡牙科咨询和治疗中心的急诊科和儿科牙科就诊和/或接受治疗。结果:92.7%的研究人群以牙痛为主诉。47.5%的疼痛来自牙髓,37.4%的疼痛与感染并发症有关。83.8%的4 ~ 6岁患者需要治疗,而只有48%的6 ~ 15岁患者有剧烈到非常剧烈的疼痛。在61%的病例中,这种疼痛是通过牙科手术来控制的,相比之下,35%的病例通过牙科手术和药物处方相结合来控制,4%的病例通过药物处方来控制。在35.8%的病例中,抗生素单独或联合使用是最常用的处方药物。46.8%的病例采用拔牙治疗,30.2%的病例采用牙髓治疗,7.9%的病例采用刮牙治疗。结论:牙痛是最可怕的疼痛之一,其强度、频率、并发症和对儿童日常活动的影响都很明显。这就需要对其进行诊断、评估和缓解,以提高年轻患者的生活质量。
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Evaluation and Management of Dental Pain in Children Motivating Emergency Consultation at the Dental Consultation and Treatment Center of Casablanca
Objective: The objective of this study is to determine the causes, characteristics, treatment of dental pain that was the chief complaint and its evaluation in children aged 4 to 15 years old cared for at the dental consultation and treatment center of Casablanca. Materials and Methods: This is a descriptive cross-sectional study of 150 children aged between 4and 15years old consulting and/or being cared for in the departments of emergency and pediatric dentistry of the Dental Consultation and Treatment Center of Casablanca. Results: Dental pain was the chief complaint for 92.7% of the study population. 47.5% of the pain was of pulpal origin and 37.4% was related to an infectious complication. 83.8% of patients aged 4 to 6 years required management, while only 48% of patients aged 6 to 15 years had intense to very intense pain. In 61% of cases, this pain was managed by a dental procedure, compared with 35% who were managed by combining the dental procedure with a drug prescription and 4% by a drug prescription. Antibiotics alone or in combination were the most frequently prescribed medication in 35.8% of cases. Dental pain was managed by dental extractions in 46.8% of cases, pulp treatment in 30.2% of cases, and cavity curettage in 7.9% of cases. Conclusion: Dental pain is one of the most dreaded pains, seen, its intensity, frequency, complications and impact on the child's daily activities. This requires its diagnosis, evaluation, and relief to improve the quality of life of young patients.
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