Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.

BACKGROUND:There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents. AIM:To conduct a systematic review (SR) and health technology assessment (HTA) of oral analgesics administered after dental treatment to prevent postoperative...

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Main Authors: Henrik Berlin, Martina Vall, Elisabeth Bergenäs, Karin Ridell, Susanne Brogårdh-Roth, Elisabeth Lager, Thomas List, Thomas Davidson, Gunilla Klingberg
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0227027
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author Henrik Berlin
Martina Vall
Elisabeth Bergenäs
Karin Ridell
Susanne Brogårdh-Roth
Elisabeth Lager
Thomas List
Thomas Davidson
Gunilla Klingberg
author_facet Henrik Berlin
Martina Vall
Elisabeth Bergenäs
Karin Ridell
Susanne Brogårdh-Roth
Elisabeth Lager
Thomas List
Thomas Davidson
Gunilla Klingberg
author_sort Henrik Berlin
collection DOAJ
description BACKGROUND:There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents. AIM: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. DESIGN: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. RESULTS: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. CONCLUSIONS: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.
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spelling doaj.art-1dc431fce9434e4f82d84ca0eb10fa0c2022-12-21T18:24:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011412e022702710.1371/journal.pone.0227027Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.Henrik BerlinMartina VallElisabeth BergenäsKarin RidellSusanne Brogårdh-RothElisabeth LagerThomas ListThomas DavidsonGunilla KlingbergBACKGROUND:There is an uncertainty regarding how to optimally prevent and/or reduce pain after dental treatment on children and adolescents. AIM: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. DESIGN: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. RESULTS: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. CONCLUSIONS: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.https://doi.org/10.1371/journal.pone.0227027
spellingShingle Henrik Berlin
Martina Vall
Elisabeth Bergenäs
Karin Ridell
Susanne Brogårdh-Roth
Elisabeth Lager
Thomas List
Thomas Davidson
Gunilla Klingberg
Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
PLoS ONE
title Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
title_full Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
title_fullStr Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
title_full_unstemmed Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
title_short Effects and cost-effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment: Health technology assessment including a systematic review.
title_sort effects and cost effectiveness of postoperative oral analgesics for additional postoperative pain relief in children and adolescents undergoing dental treatment health technology assessment including a systematic review
url https://doi.org/10.1371/journal.pone.0227027
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