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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

Berlin, Henrik (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
Vall, Martina (author)
Malmö universitet,Malmö universitetsbibliotek,Malmo Univ, Sweden
Bergenäs, Elisabeth (author)
Malmö universitet,Malmö universitetsbibliotek,Malmo Univ, Sweden
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Ridell, Karin (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
Brogårdh-Roth, Susanne (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
Lager, Elisabeth (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
List, Thomas (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
Davidson, Thomas (author)
Malmö universitet,Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Medicinska fakulteten,Malmo Univ, Sweden,Odontologiska fakulteten (OD)
Klingberg, Gunilla (author)
Malmö universitet,Odontologiska fakulteten (OD),Malmo Univ, Sweden
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 (creator_code:org_t)
2019-12-31
2019
English.
In: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 14:12
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  • Research review (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

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