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Effect of Intrapapillary Local Anesthetic on Postoperative Pain Following Dental Treatment Under General Anesthesia in Pediatric Patients
Kelly LippDDS, MS,
Paul CasamassimoDDS, MS,
Ann GriffenDDS, MS,
Megann SmileyDMD, MS,
Jason BryantMD,
John DraperPhD, and
Ashok KumarDDS, MS
Article Category: Research Article
Volume/Issue: Volume 68: Issue 4
Online Publication Date: Dec 15, 2021
DOI: 10.2344/anpr-68-02-06
Page Range: 206 – 213

be uncomfortable, distressing, and predispose children to self-trauma to the oral soft tissues. 16 , 17 Thus, some have advocated for intrapapillary LA infiltration as it produces less soft tissue numbness compared with vestibular infiltrations or blocks. 6 Additionally, PACU nurses in 1 study consistently stated patients who received intrapapillary LA appeared to recover from anesthesia more comfortably than those who received LA using other techniques. 18 This study investigated postoperative discomfort in children undergoing GA for dental rehabilitation. We

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Figure 1.; Wong-Baker FACES Pain Rating Scale.
Kelly Lipp,
Paul Casamassimo,
Ann Griffen,
Megann Smiley,
Jason Bryant,
John Draper, and
Ashok Kumar
Figure 1.
Figure 1.

Wong-Baker FACES Pain Rating Scale.

Figure 2.; Faces, Legs, Activity, Cry, and Consolability (FLACC) Scale.
Kelly Lipp,
Paul Casamassimo,
Ann Griffen,
Megann Smiley,
Jason Bryant,
John Draper, and
Ashok Kumar
Figure 2.
Figure 2.

Faces, Legs, Activity, Cry, and Consolability (FLACC) Scale.

Figure 3.; Faces, Legs, Activity, Cry, and Consolability (FLACC) scores during postanesthesia care unit (PACU) stay.
Kelly Lipp,
Paul Casamassimo,
Ann Griffen,
Megann Smiley,
Jason Bryant,
John Draper, and
Ashok Kumar
Figure 3.
Figure 3.

Faces, Legs, Activity, Cry, and Consolability (FLACC) scores during postanesthesia care unit (PACU) stay.

Figure 4.; Occurrence of overall and moderate/severe pain.
Kelly Lipp,
Paul Casamassimo,
Ann Griffen,
Megann Smiley,
Jason Bryant,
John Draper, and
Ashok Kumar
Figure 4.
Figure 4.

Occurrence of overall and moderate/severe pain.