Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 325–332
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EVALUATION OF POSTOPERATIVE PAIN AND ANXIETY IN PEDIATRIC PATIENTS UNDERGOING ORAL SURGERY WITH LOCAL ANESTHESIA ALONE VS. CONSCIOUS SEDATION

Rudraksh Pant*, Amreen Aijazuddin, Khalid, Mamthashri V, Pankaj Kukreja, Mahima Paul, Ritik Kashwani

Senior Lecturer, Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College, Moradabad, Uttar Pradesh, India · Department of Pediatric Dentistry, Kings Dental Centre, Al Markhiya, Doha, Qatar · Assistant Professor, Preventive Dental Science Department, Faculty of Dentistry, Najran University, Kingdom of Saudi Arabia · Associate Professor, Department of Oral and Maxillofacial Surgery, Government Dental College and Research Institute, Bengaluru, Karnataka, India · Assistant Professor, Oral and Maxillofacial Surgery, Department of Biomedical Dental Sciences, Faculty of Dentistry, Al-Baha University, Al-Aqiq Campus, Al-Baha, Kingdom of Saudi Arabia · Intern, Department of Oral Medicine and Radiology, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India · Private Practitioner, Department of Oral Medicine and Radiology, School of Dental Sciences, Sharda University, Greater Noida, India

Received: 2026-04-08 · Published: 2025-06-30

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
EVALUATION OF POSTOPERATIVE PAIN AND ANXIETY IN PEDIATRIC PATIENTS UNDERGOING ORAL SURGERY WITH LOCAL ANESTHESIA ALONE VS. CONSCIOUS SEDATION
Authors
Rudraksh Pant, Amreen Aijazuddin, Khalid, Mamthashri V, Pankaj Kukreja, Mahima Paul, Ritik Kashwani
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-06-30
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.5-325

Abstract

This study evaluates the postoperative pain and anxiety levels in pediatric patients undergoing oral surgery under two anesthetic modalities: local anesthesia alone and local anesthesia combined with conscious sedation. Pediatric dental procedures often pose challenges due to the psychological and physiological responses of children, especially concerning pain and anxiety management. The study is a prospective, randomized, controlled clinical trial that investigates how these two approaches affect postoperative outcomes. A total of 70 children, aged 4 to 12 years, were divided into two groups: one receiving only local anesthesia and the other receiving local anesthesia combined with conscious sedation (using agents like midazolam or nitrous oxide). Postoperative pain and anxiety were assessed using the Wong-Baker FACES Pain Rating Scale and the Modified Yale Preoperative Anxiety Scale, respectively, at two key time points: immediately post-surgery and 24 hours after the procedure. The results indicated that the conscious sedation group reported significantly lower pain and anxiety scores immediately post-surgery and 24 hours later, compared to the local anesthesia-only group. Furthermore, the sedation group required fewer postoperative analgesics and showed higher caregiver satisfaction. These findings suggest that conscious sedation, when appropriately used, can significantly enhance patient comfort, alleviate anxiety, and improve overall postoperative outcomes. This study emphasizes the importance of addressing both physical and psychological aspects of care in pediatric oral surgery.
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