This study is a randomized, prospective, double-blind study to evaluate the effects of the combination of
local anesthetics and an intravenous nonsteroidal anti-inflammatory
drug (
NSAID) vs
NSAID alone on quality of recovery following dental rehabilitation under
general anesthesia (GA). Twenty-seven healthy children aged 3-5.5 years underwent dental rehabilitation under GA. Fifteen children in the experimental group received oral infiltration of
local anesthetic in addition to intravenous
ketorolac tromethamine, while 12 children in the control group received intravenous
ketorolac tromethamine alone for
postoperative pain management.
Pain behaviors were evaluated immediately postoperatively using a FLACC scale and 4 hours postoperatively by self-report using various scales. Parents reported perception of child
pain and comfort and any occurrences of postoperative cheek biting. The use of intraoral infiltration
local anesthesia for complete dental rehabilitation under
general anesthesia for children aged 3-5.5 years did not result in improved
pain behaviors in the postanesthesia care unit (PACU), nor did it result in improved
pain behaviors 4-6 hours postoperatively as measured by the FLACC scale, FACES scale, and subjective reports of parents or a PACU nurse. Those children receiving
local anesthesia had a higher incidence of negative symptoms related to
local anesthetic administration, including a higher incidence of lip and cheek biting, which was of clinical importance, but not statistically significant. Infiltration of
local anesthetic for dental rehabilitation under
general anesthesia did not improve quality of recovery in children aged 3-5.5 years.