Effect of preoperative oral administration of Dexibuprofen on postoperative pain and sleep quality in children undergoing vital pulpotomy combined with preformed crown restoration

YAN Huanfang; HAO Pengxiang

doi:10.3969/j.issn.1002-3429.2026.03.012

Abstract：Objective To investigate the effect of preoperative oral administration of Dextroprofen on postoperative pain and sleep quality in children undergoing vital pulpotomy combined with preformed crown restoration.Methods A total of 82 children with homonymous teeth who underwent vital pulpotomy combined with preformed crown restoration from January 2023 to November 2024 were selected as the research subjects.They were divided into the observation group(n=41)and the control group(n=41)by random number table method.Both groups were treated with vital pulpotomy combined with preformed crown restoration.The control group was given oral placebo 15 min before operation,and the observation group was given oral Dextroprofen 15 min before operation.Both groups were given conventional analgesia after operation.The degree of pain at different time points after operation[FLACC(Face,Legs,Activity,Cry,Consolability)behavioral pain scale,visual analogue scale(VAS)pain score],Pittsburgh sleep quality index(PSQI)score,emotional state[modified dental anxiety scale(MDAS),Chinese version of children's fear survey-dental subscale(CFSS-DS)score],behavior change and analgesic drug use at 3 d after operation were compared between the two groups.Results The FLACC behavioral pain scale score and VAS pain score of the two groups increased first and then decreased at 1-24 h after operation(P<0.05).The FLACC behavioral pain scale score and VAS pain score of the observation group were lower than those of the control group at 3,6,12 and 24 h after operation(P<0.05).At 24 h after operation,the scores of each dimension of PSQI,MDAS,CFSS-DS and the incidence of behavioral changes in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the use rate of analgesic drugs between the two groups at 3 d after operation(P>0.05).Conclusion Oral administration of Dexibuprofen at 15 min before operation in children undergoing vital pulpotomy combined with preformed crown restoration can reduce postoperative pain and behavioral changes,and improve emotional state and sleep quality,without affecting the use of postoperative analgesic drugs.