Effect of Prophylactic Vitamin D Supplementation on Postoperative Pain and Sedation in Children with Mental Motor Retarded Who Undergoing Dental Treatment Introduction

Authors : Ebru BİRİCİK, Nilgün ALPAY, Feride KARACAER, Volkan CİFTCİ, Murat Türkeün ILGINEL, Ozlem GORUROGLU OZTURK, Dilek ÖZCENGİZ

Pages : 67-74

Doi:10.36516/jocass.1216326

View : 32 | Download : 8

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :The frequency of vitamin D deficiency is higher in children with mental motor retardationinsert ignore into journalissuearticles values(MMR);. We aimed to investigate the effect of vitamin D supplementation on postoperative pain in children with MMR who underwent dental treatment under general anesthesia. Materials-Methods: Dental treatment was planned for a total of 62 patients with MMR, aged 7-17 years. Participants were divided into two groups. Children were prescribed vitamin D insert ignore into journalissuearticles values(600 IU of vitamin D per day); or Saline. Serum vitamin D levels were measured. Participants continued to intake oral vitamin D 600 IU insert ignore into journalissuearticles values(Group D); or 2ml saline insert ignore into journalissuearticles values(Group C); throughout 12 weeks. All participants were observed postoperative 1st hour, and Non-communicating Children\`s Pain Checklist–Postoperative Version insert ignore into journalissuearticles values(NCCPC-PV);, Ramsay sedation scores, length of stay in post-anesthesia care unit, and analgesic requirements were recorded. Results: The study was completed with fifty children insert ignore into journalissuearticles values(35 in Group D, 15 in Group C);. Serum vitamin D levels were higher in Group D than Group C at 12 weeksinsert ignore into journalissuearticles values(p=0.007);. Vitamin D deficiency was found at 13 patients insert ignore into journalissuearticles values(37.1%); and 6 insert ignore into journalissuearticles values(40%);, and vitamin D sufficiency was found 18 insert ignore into journalissuearticles values(51.4%); and 7 insert ignore into journalissuearticles values(46.7%); in Groups D and C, respectively at first admission. There was statistically significant difference between groups in NCCPC-PV score at 15th, 30th and 60th minutes in PACUinsert ignore into journalissuearticles values(p<0.05);. However, Ramsey scores were similar between two groups at all times. Conclusion: Serum vitamin D levels were found to be low in MMR children. It was observed that vitamin D supplementation could reduce pain scores in 1st postoperative hour.
Keywords : postoperatif analjezi, vitamin D, mental motor retardasyon

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