Maxillofacial Plastic and Reconstructive Surgery

  • 제31권5호
  • /
  • Pages.394-400
  • /
  • 2009
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

치과 치료를 위한 외래 정주진정 법에 대한 다기관 후향적 임상연구

A MULTICENTER RETROSPECTIVE STUDY OF OUTPATIENT INTRAVENOUS SEDATION FOR DENTAL TREATMENTS

  • 정세화 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 백상현 (에스플란트 치과병원 치과보철과) ;
  • 노현기 (에스플란트 치과병원 치과보철과) ;
  • 강나라 (그랜드구강외과) ;
  • 임재중 (한양대학교 의과대학 치과학교실 치과교정과) ;
  • 이병하 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 전재윤 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 황경균 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 심광섭 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
  • 박창주 (한양대학교 의과대학 치과학교실 구강악안면외과)
  • Jung, Se-Hwa (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Baik, Sang-Hyun (Department of Prosthodontics, S-plant Dental Hospital) ;
  • Roh, Hyun-Ki (Department of Prosthodontics, S-plant Dental Hospital) ;
  • Kang, Na-Ra (Grand Oral and Maxillofacial Surgery Associates) ;
  • Im, Jae-Jung (Division of Orthodontics/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Lee, Byung-Ha (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Jeon, Jae-Yoon (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Hwang, Kyung-Gyun (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Shim, Kwang-Sup (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
  • Park, Chang-Joo (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University)
  • 발행 : 2009.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose : On outpatient facilities, our sedation protocol focuses on the intermittent bolus injections of midazolam intravenously, according to patient's and operator's needs during the dental treatment. This multicenter retrospective study was aimed to prove the efficiency and safety of our sedation protocol. Patients and Methods : In three centers using the same outpatient sedation protocol for dental treatment (Division of Oral and Maxillofacial Surgery/Department of Dentistry in Hanyang University Medical Center, S-plant Dental Hospital. and Grand Oral and Maxillofacial Surgery), total 937 patients had various dental treatments under intravenous conscious sedations with independent patient monitoring from March 2006 to March 2009. By reviewing charts, we analyzed the results of sedation and dental treatment, retrospectively. Results : Our sedation protocol had no severe postoperative complications requiring admission. while showing good compatibility with almost all dental treatments, with acceptable satisfaction of both patients and operators. Conclusion : We assure that our sedation protocol can be used efficiently and safely on routine outpatient basis. We also hope that this study will provide the concrete concepts to common dental practitioners, who desire to perform sedation for dental treatment.

키워드

참고문헌

  1. Dionne RA, Gordon SM, McCullagh LM et al : Assessing the need for anesthesia and sedation in the general population. J Am Dent Assoc 129 : 167, 1998
  2. Gordon SM, Dionne RA, Snyder J : Dental fear and anxiety as a barrier to accessing oral health care among patients with special health care needs. Spec Care Dent 18 : 88, 1998 https://doi.org/10.1111/j.1754-4505.1998.tb00910.x
  3. Bing JH, Jeon JY, Park CJ et al : Introduction of sedation clinic at department of dentistry in Hanyang University Medical Center(II). J Kor Dent Soc Anesthsiol 6 : 113, 2006
  4. Weaver JM : Sleep dentistry-should oral sedation for adults now be regulated? Anesth Prog 48 : 1, 2001
  5. Malamed SF : Sedation - a guide to patient management. 4th ed. New York, Mosby, 2003, p.292
  6. Rodrigo MR, Rosenquist JB : Effect of conscious sedation with midazolam on oxygen saturation. J Oral Maxillofac Surg 45 : 746, 1988 https://doi.org/10.1016/0278-2391(88)90184-X
  7. Perrott DH, Yuen JP, Andresen RV et al : Office based ambulatory anesthesia : outcomes of clinical practice of oral and maxillofacial surgeons. J Oral Maxillofac Surg 61 : 983, 2003 https://doi.org/10.1016/S0278-2391(03)00668-2
  8. Dionne RA, Yagiela JA, Moore PA : Comparing efficacy and safety of four intravenous sedation regimens in dental outpatients. J Am Dent Assoc 132 : 740, 2001
  9. Craig DC, Boyle CA, Fleming GJ et al : A sedation technique for implant for implant and periodontal surgery. J Clin Periodontol 27 : 955, 2000 https://doi.org/10.1034/j.1600-051x.2000.027012955.x
  10. Jeon JY, Bing JH, Park CJ et al : Introduction of sedation Clinic at department of dentistry in Hanyang University Medical Center(ll). J Kor Dent Soc Anesthsiol 7 : 13, 2007
  11. Bing JH, Jeon JY, Jung SH et al : Sedation for dental treatment of patient with disabilities. J Korean Dent Soc Anesthsiol 7 : 114, 2007
  12. Peterson LJ : Principles of oral and maxillofacial surgery, 1st ed. Philadelphia, Lippincott, 1992, p.125
  13. American Dental Association House of Delegates : Guidelines for the Use of Sedation and General Anesthesia by Dentists. 2007
  14. Manley MC, Skelly AM, Hamilton AG : Dental treatment for people with challenging behaviour : general anaesthesia or sedation? Br Dent J 188 : 358, 2000 https://doi.org/10.1038/sj.bdj.4800480a
  15. Ong CK, Seymour RA, Tan JM : Sedation with midazolam leads to reduced pain after dental surgery. Anesth Analg 98 : 1289, 2004 https://doi.org/10.1213/01.ANE.0000111107.18755.CC
  16. Clark WG : Goth's medical pharmacology, 13th ed. St. Louis, Mosby, 1992, p.233
  17. Giovannitti JA Jr : Dental anesthesia and pediatric dentistry. Anesth Prog 42 : 95, 1995
  18. Lydiard RB : The role of GABA in anxiety disorders. J Clin Psychiatry 64 : 21, 2003
  19. Coulthard P, Sano K, Thomson PJ : The effects of midazolam and Flumazenil on psychomotor function and alertness in human volunteers. Br Dent J 188 : 325, 2000 https://doi.org/10.1038/sj.bdj.4800470a
  20. Oei-Lim VL, Kalkman CJ, Makkes PC et al : Patient-controlled versus anesthesiologist-controlled conscious sedation with propofol for dental treatment in anxious patients. Anesth Analg 86 : 967, 1998 https://doi.org/10.1097/00000539-199805000-00010
  21. Morgan GE, Mikhail MS, Murray MJ : Clinical anesthesiology. 4th ed. McGraw Hill Co. 2002. P.207
  22. Short TG, Chui PT : Propofol and midazolam act synergistically in combination. Br J Anesth 67 : 539, 1991 https://doi.org/10.1093/bja/67.5.539
  23. Ong CK, Seymour RA, Tan JM : Sedation with midazolam leads to reduced pain after dental surgery. Anesth Analg 98 : 1289, 2004 https://doi.org/10.1213/01.ANE.0000111107.18755.CC
  24. Dionne RA, Yagiela JA, Moore PA et al : Comparing efficacy and safety of four intravenous sedation regimens in dental outpatients. J Am Dent Assoc 132 : 740, 2001
  25. Folayan MO, Faponle A, Lamikanra A : Seminars on controversial issues. A review of the pharmacological approach to the management of dental anxiety in children. Int J Paediatr Dent 12 : 347, 2002 https://doi.org/10.1046/j.1365-263X.2002.03811.x
  26. Venchard GR, Thomson PJ, Boys R : Improved sedation for oral surgery by combining nitrous oxide and intravenous midazolam : a randomized, controlled trial. Int J Oral Maxillofac Surg 35 : 522, 2006 https://doi.org/10.1016/j.ijom.2005.11.003
  27. Lam C, Udin RD, Malamed SF et al : Madazolam premedication in children: a pilot study comparing intramuscular and intranasal administration. Anesth Prog 52 : 56, 2005 https://doi.org/10.2344/0003-3006(2005)52[56:MPICAP]2.0.CO;2
  28. Malamed SF : Managing medical emergencies. J Am Dent Assoc 124 : 40, 1993
  29. Senel FC, Buchanan JM Jr, Senel AC : Evaluation of sedation failure in the outpatient oral and maxillofacial surgery clinic. J Oral Maxillofac Surg. 65 : 645, 2007 https://doi.org/10.1016/j.joms.2006.06.252
  30. Girdler NM, Smith DG : Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 41 : 159, 1999 https://doi.org/10.1016/S0300-9572(99)00054-4