대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제10권2호
  • /
  • Pages.203-208
  • /
  • 2010
  • /
  • 1598-4044(pISSN)
  • /
  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

하악 차단마취하에 근관치료 후 유발된 진전(떨림) 치험 -증례 보고-

A Tremor Care after the Endodontic Treatment under Mandibular Block Anesthesia -A Case Report-

  • 이천의 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실(구강악안면외과))
  • Lee, Chun-Ui (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Yoo, Jae-Ha (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
  • Kim, Jong-Bae (Department of Dentistry (Oral and Maxillofacial Surgery), Dongsan Medical Center, College of Medicine, Keimyung University)
  • 투고 : 2010.12.14
  • 심사 : 2010.12.20
  • 발행 : 2010.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

키워드

참고문헌

  1. 김규식, 염광원, 김여갑, 김명진, 유재하, 강정환 등: 치과 국소마취학, 제2판. 지성출판사. 2000, pp 385-94.
  2. 김규식, 임재석: 치과환자의 심리. 군자출판사. 1995, pp229-32.
  3. 김상윤: 진전에 대한 1차적 진단과 치료. 가정의학회지 1998; 19: 1333-42.
  4. 신동학, 최현림, 김수영, 김철환, 신호철, 이혜리 등: 가정의학, 임상편. 서울, 계축문화사. 2003, pp 428-31.
  5. 서순규: 성인병, 노인병학, 제1판. 서울, 고려의학. 1992, pp 246-7.
  6. 염광원, 김관식, 김성민, 김수관, 김수남, 김승오 등: 치과국소마취과학, 제6판. 서울, 대한나래출판사. 2005, pp 313-29.
  7. 이종흔: 구강생리학, 제1판. 서울, 신광출판사. 1983, pp 87-100.
  8. 황준식, 김건열, 김덕윤, 김영준, 김원회, 김정호 등: 26일: 스트레스 과학의 이해. 서울, 신광출판사. 2007, pp 11-70.
  9. Bennett CR: Monheim's local anesthesia and pain control in dental practice, 7th ed. CV Mosby. 1984, pp 267-73.
  10. Bricker SL, Langlais RP, Miller CS: Oral diagnosis, oral medicine, and treatment planning, second edition. Philadelphia, Lea & Febiger. 1994, pp 538-9.
  11. Charles PD, Esper GJ, Davis TL, Maciunas RJ, Robertson D: Classification of tremor and update on treatment. Am Fan Physician 1999; 59: 1565-72.
  12. Cioffi GA, Chernow B, Glahn RP, Terezhalmy GT, Lake GR: The hemodynamic and plasma catecholamine response to routine restorative dental care. J Am Dent Assoc 1985; 111: 67-70. https://doi.org/10.14219/jada.archive.1985.0038
  13. Cooper G, Rodnitzky R: The many forms of tremor, Postgrad Med 2000; 108: 57-70.
  14. Divoll M, Greenblatt DJ, Ochs HR, Shader RI: Absolute bioavailability of oral and intramuseular diazepam: effect of age and sex. Anesth Analg 1983; 62: 1-8.
  15. Knollkher E, Frie A, Becker J, Ohlendorf D: Changes in plasma epinephrine concentrafions after dental infiltration anesthesia with different doses of epinephrine. J Dent Res 1989; 68: 1098-101. https://doi.org/10.1177/00220345890680060801
  16. Laskin DM: Oral and Maxillofacial surgery, Vol 1. CV Mosby. 1985, pp 362-98.
  17. Malamed SF: Medical emergencies in the dental office, 4th ed. CV Mosby. 1993, pp 1-49.
  18. Matsuura H: Analysis of systemic complications and deaths during treatment in Japan, Anesth Prog 1990; 36: 219-28.
  19. McCarthy FM: Medical emergency in dentistry, 3rd ed. WB Saunders. 1982, pp 307-21.
  20. Pruitt AA: Evaluation of tremor. In: Goroll AH editor. Primary care medicine, 4th ed. Philadelphia, Williams & Wilkins. 2000, pp 954-6.