Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지

A Survey of the Sedation or Outpatient General Anesthesia in Department of Pediatric Dentistry, Chonnam National University Dental Hospital and Gwangju Dental Clinic for the Disabled

전남대학교 치과병원 소아치과와 광주장애인구강진료센터에서 시행된 진정법과 외래전신마취에 대한 실태조사

  • Ahn, Ha-Na (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seon-Mi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Nam-Ki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 안하나 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실)
  • Received : 2013.09.23
  • Accepted : 2013.10.01
  • Published : 2013.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Sedation or outpatient general anesthesia is a necessary method for a successful dental treatment for children and the disabled who have a difficulty of cooperation. The aim of this study was to assess the patients who had dental treatment under sedation or outpatient general anesthesia at department of pediatric dentistry, Chonnam national university dental hospital and Gwangju dental clinic for the disabled. Methods: 875 patients who had sedation from January 2009 to September 2013 and 88 patients who had outpatient general anesthesia after May 2011 were assessed for this study. Patient's distribution and treatment patterns were examined. Results: The number of patients has been increasing in both sedation and outpatient general anesthesia. In case of sedation, the proportion of male patients was higher and 4-6 years age group was the highest. Most patients have resided in Gwangju buk-gu and the percentage of restorative treatment was the highest. In case of outpatient general anesthesia, the proportion of male patients was higher than that of sedation. Two groups, 10-19 and 20-29 years age, consisted most of patient. Most patients have resided in Gwangju buk-gu and Jeollanam-do, and the percentage of periodontic and preventive treatment was the highest. Conclusions: Sedation or outpatient general anesthesia for dental treatment has been increasing for children and the disabled who have a difficulty of cooperation. Therefore, it is important to improve treatment environment under sedation and general anesthesia through continuous research and studies.

Keywords

References

  1. Korean Academy of Pediatric Dentistry: Pediatric dentistry. 4th ed. Shinhung international. 2007, pp 248-83.
  2. O SR, Kim YH: Accidental overdose of intramuscular midazolam -A Case Report-. Journal of The Korean Dental Society of Anesthesiology 2011; 11: 27-31. https://doi.org/10.17245/jkdsa.2011.11.1.27
  3. Korean Dental Society of Anesthesiology (Trans.): Sedation - A guide to patient management. 5th ed. Daehan-Narae Publishing, Inc. 2011, pp 13, 429-30, 44-50, 582-6.
  4. Kim SO: A survey of general anesthesia, sevoflurane sedation and intravenous sedation in chungnam dental clinic for the disabled. J Korean Acad Pediatr Dent 2013; 40: 28-39. https://doi.org/10.5933/JKAPD.2013.40.1.28
  5. Son JM, Kim SM, Choi NK: A study on the changes in patient distribution and practice pattern for last 8 years in the department of pediatric dentistry of chonnam national university dental hospital. J Korean Acad Pediatr Dent 2012; 39: 373-82. https://doi.org/10.5933/JKAPD.2012.39.4.373
  6. Kim SO, Kim JS: Introduction of sedation guidelines and need for sedationist. J Korean Acad Pediatr Dent 2012; 39: 314-24. https://doi.org/10.5933/JKAPD.2012.39.3.314
  7. Sigston PE, Jenkins AM, Jackson EA, Sury MR, Mackersie AM, Hatch DJ: Rapid inhalation induction in children: 8% sevoflurane compared with 5% halothane. Br J Anaesth 1997; 78: 362-5. https://doi.org/10.1093/bja/78.4.362
  8. Short CE, Bufalari A: Propofol anesthesia. Vet Clin North Am Small Anim Pract 1999; 29: 747-78. https://doi.org/10.1016/S0195-5616(99)50059-4
  9. Young CJ, Apfelbaum JL: Inhalational anesthetics: Desflurane and sevoflurane. J Clin Anesth 1995; 7: 564-77. https://doi.org/10.1016/0952-8180(95)00129-8
  10. Kim HN, Lee NY, Lee SH: A study on the changes of patient distribution and treatment pattern for the last 5 years in pediatric dental practice of gwangju. J Korean Acad Pediatr Dent 2012; 39: 348-56. https://doi.org/10.5933/JKAPD.2012.39.4.348
  11. Korean statistical information service. [cited 2013 Novemver 18]. Available from: URL: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=A.
  12. Lee HJ, Kim YJ, Kim JW, Jang KT, Lee SH, Kim CC, et al: A study on the dental treatment under outpatient general anesthesia. J Korean Acad Pediatr Dent 2009; 36: 264-9.
  13. An SY, Choi BJ, Kwak JY, Kang JW, Lee JH: A survey of sedation practices in the korean pediatric dental office. J Korean Acad Pediatr Dent 2005; 32: 444-53.
  14. Houpt M: Project USAP 2000-use of sedative agents by pediatric dentists: a 15-year follow-up survey. Pediatr Dent 2002; 24: 289-94.
  15. Lee DW, Song JS, Choi HJ, Kang JW, Lee JH: A survey of dental treatment under outpatient general anesthesia in department of pediatric dentistry and clinic for disabled at yonsei university dental hospital. J Korean Acad Pediatr Dent 2010; 37: 65-72.
  16. Lee HS, Yang JW, Kim MJ, Baek SH: The result of the dental behavior treatment for the patients with the developmental disorder in seoul dental hospital for disabled. Korean Association for Disability and Oral Health 2010; 6: 84-93.
  17. You YS, Kim JS, Kim SO: A survey of the outpatient general anesthesia and dental treatment in chungnam dental clinic for the disabled. Journal of The Korean Dental Society of Anesthesiology 2011; 11: 133-9. https://doi.org/10.17245/jkdsa.2011.11.2.133