Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Comparison of Dental Outcomes after General Anesthesia According to the Follow-up Pattern in Special Health Care Needs Patients

장애인 환자의 전신마취 하 치과 치료 후 정기검진 패턴에 따른 치과치료 결과 비교

  • Kim, Jihyun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Kim, Misun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Lee, Hyoseol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 김지현 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 김미선 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2015.07.23
  • Accepted : 2015.09.25
  • Published : 2016.05.31
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Abstract

Special Health Care Needs (SHCN) patients need regular follow-up because of high incidence and severity of oral disease. The aim of this study was to evaluate the dental treatment outcomes of SHCN patients according to follow-up patterns. SHCN patients who were treated under general anesthesia (GA) at Kyung Hee University Dental Hospital from 2006 to 2014 were included in this study. The final samples comprised of 53 patients that were divided into regular (33 patients) and irregular (20 patients) follow-up groups according to their follow-up patterns. The type of dental treatment after GA during the follow-up periods were compared. In the irregular group, aggressive treatment including endodontic, prosthetic treatment, and extraction were predominant, compared with the regular group (p < 0.05). In addition, all patients who had dental treatment under GA in follow-up periods were in the irregular group (p < 0.05). In conclusion, the results of this study provide the importance of regular follow-ups with SHCN patients and emphasize responsibilities of dentists for educating patients and their guardians.

장애인 환자는 구강질환의 높은 유병률과 그 심각성으로 인하여 치료 후 정기적인 검진을 통한 관리가 필요하다. 본 연구의 목적은 전신마취하에 치과치료를 받은 장애인환자의 정기검진 패턴에 따른 결과를 평가하고자 함이다. 2006년부터 2014년까지 경희대학교 치과병원 소아치과를 초진 내원한 장애인 환자 중 전신마취하에 치과 치료 시행 후 재내원한 환자 총 53명을 대상으로 재내원 패턴에 따라 정기적 그룹 33명과 비정기적 그룹 20명으로 나누어 검진 기간 동안 시행된 치과 치료를 조사하였다. 그 결과, 비정기적으로 재내원한 그룹에서 치수치료, 보철치료, 발치치료와 같이 상대적으로 침습적인 치료가 많이 시행되었다(p < 0.05). 또한, 전신마취하에 치과 치료를 재시행 받은 환자군은 모두 비정기적 그룹에 해당하였다(p < 0.05). 본 연구의 결과는 정기적인 검진의 중요성을 제시하며, 치과의사들의 보호자와 환자 교육에 대한 책임감을 강조하고 있다.

Keywords

References

  1. Ministry of Health & Welfare, Department of Planning. The Welfare Act for Disabled, 2013.
  2. WORLD HEALTH ORGANIZATION, et al. : International classification of impairments, disabilities, and handicaps: a manual of classification relating to the consequences of disease, 1980.
  3. Ministry of Health & Welfare, Department of Planning. Annual Disability Statical Report, 2014.
  4. A pediatric guide to children's oral health reference guide from URL: http://www2.aap.org/commpeds/dochs/oralhealth/PediatricGuides.html (Accessed on June 24, 2015).
  5. Jeong SH, Kim JY, Kim YJ, et al. : Dental caries status and related factors among disabled children and aldolescent in Korea. J Korean Acad Pediatr Dent, 35:102-109, 2008.
  6. Gace E, Kelmendi M, Fusha E : Oral health status of children with disability living in Albania. Mater Sociomed, 26:392-394, 2014. https://doi.org/10.5455/msm.2014.26.392-394
  7. Maeng JN, Lee KH : Comparison of caries experience between the mentally retarded and the normal. J Korean Acad Pediatr Dent, 27:202-207, 2000.
  8. Moon YJ, Lee DW, Yang YM, et al. : The distribution and treatment of outpatients with general anesthesia in Chonbuk National University dental hospital for 9 years. J Korean Acad Pediatr Dent, 42:158-162, 2015. https://doi.org/10.5933/JKAPD.2015.42.2.158
  9. Lee DW, Song JS, Lee JH, et al. : 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, 37:65-72, 2010.
  10. Savanheimo N, Vehkalahti MM : Five-year followup of children receiving comprehensive dental care under general anesthesia. BMC Oral Health, 14:154-161, 2014. https://doi.org/10.1186/1472-6831-14-154
  11. O’Sullivan EA, Curzon ME : The efficacy of comprehensive dental care for children under general anesthesia. Br Dent J, 171:56-58, 1991. https://doi.org/10.1038/sj.bdj.4807603
  12. Tate AR, Ng MW, Acs G, et al. : Failure rates of restorative procedures following dental rehabilitation under general anesthesia. Pediatr Dent, 24:69-71, 2002.
  13. Al-Eheideb AA, Herman NG : Outcomes of dental procedures performed on children under general anesthesia. J Clin Pediatr Dent, 27:181-183, 2003.
  14. Drummond BK, Davidson LE, Ayers KM, et al. : Outcomes two, three and four years after comprehensive care under general anaesthesia. NZ Dent, 100:32-37, 2004.
  15. Hsu U, Hui BK, Pourat N : Recall compliance and incidence of dental caries among underserved children. J Calif Dent Assoc, 43:77-81, 2015.
  16. Shin DK, Jeong SH, Song KB, et al. : A study of oral health status and it's related factors among disabled people in Korea. J Korean Acad Dent Health, 31:248-262, 2007.
  17. Jeong SH, Kim JY, Kim YJ, et al. : Dental caries status and related factors among disabled children and adolescent in Korea. J Korean Acad Pediatr Dent, 35:102-109, 2008.
  18. Kim YN, Chung KH, Kwon HK : Risk indicators of dental caries experience of special schoolchildren in Seoul and Gyeonggi area. J Korean Acad Dental Health, 27:387-398, 2003.
  19. Maeng JN, Lee KH, Bae SM, et al. : Comparison of caries experience between the mentally retarded and the normal. J Korean Acad Pediatr Dent, 27:202-207, 2000.