대한장애인치과학회지 (The Journal of Korea Assosiation for Disability and Oral Health)

  • 제13권2호
  • /
  • Pages.86-90
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  • 2017
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  • 1738-8813(pISSN)
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  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
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뇌종양과 연관된 수두증(hydrocephalus) 환자의 전신마취 하 치과치료

DENTAL TREATMENT IN A PATIENT WITH HYDROCEPHALUS ASSOCIATED BRAIN TUMOR UNDER GENERAL ANESTHESIA

  • 한정화 (서울대학교 치의학대학원 소아치과학교실) ;
  • 송지수 (서울대학교 치의학대학원 소아치과학교실) ;
  • 신터전 (서울대학교 치의학대학원 소아치과학교실) ;
  • 현홍근 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김정욱 (서울대학교 치의학대학원 소아치과학교실) ;
  • 장기택 (서울대학교 치의학대학원 소아치과학교실) ;
  • 이상훈 (서울대학교 치의학대학원 소아치과학교실)
  • Han, Jeong-Hwa (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Song, Ji-Soo (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Shin, Teo Jeon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hyun, Hong-Keun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Jung-Wook (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Jang, Ki-Taeg (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Lee, Sang-Hoon (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
  • 투고 : 2017.06.08
  • 심사 : 2017.08.09
  • 발행 : 2017.12.30
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초록

수두증은 뇌척수액이 비정상적으로 축적되는 질환으로, 뇌발달의 장애를 일으켜, 정신지체를 나타낼 수 있다. 정신 지체에 의하여 치과치료시 양호한 협조도를 얻을 수 없고, 적절한 구강위생관리가 어려워 본 증례에서와 같이 다발성 우식증이 있는 경우, 전신마취가 효율적이고 안전한 행동조절 방법으로 선택될 수 있다. 본 증례는 뇌종양에 의한 수두증인 4세 0개월 남아로, 전신마취 하에 과잉치를 발견하고 정확한 치아우식증에 대한 진단을 할 수 있었으며, 안전하고 효율적으로 과잉치 발거와 다발성 치아우식증 치료를 한번에 치료하였다. 수두증 환자의 전신상태에 대해 충분히 이해하고, 적절한 술전 평가가 진행된다면, 협조도가 부족한 수두증 환자에서 전신마취가 효율적인 행동조절 방법이 될 수 있을 것으로 생각된다.

Hydrocephalus is characterized by accumulation of cerebrospinal fluid in the ventricles of the brain causing progressive ventricular dilatation. Accumulation of cerebrospinal fluid typically causes increased pressure inside the skull, this may result in headaches, vomiting, nausea, seizures, sleepiness and mental impairment. Patients with hydrocephalus may have dental manifestations such as changes in the occlusion and greater accumulation of plaque. The prevalence of dental caries is high due to the difficulty of oral care. The purpose of this case report is to describe the dental care for an uncooperative child with hydrocephalus under general anesthesia.

키워드

참고문헌

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