대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제45권1호
  • /
  • Pages.75-81
  • /
  • 2018
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

단국대학교 치과병원 소아치과에서 5년간 시행된 진정법에 대한 후향적 통계 연구

A Retrospective Statistical Study on Sedation Cases in Department of Pediatric Dentistry at Dankook University Dental Hospital for 5 Years

  • 박창현 (단국대학교 치과대학 소아치과학교실) ;
  • 신지선 (단국대학교 치과대학 소아치과학교실) ;
  • 김종수 (단국대학교 치과대학 소아치과학교실) ;
  • 김종빈 (단국대학교 치과대학 소아치과학교실)
  • Park, Changhyun (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Shin, Jisun (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jongsoo (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jongbin (Department of Pediatric Dentistry, School of Dentistry, Dankook University)
  • 투고 : 2017.07.26
  • 심사 : 2017.08.29
  • 발행 : 2018.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

최근 진정법은 소아치과의 영역에서 협조도가 부족한 어린이를 대상으로 흔히 사용되고 있다. 본 연구의 목적은 5년간 단국대학교 치과병원 소아 치과에서 시행된 진정법에 대한 정보를 다각도로 분석하는 것이다. 종합의료정보시스템(Order Communication System)을 사용하여 2011년 1 월부터 2015년 12월까지 단국대학교 치과병원 소아치과에서 시행된 치과 치료에 대한 정보를 수집하였다. 수집된 정보는 환자의 성별, 연령, 진정법 시행여부 및 약물 종류, 시술 날짜 및 유형이었다. 전체 증례에 대한 의식하진정법 사용 증례의 비율은 2011년에서 2014년까지 지속적으로 감소하였다. 반면 전신마취 증례의 빈도는 점진적으로 증가하였다. 의식하진정 유도를 위한 방법 중 midazolam 근육주사와 아산화질소 흡입진정의 사용빈도는 최근 증가하였다. 의식하진정법의 사용은 환아의 나이가 만3세 이상인 경우 그 빈도가 크게 감소하였으나, 전신마취는 전 연령대에서 사용 빈도가 비슷하였다. 환아가 여아인 경우보다 남아인 경우에, 그리고 수복치료만을 시행하는 경우보다 신경치료를 함께 시행하는 경우에 더 깊은 진정 상태에서 치료를 시행하려는 경향이 관찰되었다. 또한 진정의 심도가 깊을수록 수복치료 이후 90일 이내에 재치료를 시행하는 빈도는 감소하였다.

Recently, sedation is routinely used in children who lacked cooperation in pediatric dental clinics. The purpose of this study is to analyze dental treatment cases in department of pediatric dentistry at Dankook University Dental Hospital associating with sedation during 5 years. From January 2011 to December 2015, information about dental treatment cases in department of pediatric dentistry was collected and reviewed. The information gathered included patient gender, age, sedation type, sedative agents, date of operation, and type of procedure. The proportion of treatment cases with conscious sedation for total treatment cases continued to decline until 2014. On the other hand, the incidence of general anesthesia increased gradually. The frequency of midazolam administration and nitrous oxide inhalation sedation increased recently. The use of conscious sedation was significantly decreased when the age of patient was 3 years or older. The frequency of general anesthesia was similar in all age groups. There was a tendency to perform treatment with deeper sedation when the patient was male than female, and when the pulp treatment was performed together with the restorative treatment than not performed. The frequency of re-treatment within 90 days after restoration treatment decreased as the depth of sedation increased.

키워드

참고문헌

  1. Badalaty MM, Houpt MI, Koenigsberg SR, et al . : A comparison of chloral hydrate and diazepam sedation in young children. Pediatr Dent , 12:33-37, 1990.
  2. Meyer ML, Mourino AP, Farrington FH : Comparison of triazolam to a chloral hydrate/hydroxyzine combination in the sedation of pediatric dental patients. Pediatr Dent , 12:283-287, 1990.
  3. Poorman TL, Farrington FH, Mourino AP : Comparison of a chloral hydrate/hydroxyzine combination with and without meperidine in the sedation of pediatric dental patients. Pediatr Dent , 12:288-291, 1990.
  4. Choi YS, Shim YS : Sedation Practices in Dental Office: A Survey of Members of the Korean Academy of Pediatric Dentistry. J Korean Acad Pediatr Dent , 26:579-588, 1999.
  5. An SY, Choi BJ, Lee JH, et al . : A survey of sedation practices in the korean pediatric dental office. J Korean Acad Pediatr Dent, 32:444-453, 2005.
  6. Bae CH, Kim H, Kim HJ, et al . : A survey of sedation practices in the korean dentistry. J Korean Dental Society of Anesthesiology , 14:29-39, 2014. https://doi.org/10.17245/jkdsa.2014.14.1.29
  7. Yang Y, Shin T, Jeong T, et al . : Survey of sedation practices by pediatric dentists. J Korean Acad Pediatr Dent , 41:257-265, 2014. https://doi.org/10.5933/JKAPD.2014.41.3.257
  8. 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.
  9. Kim SO : A survey of general anesthesia, sevoflurane sedation and intravenous sedation in chungnam dental clinic for the disabled. J Korean Acad Pediatr Dent , 40:28-39, 2013. https://doi.org/10.5933/JKAPD.2013.40.1.28
  10. Moon Y, Lee D, Yang Y, 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 , 42:158-163, 2015. https://doi.org/10.5933/JKAPD.2015.42.2.158
  11. Wilson S, Houpt M : Project USAP 2010: Use of Sedative Agents in Pediatric Dentistry-a 25-year Follow-up Survey. Pediatr Dent , 38:127-133, 2016.
  12. Chidiac JJ, Chamseddine L, Bellos G : Gagging prevention using nitrous oxide or table salt: a comparative pilot study. Int J Prosthodont , 14:364-366, 2001.
  13. Faddy SC, Garlick SR : A systematic review of the safety of analgesia with 50% nitrous oxide: can lay responders use analgesic gases in the prehospital setting?. Emerg Med J , 22:901-908, 2005. https://doi.org/10.1136/emj.2004.020891
  14. Stewart RD : Nitrous oxide sedation/analgesia in emergency medicine. Ann Emerg Med , 14:139-148, 1985. https://doi.org/10.1016/S0196-0644(85)81077-5
  15. Nobile CG, Fortunato L, Bianco A, et al . : Pattern and severity of early childhood caries in Southern Italy: a preschoolbased cross-sectional study. BMC Public Health , 14:206, 2014. https://doi.org/10.1186/1471-2458-14-206
  16. Azizi Z : The prevalence of dental caries in primary dentition in 4-to 5-year-old preschool children in northern palestine. Int J Dent , 2014.
  17. Virdi M, Bajaj N, Kumar A : Prevalence of severe early childhood caries in pre-school children in Bahadurgarh, Haryana, India. Internet J Epidemiol , 8, 2010.
  18. Lukacs JR, Largaespada LL : Explaining sex differences in dental caries prevalence: Saliva, hormones, and "life-history" etiologies. Am J Hum Biol , 18:540-555, 2006. https://doi.org/10.1002/ajhb.20530
  19. Lukacs JR : Gender differences in oral health in South Asia: metadata imply multifactorial biological and cultural causes. Am J Hum Biol , 23: 398-411, 2011. https://doi.org/10.1002/ajhb.21164
  20. Choi SJ, Park HW : Assessment of dental anxiety in the child patient by their drawings. J Korean Acad Pediatr Dent , 30:354-362, 2003.
  21. Boyar R, Cross MH : Temperament and trait anxiety as predictors of child behavior prior to general anesthesia for dental surgery. Pediatr Dent , 19:427-431, 1997.
  22. Wong M, Lytle WR : A comparison of anxiety levels associated with root canal therapy and oral surgery treatment. J Endod , 17:461-465, 1991. https://doi.org/10.1016/S0099-2399(07)80138-5
  23. Choi HJ, Park JH, Choi SC, et al . : A survey of guardians' cognition level and satisfaction rate about conscious sedation. J Korean Acad Pediatr Dent , 35:700-708, 2008.