Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Awareness of Caregivers, Emergency Medical Technicians, and Emergency Medical Doctors about the Storage Media for Avulsed Teeth

완전탈구된 치아의 보관매체에 관한 보호자, 구급대원, 응급의학과 의사의 인식도

  • Kim, Gyulim (Department of Pediatric Dentistry, Dental Hospital, Ajou University) ;
  • Kim, Seunghye (Yonsei Well Kids Dental Clinic) ;
  • Mah, Yonjoo (Department of Pediatric Dentistry, Dental Hospital, Ajou University)
  • 김규림 (아주대학교 치과병원 소아치과) ;
  • 김승혜 (연세웰키즈치과의원) ;
  • 마연주 (아주대학교 치과병원 소아치과)
  • Received : 2020.02.03
  • Accepted : 2020.03.25
  • Published : 2020.08.31
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Abstract

The aim of this study was to assess the awareness of caregivers, emergency medical technicians, and emergency medical doctors by investigating the storage media for avulsed teeth at the trauma site. This study was performed by reviewing medical records of 183 patients with the age under 17 years old, who visited Ajou University Hospital for dental trauma. Based on their medical records, storage media for avulsed permanent teeth were investigated by classifying them as dry, milk, saline, saliva and tap water. The storage media chosen by caregivers at the trauma site were classified as cases by parents and school nurse teachers. Storage media chosen by emergency medical technicians and emergency medical doctors were also investigated using the same classification criteria. The results show that both parents and school nurse teachers used milk the most as a storage medium for avulsed teeth. Dry storage was the second most chosen medium by parents, and saline by nurse teacher. As a storage media emergency medical technicians used saline the most, while emergency medical doctors used only saline when they failed to replant avulsed teeth. There is a need to improve the knowledge of caregivers, emergency medical technicians, and emergency medical doctors regarding the storage media for avulsed teeth.

이 연구의 목적은 치아의 완전탈구를 주소로 내원한 소아 청소년을 대상으로 보호자 및 구급대원과 응급의학과 의사가 보인 탈구치의 보관 방법을 조사하여 인식을 평가하고자 하였다. 최근 18년간 아주대학교 치과병원에서 영구치의 완전탈구로 진단받고 응급처치를 시행받은 만 17세 이하의 환자 183명을 대상으로 후향적 조사를 시행하였다. 조사 결과 치아의 보관매체로 부모와 보건교사 모두 우유를 가장 많이 이용하였다. 다음으로 부모는 건조 상태로, 보건교사는 생리식염수에 치아를 보관하는 비율이 높았다. 치아의 보관매체로 구급대원은 생리식염수를 가장 이용하였고 응급의학과 의사의 경우 재식 실패 시 생리식염수만을 이용하였다. 이상의 결과들을 통해 적합한 치아의 보관매체에 대한 교육이 필요할 것으로 사료되었다. 외상 현장에서 즉시 재식이 불가능할 경우, 치아의 보관매체로 우유가 권장되며 우유가 식염수보다 우수한 보관매체임에 관한 교육 역시 필요해 보였다. 보호자 및 응급처치를 행하는 구급대원과 응급의학과 의사들을 대상으로 완전탈구된 치아의 보관 방법에 대한 인식을 향상시킬 수 있는 체계적인 교육이 필요할 것으로 사료되었다.

Keywords

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