Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Trends in Dental Sedation of Korean Children and Adolescents

한국 소아 청소년의 치과 치료 시 진정법 경향

  • Tak, Minkyung (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Yang, Yeonmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University) ;
  • Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University)
  • 탁민경 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치과대학 소아치과학교실 및 구강생체과학연구소)
  • Received : 2021.02.22
  • Accepted : 2021.04.12
  • Published : 2021.08.31
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Abstract

The purpose of this study was to investigate trends in dental sedation of Korean children and adolescents. A retrospective study was conducted on patients under 20 years of age who received dental treatment under sedation using National Health Insurance Service-National Sample Cohort Database from 2002 to 2015. Based on the 1 million standard data, there were 436 cases of dental treatment under sedation in 2002, but 4002 cases in 2015, showing a trend increasing every year. The 3 - 5 year old group accounted for the largest portion (54.2%), while the 6 - 8 year old group increased recently. Nitrous oxide inhalation sedation is the most commonly used, accounting for 45.9% in 2002, but increased to 89.5% in 2015. Combination of nitrous oxide inhalation sedation, chloralhydrate and hydroxyzine was the most common, accounting for 5.7% in 2002, but decreased to 2.9% in 2015. There is a trend to use the sedation method more safely and in a way that reduces side effects.

이 연구의 목적은 한국 소아청소년의 치과 치료 시 진정법 경향에 대해 알아보는 것이었다. 이를 위해 2002년부터 2015년까지 국민 건강 보험 공단의 표본 코호트 데이터 베이스를 이용하여 진정법 하 시행된 치과 치료에 대해 조사하였다. 진정법 하 치과 치료는 2002년에는 436건이었으나, 2015년에는 4002건으로 매년 증가하는 추세를 보였다. 3 - 5세 집단이 가장 큰 비중(54.2%)을 차지하였으며, 최근에는 6 - 8세 집단이 증가하였다. 아산화질소-산소 흡입 진정이 가장 많이 사용되고 있고, 2002년에는 45.9%를 차지하였으나, 2015년에는 89.5%로 증가하였다. 진정 약물을 혼합 사용하는 경우, 아산화질소-산소 흡입 진정, 클로랄 하이드레이트, 하이드록시진 조합이 가장 많았고, 2002년에는 5.7%를 차지하였으나, 2015년에는 2.9%로 감소하였다. 이를 토대로 진정법 하 치과 치료는 부작용을 줄이기 위해 안전한 방향으로 변화하는 추세를 보이고 있음을 알 수 있었다.

Keywords

Acknowledgement

This paper was supported by Korean Academy of Pediatric Dentistry.

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