Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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The survey on foreign body ingestion and aspiration during the dental prosthetic treatment

치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 대한 실태 조사

  • Gi-Tae, Bang (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Han-Sol, Jeon (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Seon-Ki, Lee (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Jae-In, Lee (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Jin-Han, Lee (Department of Prosthodontics, College of Dentistry, Wonkwang University)
  • 방기태 (원광대학교 치과대학 치과보철학교실) ;
  • 전한솔 (원광대학교 치과대학 치과보철학교실) ;
  • 이선기 (원광대학교 치과대학 치과보철학교실) ;
  • 이재인 (원광대학교 치과대학 치과보철학교실) ;
  • 이진한 (원광대학교 치과대학 치과보철학교실)
  • Received : 2022.12.15
  • Accepted : 2022.12.16
  • Published : 2022.12.31
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Abstract

Purpose: This study was to investigate the dentists' experience and awareness of foreign body ingestion and aspiration during dental prosthetic treatment. Materials and Methods: A survey of 157 dentists working at 108 dental institutions in Daejeon and Chungcheong provinces was carried out and frequency analysis was conducted. Chi-square test was conducted to find out the difference between the sociodemographic data and experience of foreign body ingestion and aspiration of patients and independent sample t-test was conducted to find out the difference in awareness depending on whether receiving related education. Results: The percentage of dentists experiencing dropping foreign body into patients' oral cavity was 99.4% and the percentage of dentists experiencing foreign body ingestion and aspiration of patients was 53.5%. There were more dentists who experienced foreign body ingestion and aspiration of patients in male than female, longer working career, and general practitioners than specialists (P < .05). 50.3% of the respondents received related education. When they receive related education, they had low degree of concern, high confidence in coping with situations, and low willingness to receive education in the future (P < .05). Conclusion: The percentage of foreign body dropping was 16% higher in prosthetic treatment than general treatment. The percentage of dentists with experience of foreign body ingestion and aspiration of patients was 53.5%. Among them, 92.9% experienced foreign body ingestion of patients and 7.1% of them experienced foreign body aspiration of patients.

목적: 치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 관한 치과의사의 경험 및 인식을 조사함으로써 그 실태를 연구하고자 하였다. 연구 재료 및 방법: 대전, 충청 지역에 있는 108개 치과 의료 기관에 근무하는 치과의사 157명을 대상으로 설문조사를 시행하여, 빈도분석을 시행하였다. 설문 대상자의 일반적 특성에 따라 환자의 이물질 삼킴과 흡인의 경험 여부에 차이가 있는지 알기 위해 카이제곱 검정을 시행하였고, 관련 교육 이수 여부에 따른 인식도 차이를 알기 위해 독립표본 t-검정을 시행하였다. 결과: 환자의 구강 내에 이물질을 떨어뜨린 경험이 있는 응답자는 99.4%이었고, 환자의 이물질 삼킴과 흡인 경험이 있는 응답자는 53.5%이었다. 여성보다 남성에서, 근무 경력이 길수록, 전문의보다 일반의에서 환자의 이물질 삼킴과 흡인의 경험 빈도가 높았다(P < .05). 관련된 교육을 이수한 응답자는 50.3%이었다. 관련 교육을 이수했을 때 걱정 정도가 작고, 상황에 대한 대처 자신감이 높았으나, 추후 교육을 이수할 의향은 낮게 나타났다 (P < .05). 결론: 일반치료보다 보철치료를 할 때 이물질 떨어뜨림이 16% 더 높게 나타났다. 치과의사의 53.5%는 환자의 이물질 삼킴과 흡인이 발생한 경험이 있었고, 이 중 이물질 삼킴은 92.9%, 흡인은 7.1%이었다.

Keywords

Acknowledgement

본 연구는 2021년 원광대학교 교내 연구비 지원에 의해 이루어졌음.

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