Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Trends of Dental Treatment under General Anesthesia and Patterns of Repeated General Anesthesia in Children and Adolescents with Severe Disabilities

소아청소년의 전신마취 하 치과 치료의 추세변화 및 치과 영역 중증 장애 유무에 따른 전신마취 재시행 양상에 대한 연구

  • Ahreum Lee (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hyuntae Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Ji-Soo Song (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Teo Jeon Shin (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Hong-Keun Hyun (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Jung-Wook Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Ki-Taeg Jang (Department of Pediatric Dentistry, School of Dentistry, Seoul National University) ;
  • Young-Jae Kim (Department of Pediatric Dentistry, School of Dentistry, Seoul National University)
  • 이아름 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김현태 (서울대학교 치의학대학원 소아치과학교실) ;
  • 송지수 (서울대학교 치의학대학원 소아치과학교실) ;
  • 신터전 (서울대학교 치의학대학원 소아치과학교실) ;
  • 현홍근 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김정욱 (서울대학교 치의학대학원 소아치과학교실) ;
  • 장기택 (서울대학교 치의학대학원 소아치과학교실) ;
  • 김영재 (서울대학교 치의학대학원 소아치과학교실)
  • Received : 2022.10.07
  • Accepted : 2022.11.29
  • Published : 2023.02.28
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Abstract

The aim of this retrospective study was to evaluate the demographic characteristics of pediatric dental patients who underwent dental treatment under general anesthesia (DTGA) at the Seoul National University Dental Hospital from January 2011 through December 2020 and compare the patterns of repeated DTGA between dental patients with severe disabilities (DSD) and non-DSD (healthy or medically compromised patients without DSD). There were 1,857 DTGAs among 1,719 patients (mean age = 5.1 years; males = 59.3%; ASA 2 or above = 52.9%; DSD = 26.8%). Overall, 6.6% of patients underwent repeated DTGA, and the rate of repeated DTGA over a 10-year period was 7.4%. ASA 2 or above (p < 0.0001) and DSD (p < 0.0001) were more likely to undergo repeated DRGA compared to ASA 1 and non-DSD. At both GA1 and GA2, DSD received significantly more restorative treatment on permanent teeth than non-DSD (p = 0.002, p < 0.0001, respectively). There has been an increasing demand for DTGA in pediatric dentistry over the last 10 years. Regular check-ups and preventive oral health care are necessary for pediatric dental patients with severe disabilities to reduce the possibility of repeated DTGA.

이 후향적 연구는 2011년 1월부터 2020년 12월까지 서울대학교 치과병원 소아치과에서 시행된 전신마취 하 치과 치료의 추세 변화를 분석하고 치과 영역 중증 장애 여부에 따른 전신마취 재시행 양상을 비교해보고자 하였다. 1,719명의 환자에게 1,857건의 전신마취 하 치과 치료가 시행되었으며 평균 연령은 5.1세였고 남자가 59.3%였으며 ASA 2등급 이상인 환자가 52.9%, 치과 영역 중증 장애 환자는 26.8%였다. 연구 기간 동안 전신마취 시행 건수는 지속적으로 증가하였으며, 6.6%의 환자가 2회 이상의 전신마취 하 치과 치료를 받았고 10년 동안 전신마취 재시행률은 7.4%였다. ASA 2등급 이상인 환자(p < 0.0001)와 치과 영역 중증 장애 환자(p < 0.0001)에게서 전신마취 재시행의 가능성이 높았으며, 치과 영역 중증 장애 환자가 전신마취를 시행받은 시기의 연령이 더 높게 나타났다(p < 0.0001). 치과 영역 중증 장애 환자에게 첫 전신마취와 두 번째 전신마취에서 모두 영구치의 수복 치료(p = 0.002, p < 0.0001)가 더 많이 시행되었다. 최근 10년간 소아치과 영역에서 전신마취의 사용이 증가하고 있으며 치과 영역 중증 장애를 가진 소아청소년 환자의 전신마취 재시행을 줄이기 위한 정기 검진과 구강 위생 관리를 통한 예방이 중요하다.

Keywords

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