Browse > Article
http://dx.doi.org/10.12655/KADH.2014.10.2.106

CARE OF ANXIETY DISORDER AND HYPERVENTILATION DURING REFRACTORY TOOTH EXTRACTION IN A PSYCHOLOGIC DISABLED PATIENT  

Oh, Ji-Hyeon (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University)
Yoo, Jae-Ha (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University)
Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, Keimyung University)
Publication Information
The Journal of Korea Assosiation for Disability and Oral Health / v.10, no.2, 2014 , pp. 106-113 More about this Journal
Abstract
Hyperventilation is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, bleeding, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, a hyperventilation were occurred during the surgical extraction of impacted third molar with pericoronitis. We suggest that the dental patients with anxiety disorder must be attention for the manifestation of hyperventilation, especially in the psychologic disabled patient.
Keywords
Anxiety disorder; Dental fears; Hyperventilation; Surgical extraction;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Scott DS : Historical antecedents of dental anxiety. J Am Dent Assoc, 108 : 42-45, 1984.   DOI
2 Kvale G, Raadal M, Vika M : Treatment of dental anxiety disorders. Outcome related to DSMIV diagnoses. Eur J Oral Sci, 110 : 69-74, 2002.
3 De Jongh A, Adair P, Meijerink-Anderson M : Clinical management of dental anxiety : What works for whom? International Dental Journal, 55 : 73-80, 2005.   DOI
4 McCarthy FM : Medical emergencies in dentistry. Philadelphia, WB Saunders. 220-343, 1982.
5 Kim GS : Local anesthesiology in dentistry. Seoul, Jee Sung Publishing Co. 285-332, 2000.
6 Kim J, Yoo JH, Yoon JH, Chung WG, Choi GR : Clinical guideline of dental treatment for medically compromised patient. Seoul, Koon Ja Publishing Co. 3-32, 2007.
7 Wardle J : Psychological management of anxiety and pain during dental treatment. J Psychosom Res, 27 : 399-402, 1983.   DOI
8 Malamed SF : Medical emergencies in the dental office, 4th ed. Saint Louis, CV Mosby. 1-49, 187-193, 1993.
9 Missri JC, Alexander S : Hyperventilation syndrome : A brief review. JAMA, 240 : 2093-2096, 1978.   DOI
10 Peterson LJ : Complex odontogenic infections. In : Contemporary oral & maxillofacial surgery. Edited by Peterson LJ, Ellis III E, Hupp JR, Tucker MR : Saint Louis, CV Mosby. 409-423, 1988.
11 Min SG : Modern psychiatry, 5th ed. Seoul, Il Cho Gak. 323-375, 2006.
12 The foundation of smile : Dental professions' guidelines for disabled persons. Seoul, Koonja Publishing Co. 11-33, 145-150, 2007.
13 Lee JG : Psychology. Seoul, IL Cho Gak. 212-305, 1983.
14 Ham BJ : Definition and control of anxiety and fear. J Korean Dental Society Anesthesiology, 7 : 107-113, 2007.   DOI
15 Korean Association of Family Medicine : Family medicine, clinical part. Seoul, Gaechook Publishing Co. 372-400, 2003.
16 Wheatly CE : Hyperventilation syndrome : a frequent cause of chest pain. Chest, 68 : 195-200, 1975.   DOI
17 Korean Dental Society of Anesthesiology : Medical emergencies in the dental office, sixth edition. Seoul, Dae Han Narae Publishing Co. 209-214, 2009.
18 Yoo JH, Kim HS, Back SH, Yoo TM, Lee JW, Chung WG, et al : Hyperventilation during local anesthesia in acute odontogenic infectious lesion. J Korean Dental Society Anesthesiology. 107-113, 2002.
19 Divoll M, Greenblatt DJ, Ochs HR, Shader RI : Absolute bioavailability of oral and intramuscular diazepam : effect of age and sex. Anesth Analg, 62 : 1-8, 1983.
20 Thom A, Sartory G, Johren P : Comparison between one session psychological treatment and benzodiazepine in dental phobia. J Clin Psychol, 68 : 378-387, 2000.