Browse > Article
http://dx.doi.org/10.5933/JKAPD.2015.42.2.158

The Distribution and Treatment of Outpatients with General Anesthesia in Chonbuk National University Dental Hospital for 9 Years  

Moon, Yujin (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Baik, Byeongju (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Yang, Yeonmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.42, no.2, 2015 , pp. 158-163 More about this Journal
Abstract
General anesthesia (GA) for dental care in handicapped patients is necessary to facilitate the provision of safe, efficient, and effective quality treatment. The aims of this study were to determine the anesthetic characteristics of handicapped patients in need of dental treatment in these day care units, and to establish for plan to provide better services. 325 patients who had outpatient general anesthesia from January 2005 to March 2014 were assessed for this study. Patients' distribution and treatment patterns were examined. The proportion of male patients (202, 62.2%) was higher than female patients (123, 37.8%) and the largest group of patients were 5 to 10 years old (85, 26.2%). The reasons for general anesthesia included mental and physical disabilities (207, 63.7%), behavior management (84, 25.8%), parent needs (14, 4.3%), and so on. Restorative treatment was the most common procedure with the average of 4.2 teeth treated per one patient and 43 (13.2%) patients underwent general anesthesia for dental treatment more than once. To expand and improve access to the dental care of the disabled, improvement of the health care system, enhancement of their training for dental care by professionals, and enlarging caregivers'understanding of the importance of oral care in the early stages are required.
Keywords
Outpatient general anesthesia; Handicapped person; Dental treatment;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Lee KH : Oral health care for Person with Disabilities-systemic approach. Korean Association for Disability and Oral Health, 1:8, 2005.
2 Weaver JM : Special considerations concerning general anesthesia for dental treatment of handicapped patients. Anesth Prog, 42:93-94, 1995.
3 Pirwitz B, Schlender M, Enders A, Knauer O :Risks and complications anesthesia with intubation during dental treatment. Rev Stomatol Chir Maxillofac, 98:387-9, 1998.
4 Messieha Z : Risks of general anesthesia for the special needs dental patient. Spec Care Dentist, 29:21-5; quiz 67-8, 2009.   DOI
5 Dougherty N : The dental patient with special needs: a review of indications for treatment under general anesthesia. Spec Care Dentist, 29:17-20, 2009.   DOI
6 Glassman P, Caputo A, Romer M, et al.: Special Care Dentistry Association consensus statement on sedation, anesthesia, and alternative techniques for people with special needs. Spec Care Dentist, 29:2-8; quiz 67-8, 2009.   DOI
7 Hulland S, Sigal MJ: Hospital-based dental care for persons with disabilities: a study of patient selection criteria. Spec Care Dentist, 20:131-8, 2000.   DOI
8 Romer M: Consent, restraint, and people with special needs: a review. Spec Care Dentist, 29:58-66, 2009.   DOI
9 Davila JM: Restraint and sedation of the dental patient with developmental disabilities. Spec Care Dentist, 10:210-2,1990.   DOI
10 Peltier B: Psychological treatment of fearful and phobic special needs patients. Spec Care Dentist, 29:51-7, 2009.   DOI
11 O SR, Kim YH: Accidental overdose of intramuscular midazolam -A Case Report-. Journal of The Korean Dental Society of Anesthesiology, 11: 27-31,2011.   DOI
12 Kim SO: A survey of general anesthesia, sevoflurane sedation and intravenous sedation in chungnam dental clinic for the disabled. J Korean Pediatr Dent, 40: 28-39, 2013.
13 Jung YJ, Lee KH : A Statistical study of the dental treatment of handicapped patient under general anesthesia. J Korean Pediatr Dent, 19:303-312, 1992.
14 Seo KS, Shin TJ, Kim HJ, et al. : Clinico-statistical analysis of cooperation and anesthetic induction method of dental patients with special needs. J Korean Dental Society of Anesthesiology, 9:9-16, 2009.   DOI
15 Lee DW, Song JS, Lee JH, et al. : A survey of dental treatment under outpatient general anesthesia in department of pediatric dentistry and clinic for disabled at Yonsei university dental hospital. J Korean Pediatr Dent, 37:65-72, 2010.
16 Kum JE, No HS, Kim JM, et al. : A survey of general anesthesia in pediatric dental clinic at pusan national university. J Korean Association for Disablility an Oral Health, 3:11-16, 2007.
17 Berkowitz RJ, Moss M, Billings RJ, Weinstein P : Clinical outcomes for nursing caries treated using general anesthesia. J Dent Child, 64:210-211, 1997.
18 Musselman RJ, Roy EK : Hospital management of the handicapped Child. Dent Clin North Am, 18:699-709, 1974.
19 Worthen TB, Mueller W : Implications of parental compliance on decision making in care provided using general anesthesia in a low-income population. J Dent Child, 67:197-199, 2000.
20 Lee JH, Shon HK, Kim JH : A study on the treatment of dentally handicapped patients under outpatient general anesthesia. J Korean Pediatr Dent, 24:581-589, 1997.
21 Seo KS, Jang KT, Kim HJ, Yum KW : The status of comprehensive dental treatment and type of disabilities of the patients treated under outpatient general anesthesia at the clinic for the disabled in Seoul national university dental hospital. Journal of The Korean Dental Society of Anesthesiology, 6:82-88, 2006.   DOI