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http://dx.doi.org/10.5933/JKAPD.2021.48.3.313

Trends in Dental Sedation of Korean Children and Adolescents  

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)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.48, no.3, 2021 , pp. 313-323 More about this Journal
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.
Keywords
Sedation; Sedation drugs; National Health Insurance Service-National Sample Cohort Database;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Wilson S : Oral sedation for dental procedures in children, Springer-Verlag, Heidelberg, 1-26, 2015.
2 Eid H : Conscious sedation in the 21st century. J Clin Pediatr Dent, 26:179-180, 2002.   DOI
3 Millar WJ, Locker D : Dental insurance and use of dental service. Health Rep, 11:55-67, 1999.
4 Nordt SP, Rangan C, Valente M, et al. : Pediatric chloral hydrate poisonings and death following outpatient procedural sedation. J Med Toxicol , 10:219-222, 2014.   DOI
5 Meadows M : The FDA takes action against unapproved drugs. FDA Consum, 41:34-35, 2007.
6 Cote CJ, Wilson S : Guidelines for monitoring and management of pediatric patients before, during, and after sedation for diagnostic and therapeutic procedures. Pediatr Dent, 41:E26-E52, 2019.
7 Malamed SF : Sedation : A guide to patient management, 6th ed. Mosby, 202-207, 2018.
8 Weinbroum AA, Szold O, Ogorek D, Flaishon R : The midazolam-induced paradox phenomenon is reversible by flumazenil. Epidemiology, patient characteristics and review of the literature. Eur J Anaesthesiol, 18:789-797, 2001.   DOI
9 Kim JH, Seo HW, Park HW : A survey on the characteristics of sedated pediatric dental patients and their parents visiting kangnung national university dental hospital. J Korean Acad Pediatr Dent, 31:459-473, 2004.
10 Yang YM, Shin TJ, Jeong TS, et al. : Survey of sedation practices by pediatric Dentists. J Korean Acad Pediatr Dent, 41:257-265, 2014.   DOI
11 Wright GZ, Kupietzky A : Behavior management in dentistry for children, 2nd ed. John Wiley & Sons Inc., Hoboken, 147-161, 2014.
12 Kang CM, Lee HS, JH Lee, et al. : The distribution of patients and treatment trends in the department of pediatric dentistry Yonsei university dental hospital for last 5 years. J Korean Acad Pediatr Dent, 41:134-144, 2014.   DOI
13 Chung H, Kim SY, Kim HS : Clinical research from a health insurance database: practice and perspective. Korean J Med, 94:463-470, 2019.   DOI
14 Yu S, Wee J, Kim JW, Yoon S : Methodology for big data analysis using data from national health insurance service: preliminary methodologic study and review about the relationship between sinus surgery and asthma. J Rhinol, 22:28-33, 2015.   DOI
15 Choi YS, Shim YS : Sedation practices in dental office: a survey of members of the Korean academy of pediatric dentistry. J Korean Acad Pediatr Dent, 26:579-588, 1999.
16 An SY, Choi BJ, Kwak JY, et al. : A survey of sedation practices in the Korean pediatric dental office. J Korean Acad Pediatr Dent, 32:444-453, 2005.
17 Lee KE, Song JS, Choi HJ, et al. : The changes of sedation in the department of pediatric dentistry, Yonsei university dental Hospital. J Korean Acad Pediatr Dent, 45:154-161, 2018.   DOI
18 Wilson S, Alcaino EA : Survey on sedation in paediatric dentistry: a global perspective. Int J Paediatr Dent, 21:321-332, 2011.   DOI
19 Bae CH, Kim H, KIM HJ, et al. : A survey of sedation Practices in the Korean dentistry. J Korean Dent Soc Anesthesiol, 14:29-39, 2014.   DOI
20 Korean Academy of Pediatric Dentistry : Sedation guideline for pediatric patients, 2nd ed. Daehan Narae Publishing, Seoul, 2-14, 2017.
21 Park CH, Shin JS, Kim JS, Kim JB: A retrospective statistical study on sedation cases in department of pediatric dentistry at Dankook university dental hospital for 5 Years. J Korean Acad Pediatr Dent, 45:75-81, 2018.   DOI
22 Kim HW, Kim JB : A trend of treatment in department of pediatric dentistry for 10 Years. J Korean Acad Pediatr Dent, 46:328-336, 2019.   DOI
23 Wilson S, Milton H : Project USAP 2010: use of sedative agents in pediatric dentistry-a 25-year follow-up survey. Pediatr Dent, 38:127-133, 2016.
24 Foley J : A prospective study of the use of nitrous oxide inhalation sedation for dental treatment in anxious children. Eur J Paediatr Dent, 6:121-128, 2005.
25 Kim HT, Song JS, Shin TJ, et al. : Characteristics of intravenous midazolam sedation with nitrous oxide in pediatric dental treatment. J Korean Acad Pediatr Dent, 47:53-61, 2020.   DOI
26 Korean statistical information service : Population trend survey - Statistical information report 2019. Available from URL: http://kosis.kr/nsportalStats/nsportalStats_0102Body.jsp?menuId=10&NUM=1037 (Accessed on February 17, 2021).
27 American Academy of Pediatric Dentistry : Use of nitrous oxide for pediatric dental patients. The reference manual of pediatric dentistry. American Academy of Pediatric Dentistry. Chicago, III. 324-329, 2020.
28 Cote CJ, Karl HW, Notterman DA, et al. : Adverse sedation events in pediatrics: analysis of medications used for sedtion. Pediatrics, 106:633-644, 2000.   DOI
29 Lim HS, Kim MS, Kim KC, et al. : A survey of guardian's attitudes toward behavior guidance techniques. J Korean Acad Pediatr Dent, 44:427-436, 2017.   DOI
30 Han MR, Kim JB : Is it impossible to replace chloral hydrate in dental sedation of pediatric dentistry in Korea? J Korean Acad Pediatr Dent, 47:228-234, 2020.   DOI
31 Chae JK, Song JS, Kim YJ, et al. : Regional distribution and practice pattern of pediatric dental clinics in Korea. J Korean Acad Pediatr Dent, 47:44-52, 2020.   DOI
32 Cote CJ, Notterman DA, Karl HW, et al . : Adverse sedation events in pediatrics: a critical incident analysis of contributing factors. Pediatrics , 105:805-814, 2000.   DOI
33 Kim HS, Ahn E, Shin H, et al. : Trends of household income and dental care spending. J Korean Acad Oral Health, 38:17-24, 2014.   DOI
34 Kim SM, Shin H : Survival of individual teeth after nonsurgical endodontic treatment. J Korean Acad Oral Health, 41:201-207, 2017.   DOI
35 Chowdhury J, Vargas KG : Comparison of chloral hydrate, meperidine, and hydroxyzine to midazolam regimens for oral sedation of pediatric dental patients. Pediatr Dent, 27:191-197, 2005.
36 Korean Academy of Pediatric Dentistry : Pediatric adolescent dentistry, 5th ed. Yenang, Seoul, 225-230, 2014.
37 Kim JY, Jeong TS, Shin TJ, et al. : Agents used for pediatric dental Sedation. J Korean Acad Pediatr Dent, 43:109-116, 2016.   DOI