• 제목/요약/키워드: Dental hospital

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설암 수술 후 구강 내 기능장애 및 치과공포증이 생긴 환자의 외래 마취관리 : 증례 보고 (ANESTHETIC MANAGEMENT OF A PATIENT WITH DYSPHAGIA AND DENTAL PHOBIA FOLLOWING TONGUE CANCER SURGERY)

  • 이수언;서광석;최윤지;김현정;장주혜
    • 대한장애인치과학회지
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    • 제10권2호
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    • pp.97-100
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    • 2014
  • We experienced a case of dental treatment under general anesthesia in a 22-year-old female patient with dysphagia and dental phobia following partial glossectomy. She was diagnosed of squamous cell carcinoma of tongue and received surgical, radiation treatment two years ago. We report the experiences of anesthetic management for dental treatment in a patient with dysphagia and dental phobia following partial glossectomy.

치과대학병원 외래진료부문의 공간배치특성에 관한 건축계획적 연구 (A study on the Architectural Planning of Spatial Distribution at Dental College Hospital O. P. D)

  • 이희진;이특구
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권3호
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    • pp.53-60
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    • 2006
  • The medicine development and upwardly raised standard of living brings out the increased dental needs at dental hospital OPD. The dental college hospital, follows up the raised dental needs, was subdivided by specialized dental office. And now a specialized dental office needs co-work with the other specialized dental office for special dental illness and treatment. The purpose of this study is to provide a proper area distribution and location of each specialized dental office and relationship between dental office, clinic and other department by analyzing the space, area and characteristics of dental hospital OPD. The results could be used for helping its users, of patients and dentists.

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장애인 환자의 치과치료를 위한 전신마취 시 협조도와 마취 유도 방법에 대한 통계적 고찰 (Clinico-statistical Analysis of Cooperation and Anesthetic Induction Method of Dental Patients with Special Needs)

  • 서광석;신터전;김현정;한희정;한진희;김혜정;장주혜
    • 대한치과마취과학회지
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    • 제9권1호
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    • pp.9-16
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    • 2009
  • Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

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좌심실형성부전증후군 환아의 치과치료를 위한 전신마취 시 강화 후두마스크를 이용한 기도 유지 (Airway Management with Reinforced Laryngeal in Mask Airway in a Child with Hypoplastic Left Heart Syndrome)

  • 김경진;신터전;현홍근;김영재;김정욱;장기택;이상훈;김종철;서광석
    • 대한치과마취과학회지
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    • 제13권4호
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    • pp.221-224
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    • 2013
  • Despite the laryngeal mask airway (LMA) has been widely used in anesthesia, its use is rare in the field of dentistry. Placing LMA in the oral cavity may interrupt dental treatment. However, there are some circumstances in which LMA is more advantageous than tracheal intubation for managing the airway. Especially, the reinforced LMA has a flexible tube shaft, rendering it more accessible for dental treatment. We report a case of dental treatment of a 3-year-old patient with hypoplastic left heart syndrome combined with pulmonary hypertension using reinforced LMA for airway management under general anesthesia. We also discuss the considerations of utilizing the reinforced LMA for dental treatment.

Anesthetic management for simultaneous drug-induced sleep endoscopy and maxillomandibular advancement in a patient with obstructive sleep apnea

  • Kuk, Tae Seong;So, Eunsun;Karm, Myong-Hwan;Kim, Jimin;Chi, Seong In;Kim, Hyun Jeong;Seo, Kwang-Suk;On, Sung Woon;Choi, Jin-Young
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권1호
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    • pp.71-76
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    • 2017
  • Drug-induced sleep endoscopy (DISE) is used to identify areas of upper airway obstruction, which occurs when patients with obstructive sleep apnea (OSA) snore. DISE enables effective diagnosis and appropriate treatment of the obstruction site. Among surgical treatment methods for OSA, maxillomandibular advancement surgery (MMA) is performed to move a jaw forward; the surgery has a high success rate for OSA treatment. In DISE, anesthetics such as propofol and midazolam must be administered to induce snoring while the patient is deeply sedated for an accurate diagnosis to be made. When inducing deep sedation in a patient with OSA, airway obstruction may increase, causing oxygen saturation to drop; airway interventions are necessary in such cases. Effective DISE and MMA surgery can be performed by administering propofol through target-controlled infusion while monitoring the bispectral index (BIS).

치의학대학원생의 심폐소생술 지식 및 심폐소생술 수행능력에 대한 조사연구 (The Survey and Evaluation of CPR Skill in Dental Students)

  • 서광석;이정만;조경아;김현정;신터전;현홍근;김영재;김정욱;장기택;이상훈;김종철
    • 대한치과마취과학회지
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    • 제12권4호
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    • pp.209-214
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    • 2012
  • Background: This study evaluates the existing cardiopulmonary resuscitation (CPR) knowledge and skills of 1 st year dental students and also compares their CPR performance skill with those of 4 th year students. Methods: Incoming 1 st year and 4 th year dental students were surveyed about the level of their CPR knowledge before conventional CPR instruction. After we trained them for CPR performance, we tested CPR performance skill to randomly selected 10 1st year and 4 th year dental students and compared their CPR performance. Results: Overall CPR knowledge was low for both 1 st and 4 th year dental students. Especially, only 1 among 89 fourth year dental students answered the right sequence of CPR revised in 2010. Overall CPR performance was relatively low for both 1 st and 4 th year dental students. Irrespective of previous experiences of CPR education, their CPR performance was not statistically different. Conclusions: Retraining of CPR is a necessity. Information about the existing CPR knowledge for dental students will aid in establishing the goal of future CPR training and improve the current deficiency.