Shin Bisol, Yoo Seunghoon, Kim Jongsoo, Kim Seungoh, Kim Jongbin
Department of Pediatric Department, School of Dentistry, Dankook University, Cheonan, Korea.
Department of Anesthesiology, School of Dentistry, Dankook University, Cheonan, Korea.
J Dent Anesth Pain Med. 2016 Sep;16(3):203-208. doi: 10.17245/jdapm.2016.16.3.203. Epub 2016 Sep 30.
In South Korea, the number of cases of dental treatment for the disabled is gradually increasing, primarily at regional dental clinics for the disabled. This study investigated pediatric patients at a treatment clinic for the disabled within a university hospital who received dental treatment under general anesthesia. This data could assist those that provide dental treatment for the disabled and guide future treatment directions and new policies.
This study was a retrospective analysis of 263 cases in which patients received dental treatment under general anesthesia from January 2011 to May 2016. The variables examined were gender, age, reason for anesthesia, type of disability, time under anesthesia, duration of treatment, type of procedure, treatment details, and annual trends in the use of general anesthesia.
Among pediatric patients with disabilities who received dental treatment under general anesthesia, the most prevalent age group was 5-8 years old (124 patients, 47.1%), and the primary reason for administering anesthesia was dental anxiety or phobia. The mean time under anesthesia was 132.7 ± 77.6 min, and the mean duration of treatment was 101.9 ± 71.2 min. The most common type of treatment was restoration, accounting for 158 of the 380 treatments performed.
Due to increasing demand, the number of cases of dental treatment performed under general anesthesia is expected to continue increasing, and it can be a useful method of treatment in patients with dental anxiety or phobia.
在韩国，残疾人牙科治疗病例数正在逐渐增加，主要集中在地区性残疾人牙科诊所。本研究调查了在大学医院内一家残疾人治疗诊所接受全身麻醉下牙科治疗的儿科患者。这些数据可以帮助为残疾人提供牙科治疗的人员，并指导未来的治疗方向和新政策。
本研究对2011年1月至2016年5月期间接受全身麻醉下牙科治疗的263例病例进行回顾性分析。所检查的变量包括性别、年龄、麻醉原因、残疾类型、麻醉时间、治疗时长、手术类型、治疗细节以及全身麻醉使用的年度趋势。
在接受全身麻醉下牙科治疗的残疾儿科患者中，最常见的年龄组为5 - 8岁（124例患者，占47.1%），实施麻醉的主要原因是牙科焦虑或恐惧症。平均麻醉时间为132.7±77.6分钟，平均治疗时长为101.9±71.2分钟。最常见的治疗类型是修复，在380例治疗中占158例。
由于需求不断增加，预计全身麻醉下进行的牙科治疗病例数将持续上升，并且对于有牙科焦虑或恐惧症的患者而言，这可能是一种有效的治疗方法。
