Shin Sooil
Department of Advanced General Dentistry, Dankook University College of Dentistry, Cheonan, Republic of Korea.
J Dent Anesth Pain Med. 2025 Feb;25(1):67-76. doi: 10.17245/jdapm.2025.25.1.67. Epub 2025 Jan 22.
General anesthesia (GA) in dentistry is crucial for managing patients with special needs, enabling comprehensive care for individuals who cannot tolerate conventional procedures. This study aimed to analyze the demographic characteristics and trends in dental treatments performed under GA.
A retrospective analysis of 2,458 dental treatments performed under GA at Dankook University Jukjeon Dental Hospital was conducted between January 2015 and October 2024. Data on sex, age, GA duration, and type of disability were collected and analyzed.
Of the 2,458 cases, 89.5% (2,199) involved patients with disabilities. Male patients accounted for 60.0% of the total cohort, and 61.3% of patients with disabilities were male. The mean age of patients was 34.1 ± 13.4 years, with younger patients more frequently treated under GA. Intellectual disabilities were the most prevalent (56.3%) followed by autism spectrum disorder (14.6%). The average GA duration was 174.8 ± 61.5 minutes, with longer durations observed in patients with disabilities (177.2 ± 61.1 minutes).
The increasing demand for GA, particularly among patients with disabilities, underscores the need for tailored guidelines and enhanced education on dental treatment performed under GA. These findings provide a foundation for future policy development.
牙科全身麻醉（GA）对于治疗有特殊需求的患者至关重要，能够为无法耐受传统治疗的患者提供全面护理。本研究旨在分析在全身麻醉下进行的牙科治疗的人口统计学特征和趋势。
对2015年1月至2024年10月期间在韩国檀国大学竹田牙医院接受全身麻醉的2458例牙科治疗进行回顾性分析。收集并分析了性别、年龄、全身麻醉持续时间和残疾类型的数据。
在2458例病例中，89.5%（2199例）涉及残疾患者。男性患者占总队列的60.0%，残疾患者中61.3%为男性。患者的平均年龄为34.1±13.4岁，较年轻的患者更常接受全身麻醉治疗。智力残疾最为普遍（56.3%），其次是自闭症谱系障碍（14.6%）。全身麻醉的平均持续时间为174.8±61.5分钟，残疾患者的持续时间更长（177.2±61.1分钟）。
对全身麻醉的需求不断增加，尤其是在残疾患者中，这凸显了制定针对性指南以及加强对全身麻醉下牙科治疗教育的必要性。这些发现为未来的政策制定奠定了基础。
