소아치과 외래 환자에 대한 전신마취법에 의한 행동 조절 실태 = A Study of Behavior Control under General Anesthesia for Disabled Children

국문 초록 (Abstract)

2003년 1월 부터 2005년 12월 까지 3년간 본 원 소아치과에서 전신마취하 치과진료를 받은 소아환자에 대한 실태를 조사한바 다음과 같은 결론을 얻었다.
1) 평균 연령은 7세 0개월 남자가 22명, 여자가 20명, 계 42명이었다.
2) 전신마취법의 적용 이유는 정신지체 및 발달장애가 17명으로 가장 많았으며, 자폐증 2명, 뇌성마비 3명, 심장질환 4명, 단순 치과치료 비협조가 6명, 타 증상과 복합이 5명 그리고 기타 5명 (간질, B형 간염 및 각종 증후군)의 순으로 나타났다.
3) 전신마취하 치과처치의 평균 처치 시간은 2시간 39분, 평균 마취 시간은 3시간 07분으로 나타났다.
4) 전신마취하 치과처치의 증례 수에 대한 연도별 추이는 2003년 부터 해마다 증가하였으며 환자 1인당 처치 치아 수는 평균 12.6개로, 우식으로 파괴된 정도가 매우 높은 것으로 나타났다.

다국어 초록 (Multilingual Abstract)

Purpose: The use of general anesthesia as a special method of behavior management is necessary if certain handicapped or disabled child patient to receive dental treatment. This study was designed to report the results of 42 cases of complete oral rehabilitation under general anesthesia.
Materials and Methods: The data were obtained from 42 patients who were provided with dental treatment under behavior control under general anesthesia for 3years managed at the Dept. of pediatric dentistry in PNU Hospital. The distribution of age, gender, primary reason for general anesthesia, duration of dental procedure , number of treated tooth and postoperative complications were surveyed.
Results: In distribution of age, most(73.8 %) were younger than 10 years and mean was 7.0 years. The reasons for providing general anesthesia were lack of cooperation due to various mental and physical handicapped situation in 25patient (59.5%), congenital heart disease in 4 patients(9.5%), combined with medically compromised and behavior problem in 5 patients(12%) and others in 4 patients(9.5%). The average duration of the treatments was 2 hours and 39 minutes and average duration of the anesthesia was 3 hours and 7 minutes. The mean number of treated with restoration were 12.6 teeth.
Conclusion: From the results, total dental rehabilitation under general anesthesia is a favorable modality to improve for disabled children’s oral condition.