The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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TREATMENT UNDER GENERAL ANESTHESIA IN PEDIATRIC DENTISTRY OF WONJU SEVERANCE CHRISTIAN HOSPITAL

원주세브란스기독병원 소아치과에서 시행한 전신마취하 치료

  • Park, Chan-Hee (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Lee, Jong-Hyung (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Lee, Han-Gil (Department of Pediatric Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Ji-Hun (Department of Dentistry, Wonju College of Medicine, Yonsei University)
  • 박찬희 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 이종형 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 이한길 (연세대학교 원주세브란스기독병원 소아치과) ;
  • 김지훈 (연세대학교 원주의과대학 치과학교실)
  • Received : 2018.10.22
  • Accepted : 2018.11.18
  • Published : 2018.12.31
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Abstract

This study was designed to evaluate basic data about dental treatment under general anesthesia in pediatric dentistry of Wonju Severance Christian Hospital. Sex, Age, location, preoperative physical status, intubation methods, inhalation agents, duration of anesthesia and treatment, performed treatment and postoperative follow-up period and frequency were collected based on electronic medical records of 239 patients who visited pediatric dentistry at Wonju Severance Christian Hospital from March 2011 to February 2017. There were the most patients between the ages of 5 - 9, and there was no significant difference between male and female. The largest number of patients visited the hospital from Wonju, where the hospital was located. Most of preoperative status was ASA Class I. Orotracheal intubation was used in 169 of patients (70.7%). As an anesthesia maintenance agent, drug containing sevoflurane was used in 153 of patients (64.0%). In performed treatment, dental restoration, sealant and stainless steel crowns were performed 3.8, 1.8 and 1.1 times per person. 129 patients (54.0%) attended follow-up appointments under 6 months and those of the number of appointments were 1 - 4 times in average. General anesthesia as a behavior guidance in pediatric dentistry is increasing. Clinical guidelines for pediatric patients under general anesthesia are required through follow-up studies.

Keywords

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Fig. 1. Distribution of patients by age and sex.

Table 1. Location of patients

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Table 2. Preoperative physical status of patients

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Table 3. Intubation methods in general anesthesia

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Table 4. Inhalation agents as maintenance of general anesthesia

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Table 5. Duration of anesthetic, treatment

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Table 6. Performed treatment

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Table 7. Postoperative follow-up period

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Table 8. Postoperative follow-up frequency

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