Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Dental Consultations and Treatment Pattern of Pediatric Inpatient in Severance Hospital

세브란스 병원에 입원한 환자들의 소아치과 협진의뢰 내용 및 진료현황

  • Song, Jihyeo (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Koeun (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Song, Je Seon (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Oh (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Jaeho (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Choi, Hyung-jun (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
  • 송지혜 (연세대학교 치과대학 소아치과학교실) ;
  • 이고은 (연세대학교 치과대학 소아치과학교실) ;
  • 송제선 (연세대학교 치과대학 소아치과학교실) ;
  • 김성오 (연세대학교 치과대학 소아치과학교실) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실) ;
  • 최형준 (연세대학교 치과대학 소아치과학교실)
  • Received : 2018.10.15
  • Accepted : 2018.11.15
  • Published : 2019.05.31
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Abstract

The purpose of this study was to analyze the dental consultation of pediatric inpatients to the department of pediatric dentistry in Yonsei University Severance Hospital, and to investigate the change in patterns. In 2017, 268 pediatric patients (384 cases) admitted to the Severance Hospital were referred to the department of pediatric dentistry. The mean age was 6.6 years, and most of the patients were referred from the Department of Pediatric Hematology Oncology and Rehabilitation Medicine. The chief complaints were as follows: oral examination (31%), dental caries (20%), oral pain (10%), tooth mobility (10%), pre-operative evaluation (9%) and others (20%). 41% of the patients received only oral examination without treatment. Dental caries were the most frequent dental diagnosis of the patients. 28% (111 cases) of patients received operative treatments, 22 cases were treated under general anesthesia. Oral health is closely related to systemic diseases, especially for hospitalized patients. Dental consultations should be encouraged for prevention and early appropriate treatments. For this purpose, it is necessary to establish a referral system and perform dental treatment under general anesthesia.

이 연구는 연세대학교 세브란스 병원에 입원한 환자의 소아치과 협진의뢰에 대한 정보를 분석하여 소아치과에 의뢰되는 전신질환 환자에 대해 파악하고 협진 및 진료 경향에 변화가 있는지 분석하기 위해 시행되었다. 2017년 한 해 동안 연세대학교 세브란스 병원에 전신질환으로 입원한 소아환자 중 소아치과에 의뢰되어 실제로 진료를 받은 384건(268명)에 대한 자료를 조사하였다. 평균연령은 6.6세였으며, 소아혈액종양과와 재활의학과에서 가장 많은 의뢰가 있었다. 협진주소는 기본 구강검진(31%), 치아우식증(20%), 구강통증(10%), 치아동요도(10%), 수술 전 검진(9%) 순으로 많았고, 협진의뢰된 환자의 41%는 치료 없이 구강검사만 시행하였다. 의뢰된 환자의 치과적 진단명은 치아우식증이 가장 많았으며, 이에 대한 보존치료 및 예방치료가 시행되었다. 협진의뢰된 환자의 28%(111건)는 보존치료를 받았으며 그 중 22건은 전신마취 하에 진행되었다. 구강건강은 입원환자의 전신질환과 밀접한 연관성이 있으므로 구강질환의 예방 및 치료를 위하여 치과협진이 적극적으로 이루어져야 한다. 이를 위해 협진의뢰 체계 확립과 전신마취를 통한 치과치료의 활용이 필요하다.

Keywords

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