• Journal of Dental Anesthesia and Pain Medicine
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• 제16권2호
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• pp.123-129
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• 2016

Background: The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results. Methods: Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends. Results: Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients. Conclusions: With increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

• 대한치과마취과학회지
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• 제13권3호
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• pp.95-102
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• 2013

Background: Sedation or outpatient general anesthesia is a necessary method for a successful dental treatment for children and the disabled who have a difficulty of cooperation. The aim of this study was to assess the patients who had dental treatment under sedation or outpatient general anesthesia at department of pediatric dentistry, Chonnam national university dental hospital and Gwangju dental clinic for the disabled. Methods: 875 patients who had sedation from January 2009 to September 2013 and 88 patients who had outpatient general anesthesia after May 2011 were assessed for this study. Patient's distribution and treatment patterns were examined. Results: The number of patients has been increasing in both sedation and outpatient general anesthesia. In case of sedation, the proportion of male patients was higher and 4-6 years age group was the highest. Most patients have resided in Gwangju buk-gu and the percentage of restorative treatment was the highest. In case of outpatient general anesthesia, the proportion of male patients was higher than that of sedation. Two groups, 10-19 and 20-29 years age, consisted most of patient. Most patients have resided in Gwangju buk-gu and Jeollanam-do, and the percentage of periodontic and preventive treatment was the highest. Conclusions: Sedation or outpatient general anesthesia for dental treatment has been increasing for children and the disabled who have a difficulty of cooperation. Therefore, it is important to improve treatment environment under sedation and general anesthesia through continuous research and studies.

• 대한소아치과학회지
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• 제49권4호
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• pp.368-378
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• 2022

이 연구의 목적은 부산대학교 치과병원 소아치과에 내원한 신환을 대상으로 치과의료 기관에 대한 접근성을 분석하여 이에 따른 신환 분포의 차이를 조사하는 것이다. 2020년에 부산대학교 치과병원 소아치과에 내원한 부산 및 경남 지역의 신환을 대상으로 전자의무기록을 이용하여 연령, 성별, 거주지, 초진 시 주소(Chief complaint), 내원 경로, 의과적 병력 등에 대한 정보를 수집하였다. 신환의 거주지에서 가장 가까운 치과의원, 소아전문 치과의원 및 부산대학교 치과병원과의 거리에 측정하여 이에 따른 환자의 특성을 분석하였다. 의료기관 접근성 평가를 위해 거주지에서 치과의료기관까지의 거리를 10 km를 단위로 분류하였고, 소아치과의원의 경우 10 km 내 의원 유무도 분류하였다. 신환의 거주지와 부산대학교 치과병원 사이의 거리가 증가할수록 치아우식을 주소로 내원하는 환자의 비율이 감소하였고, 교정치료를 주소로 내원하는 환자의 비율이 증가하였다. 거주지 반경 10 km 이내 소아치과의원의 유무는 주소의 분포에 유의한 영향을 미치지 않았다. 이번 연구는 소아치과에 내원하는 환자들의 물리적, 지리적 접근성을 향상할 수 있는 실효성 있는 진료 대책을 수립하는 데에 기초자료로 활용될 수 있을 것이다.

• 대한소아치과학회지
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• 제28권1호
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• pp.154-158
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• 2001

1997년부터 1999년까지 서울대학교병원 소아치과에서 시행한 37건의 전신마취를 작성된 의무기록을 바탕으로 전신마취의 선택이유, 치료전 전신상태, 연령분포, 치료내용, 합병증과 정기적인 내원여부 등에 대해 조사하여 다음과 같은 결론을 얻었다. 1. 전신마취의 선택이유중 대부분(97%)은 장애인이며, 치료전 전신상태는 ASA Class I 또는 Class II였다. 2. $11\sim15$세 환자들(41%)이 가장 많았다. 3. 전신마취 하에서 평균 8.1개의 수복치료와 3.3개의 발치를 시행하였다. 4. 시술후 합병증은 32%에서 발생하였으나, 대부분 경미하였다. 5. 6개월 이상 정기적인 내원을 한 경우는 12명 (32%)이었다.

• 대한소아치과학회지
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• 제48권2호
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• pp.209-220
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• 2021

소음은 불쾌감과 신체적 변화를 일으키는 원치 않는 소리로 정의된다. 이 연구는 진료실 환경에서 발생하는 소음의 강도를 평가하고 소아치과의사의 소음환경을 조사하기 위해 시행되었다. 사람의 양측 귀 형태를 재현한 마이크와 휴대용 소음계를 활용하여 소음을 녹음하고 소음의 강도를 계산하였다. 한국 고용노동부 산하 안전보건공단의 소음 측정 규정에 따라 시행하여 다음과 같은 결과를 얻었다. 16일 간 시행한 결과 8시간-가중평균소음수준은 최고 58.54 dBA, 최저 33.97 dBA, 평균 49.33 dBA로 측정되었으며 누적소음노출량은 최고 1.28%, 최저 0.04%, 평균 0.49%로 측정되었다. 이는 한국 안전보건공단의 기준치인 85 dBA에 미치지 못하는 값이다. 협조도와 술식에 따른 환자별 최고 소음수준을 비교하였을 때 치수치료 군과 Frankel grade 1등급 군이 가장 높았다. 소아치과의사의 소음환경은 한국 안전보건공단이 제시한 근로자의 작업환경 기준에는 미치지 못했지만 소아치과 진료실의 환경을 고려한 새로운 기준을 마련하여 소음 환경을 재평가할 필요가 있다.

• 대한치과마취과학회지
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• 제12권2호
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• pp.111-114
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• 2012

Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. Given high incidence of ADHD, many children with ADHD is likely to present for anesthesia. This case report suggests intramuscular premedication as an alternative method for anesthetic induction. A 9-year-old male patient with ADHD was transferred for dental treatment under general anesthesia. The patient refused to go into dental clinic office. Oral midazolam was given to the patient, however, he was resistant to take midazolam via oral route. Instead, we administer midazolam and ketamine via intramuscular route. After less than 10 miniutes, the patient became drowsy and was transferred to dental chair. Intravenous access and mask inhalation was possible. The patient received dental treatment under general anesthesia and recovered in a non-complicated way. In this case, intramuscular sedation with midazolam and ketamine was used as a premedication in highly uncoopearive patient refused to take oral sedative medication.

• 대한소아치과학회지
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• 제2권1호
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• pp.57-66
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• 1975

The study was performed to evaluate the Parent's knowledge and attitudes concerning the dental health of their children. A questionnaire consisting of 17 questions was given to each of the 664 parents by their children who are attending in primary school and was completed by them. The collected information from the questionnaire was analyzed by the visits to dental clinic, age and education. The results obtained from this study are as follows: 1) The more educated parents were more interested to the dental health of children. 2) In the know ledge concerning the dental health of their children, the parents who were more educated and had visited the dental clinic gave the better. responses. 3) There were no clear differences in age groups in the knowledge and attitudes on their children's dental health. 4) The reason for first visiting the dental clinic was dental treatment 43.2%, toothache 35.4%, for the purpose of oral examination 21.2%, and others were 9.2%. 5) 13.1% of the parents who had visited the dental clinic couldn't or didn't follow the recommended treatment because of economic difficulty 53.3%, lack of time 25%, lack of understanding of child's dental needs 18.3%, and other reasons were 3.3%.

• 대한소아치과학회지
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• 제31권1호
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• pp.19-25
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• 2004

치과적 장애인이란 치과진료 시 치과의사에게 자발적인 협조가 힘든 사람을 의미한다. 본 연구는 서울대학 치과병원 장애인진료실에서 치료받은 치과적 장애인 환자들의 임상진료 실태를 마취과적으로 분석하고 향후 장애인 치과치료에 대한 지침을 마련하고자 하였다. 1999년 1월부터 2002년 10월까지 서울대학교 치과병원 장애인진료실에 내원한 장애인 환자들을 대상으로 조사한 결과, 총 89명의 환자들에게 93건의 치과진료가 시행되었다. 환자의 대다수는 정신지체였고 전신마취 하 보존치료를 받았다. 주로 마취유도제는 thiopental, 근이완제는 vecuronium을 이용하였으며 산소, 아산화질소, enflurane을 함께 흡입시켜 마취를 유지하였다. 총 마취지속시간과 회복실 체류시간은 각각 $164.4{\pm}57.2$ 분과 $106.2{\pm}50.5$ 분이었고 회복 과정에서 심각한 합병증은 관찰되지 않았다. 본 연구는 외래환자마취에 기반한 서울대학교 치과병원 장애인진료실의 치료방침에 따라 특별한 문제없이 성공적인 마취가 가능하였음을 보여 주었다. 또한 증가하는 장애인 치과치료에 대한 수요를 충족시키기 위해서 적절한 시설과 인력을 갖춘 보다 맡은 외래환자마취 센터의 필요성도 제시한다고 할 수 있다.

• 대한치과의사협회지
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• 제58권8호
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• pp.476-485
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• 2020

The purpose of this study was to analyze the color distribution of the maxillary primary central and lateral incisors using a dental spectrophotometer. Color measurements of maxillary primary central and lateral incisors of 32 pediatric patients aged 2 to 6 years were performed using SpectroShade Handy Dental Type 713000 (Serial No. HDL2678, MHT, Verona, Italy) by one researcher in the same clinic. CIE L*, a*, b* values of total surfaces and cervical, middle, incisal region were recorded. L* values were higher and a* values were lower in the primary central incisors than those in primary lateral incisors, but b* values didn't show statistical difference. L* values of the middle region were the highest, and a* and b* values decreased from the cervical region to the incisal region. There were significant color differences between each region, and ΔE*_ab between each region were greater than ΔE*_ab between the primary central and lateral incisors. For esthetic restorations of primary incisors, it is necessary to consider the color differences between each region rather than those between the primary central and lateral incisors.

• 대한장애인치과학회지
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• 제10권2호
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• pp.101-105
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• 2014

Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.