EFFECTS OF CHILDREN'S TONSIL SIZE ON THE BEHAVIOR DURING PEDIATRIC DENTAL SEDATION

Kim, Hyeonji; Baek, Kwangwoo; Mah, Yon-Joo; Jung, Young-Jung

Journal of the Korean Academy of Pediatric Dentistry 2010;37(3):338-344.
Published online August 31, 2010.

EFFECTS OF CHILDREN'S TONSIL SIZE ON THE BEHAVIOR DURING PEDIATRIC DENTAL SEDATION

Hyeonji Kim¹, Kwangwoo Baek², Yon-Joo Mah³, Young-Jung Jung³

¹Department of Pediatric Dentistry, The Graduate School of Clinical Dentistry, Ewha Womans University, Logos Dental Clinic,
²Department of Dentistry, School of Medicine, Ajou University,
³Department of Dentistry, School of Medicine, Ewha Womans University

진정법을 이용한 치과치료 시 편도선의 크기가 행동에 미치는 영향

김현지¹, 백광우², 마연주³, 정영정³

¹이화여자대학교 임상치의학대학원, 소아치과학전공, 로고스치과의원
²아주대학교 의과대학 치과학교실
³이화여자대학교 의학전문대학원 치과학교실

Received: 26 March 2010 • Accepted: 22 July 2010

Abstract

The purpose of this study was to evaluate the effect of children's tonsil size on the behavior during pediatric dental sedation. The sedation records of thirty five children were examined in this study. All the sedations had been performed using chloral hydrate/hydroxyzine, nitrous oxide/oxygen or/and submucosal midazolam, and the subjects were divided into 4 groups according to their tonsil size using Brodsky's tonsil classification. The results were as follows: 1. The patients with enlarged tonsils showed negative behaviors in all behavior rating aspects(sleep, movement, crying, overall behavior) during sedation than those with normal tonsils(p<0.05). 2. Enlarged tonsils were correlated with mouth breathing(p<0.05) but not with snoring and coughing(p>0.05) during sedation. 3. For the patients with enlarged tonsils, significantly higher doses of midazolam were administered during sedation than for those with normal tonsils(p<0.05).

Key Words: Tonsil, Sedation, Behavior, Mouth breathing, Midazolam