Journal of the Korean Academy of Pediatric Dentistry 2004;31(1):19-25.
Published online February 29, 2004.
ANALYSIS ON THE OUTPATIENT ANESTHESIA AT DENTAL CLINIC FOR DISABLED IN SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL
 
서울대학교 치과병원 장애인진료실의 외래환자마취 실태 분석
박창주, 정준민, 김현정, 장기택, 이상훈, 염광원
서울대학교 치과대학 소아치과학교실
Correspondence:  , 
Abstract
Dentally disabled person means one who have difficulty in cooperating voluntarily with a dentist for routine dental care. Seoul National University Dental Hospital (SNUDH) Dental Clinic for Disabled has worked for them under outpatient anesthesia concept. The aim of this study was to determine the anesthetic characteristics of the patients attending for dental treatment at SNUDH Dental Clinic for Disabled in order to establish better future treatment plans. The data were drawn from the patients who visited SNUDH Dental Clinic for Disabled from January 1999 to October 2002. Total 93 dental treatments for 83 patients were enrolled in this study. Most patients had mental retardation and the conservative treatments were carried out under general anesthesia. Thiopental and vecuronium were mostly used for induction agent and neuromuscular blocker, respectively. Enflurane, with oxygen and nitrous oxide, was mostly used to maintain the anesthesia. Mean total anesthetic time was 164.4±57.2 minutes and mean duration at the post-anesthetic care unit was 106.2±50.5 min. Serious postoperative complications were not observed. These results showed our successful anesthetic outcomes without any severe side effect or complication and the needs of more outpatient centers for dental care for disabled.
Key Words: Dental Care for Disabled, Dental Clinics, Outpatient Anesthesia


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