当院障害者歯科における初診患者への静脈内鎮静法・全身麻酔法の適用について

概要

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The current state of the application of intravenous sedation (IVS) and general anesthesia (GA) to the disabled patients in our clinic was investigated from the clinical records. The subjects of this study consisted of 735 patients (389 males and 346 females) who initially visited Fukuoka Dental College Medical and Dental Hospital during recent 8 years from April 2001 to March 2009. 196 patients were 0-9 years of age at their first visit, 134 were 10-19 years of age and 124 were 20-29 years of age. IVS was applied to 37 patients and GA was applied to 72 patients during the investigation period. IVS was applied to 45.5% of the patients having a gagging reflex and 28.9% of the patients with a dental phobia. The patients with other disorders rarely underwent IVS. GA was applied to 18.4% of the autism patients, 15.2% of the cerebral palsy patients and 13.2% of the patients with mental retardation. The application rate of IVS and GA to the disabled patients represents the relative difficulty in managing behavioral problems and the tendency or criteria to choose management techniques in the dental practice of these patients. It may be useful to calculate the application rate when comparing the tendency or criteria for applying management techniques among different institutes.
2010-09-30