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Relationships between Respiratory Diseases and Safety of Pediatric Dental Sedation
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Á¤¿ìÁø:Chung Woo-Jin
Á¤Å¼º:Jeong Tae-Sung
KMID : 0358920150420040327
Abstract
¾î¸°ÀÌ¿Í Ã»¼Ò³âÀ» ´ë»óÀ¸·Î ÇÑ Ä¡°ú ÁøÁ¤¹ý¿¡¼ ȯÀÚ ¾ÈÀü°ú ¼º°øÀÇ ¿¼è´Â È£Èí±â »óÅÂ¿Í ¹ÐÁ¢ÇÏ°Ô ¿¬°üµÇ¾î ÀÖ´Ù. ¼Ò¾ÆÄ¡°úÀÇ Æ¯º°ÇÑ »óȲ - ¶È¹Ù·Î ´©¿î ÀÚ¼¼¿¡¼ ·¯¹ö´ïÀ¸·Î ±¸° Ãø ±âµµ°¡ Á¦ÇÑ µÈ »óÅÂ-ÇÏ¿¡¼ ÄڷΠȣÈíÇÔÀ» °í·ÁÇØ¾ß ÇÑ´Ù. µû¶ó¼ ¼Ò¾ÆÄ¡°úÀÇ»ç´Â ÀÇ°úÀû ÀÚ¹®À̳ª Æò°¡¿Í º°µµ·Î, ½º½º·Î ÀÌ·¯ÇÑ »óȲÇÏ¿¡¼ ȯÀÚÀÇ È£Èí±âÀû Æò°¡¸¦ ÇÒ ÇÊ¿ä°¡ ÀÖ´Ù. ƯÈ÷, ¾Æµ¥³ëÀÌµå ºñ´ë, ÄÚ¸·Èû, Èĺñ·ç¿Í ±âµµ°ú¹Î µîÀÇ »óȲÀ» Æò°¡ÇÏ´Â °ÍÀÌ Áß¿äÇÏ´Ù. ºÎºñµ¿¿°, ¾Ë·¹¸£±â ºñ¿°, õ½Ä, ÄÚ°ñÀÌ¿Í Æó¼â¼º ¼ö¸é ¹«È£Èí ÁõÈıº µîÀÌ Àִ ȯÀÚ´Â ÁøÁ¤ ½ÇÆи¦ ÃÊ·¡ÇÒ °¡´É¼ºÀÌ ÀÖÀ¸¹Ç·Î, ÁúȯÀ̳ª Áõ»ó¿¡ ´ëÇÑ È®½ÇÇÑ Á¶ÀýÀ» ÅëÇÏ¿© Ä¡°ú ÁøÁ¤¹ýÀÇ ¾ÈÀü¼ºÀ» ´õ¿í ÁõÁø ½Ãų ¼ö ÀÖÀ» °ÍÀÌ´Ù.¤¸
The safety and success of dental sedation for children depend mainly on respiratory status of patients. A special condition, that is, nasal breathing in supine position with their oral airway blocked by rubber dam, should be considered. Therefore, irrespective of medical consultation, pediatric dentists themselves should do respiratory assessment especially adenotonsillar hypertrophy, nasal obstruction, posterior nasal drainage and airway hypersensitivity. Patients with sinusitis, allergic rhinitis, asthma, snoring and OSAS(obstructive sleep apnea syndrome) can induce the sedation failure and complete management of these can improve the safety of dental sedation.
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ȯÀÚ ¾ÈÀü; Ä¡°ú ÁøÁ¤¹ý; È£Èí±âÀû Æò°¡
Safety; Dental Sedation; Respiratory Assessment
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