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전신질환자에서 과도한 감염치아부 국소마취시 스트레스 감소법 : 문헌적 고찰 및 증례보고
Stress Reduction Protocol for Proper Local Anesthesia of Advanced Infected Teeth in Medically Compromised Patients -Review of Literature & Report of Cases-

대한치과마취과학회지 2008년 8권 1호 p.1 ~ 9

유재하, 최병호, 설성한, 김하랑, 모동엽,

소속 상세정보

유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 원주의과대학 치과학교실
설성한 ( Seol Seong-Han ) - 연세대학교 치과대학 구강악안면외과학교실
김하랑 ( Kim Ha-Rang ) - 연세대학교 치과대학 구강악안면외과학교실
모동엽 ( Mo Dong-Yub ) - 연세대학교 치과대학 구강악안면외과학교실

KMID : 0980220080080010001

Abstract

Common dental procedures (local anesthesia and dental treatment) are potentially stress-inducing in many patients, especially medically compromised patients. The body response to dental stress involves the cardiovascular system (an increase in cardiovascular workload), the respiratory organ and the endocrine system (change in metabolism). To minimize the stress to the medical risk patient, the stress reduction protocol was established. The obtained contents were as follows: (1) Recognize the patient’s degree of medical risk (2) Complete medical consultation before dental therapy (3) Schedule the patient’s appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Use psychosedation during therapy (6) Use adequate pain control during therapy (7) Short length of appointment: do not exceed the patient’s limits of tolerance (8) Follow up with postoperative pain/anxiety control (9) Telephone the higher medical risk patient later on the same day that treatment was given. This protocol is predicated on the belief that the prevention of or reduction of stress ought to begin before the start of an appointment, continue throughout treatment, and, if indicated, into the postoperative period. The authors used the stress reduction protocol in the care of local anesthesia infected teeth in medically compromised patients. The final prognosis was comfortable without any complications.