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구역반사가 심한 환자의 임플란트 치료에서 프로포폴과 미다졸람을 이용한 정주진정법 -증례 보고-
Intravenous Sedation using Propofol and Midazolam in The Exaggerated Gag Reflex Patient’s Dental Implant Treatment -A Case Report-

대한치과마취과학회지 2010년 10권 1호 p.27 ~ 33

오세리, 이준,

소속 상세정보

오세리 ( O Se-Ri ) - 원광대학교 대전치과병원 구강악안면외과
이준 ( Lee Jun ) - 원광대학교 대전치과병원 구강악안면외과

KMID : 0980220100100010027

Abstract

The gag reflex is a physiologic reaction which safeguards the airway from foreign bodies. But, an exaggerated gag reflex can be a severe limitation to a patient’s ability to accept dental care and for a clinician’s ability to provide it. The overactive gag reflex can be due to psychological factors or physiological factors, or both. Psychological factors can include fear of loss of control and past traumatic experiences. A 58-year-old man, scheduled for extraction of left upper second molar, left lower second and third molar and implantation of left upper second molar, and left lower second molar had no specific underlying medical problems. He had exaggerated gag reflex. Dental treatment was successfully performed using intravenous sedation. Intravenous sedation with midazolam and propofol was a useful management technique for reflex control during dental treatment extended to the posterior regions in the oral cavity.