Evaluation of dental status using a questionnaire before administration of general anesthesia for the prevention of dental injuries
이경진, 김서열, 박경미, 양수진, 김기덕, 박원서,
소속 상세정보
이경진 ( Lee Kyung-Jin ) - Yonsei University College of Medicine Yongin Severance Hospital Department of Advanced General Dentistry
김서열 ( Kim Seo-Yul ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
박경미 ( Park Kyeong-Mee ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
양수진 ( Yang Su-Jin ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
김기덕 ( Kim Kee-Deog ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
박원서 ( Park Won-Se ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
Abstract
Background: Dental evaluation and protection are important for preventing traumatic dental injuries when patients are under general anesthesia. The objective of the present study was to develop a questionnaire based on dentition-related risk factors that could serve as a valuable tool for dental evaluation and documentation.
Methods: We developed a questionnaire for dental evaluation before administration of general anesthesia, investigated the association between patient-and-dentist responses and mouthguard fabrication, and assessed response agreement between 100 patients.
Results: Protective mouthguards were fabricated for 27 patients who were identified as having a high risk of dental injury. There was a strong association between dentists’ responses and mouthguard fabrication, depending on the general oral health status, use of ceramic prosthesis, presence of masticatory pain related to periodontal diseases, gingival edema, and implants (P < 0.05). Response agreement between patients and dentists for items related to dental pain, loss of dental pulp vitality, root canal therapy, dental trauma, aesthetic prosthesis, tooth mobility, and implant prosthesis was high (Cohen’s kappa coefficient κ ≥ 0.6).
Conclusions: A high agreement was observed between patient-dentist responses and a strong association with mouthguard fabrication for items pertaining to ceramic prosthesis, masticatory pain, and dental implants. Patients with a “yes” response to these items are recommended to undergo a dental evaluation and use a dental protective device while under general anesthesia.
키워드
Anesthesia, General; Mouth Protectors; Surveys and Questionnaires
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