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MULTIDISCIPLINARY APPROACH FOR THE DENTAL TREATMENT OF A PATIENT HAVING TRACHEOSTOMY TUBE

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Abstract

º» Áõ·Ê¿¡¼­´Â Ưº°ÇÑ ÁÖÀÇ°¡ ÇÊ¿äÇÑ Àå¾ÖÀÎÀ» À§ÇÑ È¿À²ÀûÀÌ°í Àü¹®ÀûÀÎ ÀÇ·á Àü´ÞÀ» À§ÇØ ¿©·¯ °ú¿ÍÀÇ ÇùÀǸ¦ ÅëÇÑ Áø·á°¡ ÇÊ¿äÇÔÀ» ¾Ë¸®°í ÀÖ´Ù. ƯÈ÷ ±â°üÀý°³°üÀ» °¡Áø ȯÀÚÀÇ ¸¶Ãë°ü¸®¿Í Ä¡°úÄ¡·á¸¦ ½ÃÇàÇÔ¿¡ À־ Àü½Å»óÅ ¹× ±â°üÀý°³°ü¿¡ ´ëÇÑ ÀÌÇØ¿Í ÁÖÀÇ°¡ ÇÊ¿äÇÏ´Ù. 1. ÃæÄ¡Ä¡·á¸¦ ÁÖ¼Ò·Î ³»¿øÇÑ 22¼¼ ³²È¯¿¡¼­ ±â°ü³»»ð°üÀÇ È°¿ëÀ» ÅëÇØ Àü½Å¸¶Ãë ÇÏ¿¡¼­ Ä¡°úÄ¡·á¸¦ ¼º°øÀûÀ¸·Î Àü´ÞÇÏ¿´´Ù. 2. ȯÀÚ´Â ¹ßÀÛÀÇ À§Ç輺À» °¡Áö°í ÀÖ¾úÀ¸¸ç, ¾ÈÀüÇÑ Ä¡°úÄ¡·á¸¦ À§ÇØ Àü½Å¸¶Ã븦 ÇൿÁ¶ÀýÀÇ ¹æ¹ýÀ¸·Î ¼±ÅÃÇÏ¿´´Ù. 3. ±â°ü³»»ð°ü¿¡´Â ¿©·¯ Á¾·ù°¡ ÀÖÀ¸¸ç, ±× Áß Àü½Å¸¶Ãë ÇÏ¿¡ È£Èíº¸Á¶¸¦ ÇÒ ¼ö ÀÖ´Â Á¾·ù´Â Ä¿ÇÁ¸¦ °¡Áø, ÀÌÁß³»°­ÀÇ ÇüÅ·ΠµÈ °üÀÌ´Ù. µû¶ó¼­, ±â°ü³»»ð°üÀ» °¡Áø ȯÀÚ¿¡¼­ Àü½Å¸¶Ãë ÇÏ Ä¡°úÄ¡·á¸¦ ÁøÇàÇϱâ À§Çؼ­´Â ±â°ü³»»ð°üÀÇ ÇüÅ¿¡ ´ëÇÑ ÀûÀýÇÑ Æò°¡ ¹× óġ°¡ ¼±ÇàµÇ¾î¾ß ÇÑ´Ù.

A tracheostomy tube serves as airway management for patients whose respiration is impeded due to inflammation, tumor, or traumatic events. If the patients who have tracheostomy tube, visit dental clinic for dental treatments, we should consider the underlying general condition of patients and then make treatment plans according to their state. A 22-Year old male patient, who had tracheostomy tube on his neck, came to our department for comprehensive dental treatment. Mild mental retardation was observed and he was taking anti-convulsant drugs for the prevention of epileptic seizure. Multiple advanced dental caries, hopeless teeth, and impacted third molars were also observed by clinical and radiographic examination. Due to the risk of epileptic seizure and low cooperativity to tolerate the treatment, general anesthesia was recommended by physician, and the anti-convulsant drug was administrated during procedure. In this case, we aimed to report the multidisciplinary approach for the dental treatment of patient having a tracheostomy tube.

Å°¿öµå

Multidisciplinary approach; Tracheostomy tube

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