경련성 질환을 가진 장애 아동에서 치아로 추정되는 이물질 흡인에 의한 폐렴
Pneumonia due to tooth-like foreign body aspiration in a child with seizure disorder
박민지, 이고은, 이제호,
소속 상세정보
박민지 ( Park Min-Ji ) - 연세대학교 치과대학 소아치과학교실
이고은 ( Lee Ko-Eun ) - 연세대학교 치과대학 소아치과학교실
이제호 ( Lee Jae-Ho ) - 연세대학교 치과대학 소아치과학교실
Abstract
Aspiration of tooth can occur not only during dental treatment, but also due to factors like trauma or physiologic exfoliation of primary tooth. If this occurs, complications such as fever, cough, dyspnea, pain, and bronchitis can be appeared. 9 years-old girl with Lennox-Gastau syndrome visited the dental clinic for regular checkups. Calcified tooth-like material was observed in the chest PA x-ray, and maxillary left primary first molar was not observed in the patient’s oral cavity. She had a history of hospitalization for pneumonia two months ago. Because it was considered that the tooth was likely to be aspirated and caused pneumonia, the extraction of remaining primary teeth with mobility was performed. It is necessary to reduce the risk of aspiration in patient with disabilities by performing active treatment such as removal of primary tooth with mobility or ill-fitting restorations.
키워드
Aspiration; Disabled patient; Active treatment
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