전신질환자에서 과도한 감염치아 발치시 스트레스 감소법 : 문헌적 고찰 및 증례보고

• 영문명: STRESS REDUCTION PROTOCOL FOR PROPER EXTRACTION OF ADVANCED INFECTED TEETH IN MEDICALLY COMPROMISED PATIENTS : REVIEW OF LITERATURE & REPORT OF CASES
• 발행기관: 대한구강악안면외과학회
• 저자명: 유재하(Jae Ha Yoo) 최병호(Byung Ho Choi) 홍순재(Soon Jae Hong) 남웅(Woong Nam) 김종배(Jong Bae Kim) 윤정훈(Jung Hoon Yoon)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제26권 제1호, 85~92쪽, 전체 8쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2000.02.28

영문 초록

Common dental procedures(dental extraction & minor operation) are potentially stress-inducing in many patients, especially medically compromised patients. The body’s 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 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 Though the stress reduction protocol above was applied to the dental extraction in medically compromised patients with the advanced infected teeth, the final responsibility for the complications(syncope, bleeding & infection, etc.) in a patient rests with the dentist who ultimately treats him. For the prevention of postextraction complications & poor prognosis, the authors treated the advanced infected teeth with the pulp extirpation, opening drainage through the canal and complete occlusal reduction. The final extraction and wound closure were then done after 1~2 weeks. The final prognosis was comfortable without common complications.

목차

Abstract

Ⅰ. 서론

Ⅱ. 문헌적 고찰

Ⅲ. 증례보고

Ⅳ. 총괄 및 고찰

Ⅴ. 결론

참고문헌

키워드

medically compromised patient endodontic drainage & extraction stress reduction protocol