장애인 환자에서의 전악 수복 증례
Full mouth rehabilitation for a disabled patient: a case report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
장애인치과는 비장애인과 별차이 없는 경증 장애인에서부터 질환의 진단이 쉽지 않고 전신관리의 필요에 따른 의학적인 전문성이 요구되거나 행동조절 및 치료의 어려움으로 특수기술과 장비를 필요로 하는 장애인까지 다양하다. 본 증례는 자폐성 장애를 갖은 25세 남자 환자로 구강위생관리가 잘 되지 않아 다수의 우식으로 전반적인 치료를 위해 내원하였다. 장애인 환자에 대한 정보 부족으로 인한 치료 계획 수립의 어려움 및 전신마취 하에서 시술의 어려움을 경험하며 장애인 치과치료시 충분한 상담과 기왕력 파악 후 적절한 치료가 필요할 것으로 사료되었다.
Abstract
The spectrum of physically challenged patients who visit to a dental clinic for treatments are diverse: from ones of mild disabilities, who lead their lives in a similar way of ordinary people, to others who suffer from diseases that are difficult to be diagnosed, and need medical expertise due to systemic care or special techniques and instruments because of behavior management and difficulty of treatments. The patient in this case was 25-year-old autistic male patient who visited the clinic on account of overall treatment for multiple carious lesions. He could perform normal daily life to some degree under the care of a guardian. This case report describes predicaments of making a treatment plan resulted from lack of information about disabled patients, and difficulties of proceeding treatment procedures under general anesthesia. It is considered that sufficient consultation and history taking are needed before treatment for disabled patients.
참고문헌 (19)
- Holt RD, "The use of general anaesthesia for tooth extraction in children in London: a multicentre study", Br Dent J, 173, pp.333~339 (1992)
- Nunn JH, "The dental health of mentally and physically handicapped children: a review of the literature", Community Dent Health, 4, pp.157~168 (1987)
- Manley MC, "Dental services for children with mental handicaps: policy changes and parental choices", Br Dent J, 167, pp.163~167 (1989)
- 서광석, "서울대학교치과병원 장애인진료실에서 전신마취 하 치과치료를 받은 환자의 장애 질환 및 협진 현황 조사", Journal of Dental Anesthesia and Pain Medicine, 6(2), pp.82~88 (2006), 대한치과마취과학회
- Solomon A, "Indications for dental anesthesia", Dent Clin North Am, 31, pp.75~80 (1987)
- Smith FK, "Outpatient anesthesia for children undergoing extensive dental treatment", ASDC J Dent Child, 45, pp.142~145 (1978)
- Ghezzi EM, "General anesthesia protocol for the dental patient: emphasis for older adults", Spec Care Dentist, 20, pp.81~92 (2000)
- Arvidson K, "A 3-year clinical study of Astra dental implants in the treatment of edentulous mandibles", Int J Oral Maxillofac Implants, 7, pp.321~329 (1992)
- Testori T, "A prospective multicenter clinical study of the Osseotite implant: four-year interim report", Int J Oral Maxillofac Implants, 16, pp.193~200 (2001)
- Gabre P, "Longitudinal study of dental caries, tooth mortality and interproximal bone loss in adults with intellectual disability", Eur J Oral Sci, 109, pp.20~26 (2001)
- Smith RA, "Risk factors associated with dental implants in healthy and medically compromised patients", Int J Oral Maxillofac Implants, 7, pp.367~372 (1992)
- Rogers JO, "Implant-stabilized complete mandibular denture for a patient with cerebral palsy", Dent Update, 22, pp.23~26 (1995)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2000), American Psychiatric Association
- Manley MC, "Dental services for children with mental handicaps: policy changes and parental choices", Br Dent J, 167, pp.163~167 (1989)
- Robertson JR, "Dental treatment with general anaesthesia for handicapped patients", Br Dent J, 134, pp.151~153 (1973)
- Limeres Posse J, "Pre-assessment of severely handicapped patients suitable of dental treatment under general anesthesia", Med Oral, 8, pp.353~360 (2003)
- Moon SY, "Dental treatment of psychiatric patients", Korean Assoc Disabil Oral Health, 2, pp.1~9 (2006)
- Fahy A, "Postanaesthetic morbidity in out-patients", Br J Anaesth, 41, pp.433~438 (1969)
- Kay KS, "Removable partial prosthodontics", pp.644~ (2007), Narae publishing Inc