치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 대한 실태 조사
The survey on foreign body ingestion and aspiration during the dental prosthetic treatment
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목적: 치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 관한 치과의사의 경험 및 인식을 조사함으로써 그 실태를 연구하고자 하였다. 연구 재료 및 방법: 대전, 충청 지역에 있는 108개 치과 의료 기관에 근무하는 치과의사 157명을 대상으로 설문조사를 시행하여, 빈도분석을 시행하였다. 설문 대상자의 일반적 특성에 따라 환자의 이물질 삼킴과 흡인의 경험 여부에 차이가 있는지 알기 위해 카이제곱 검정을 시행하였고, 관련 교육 이수 여부에 따른 인식도 차이를 알기 위해 독립표본 t-검정을 시행하였다. 결과: 환자의 구강 내에 이물질을 떨어뜨린 경험이 있는 응답자는 99.4%이었고, 환자의 이물질 삼킴과 흡인 경험이 있는 응답자는 53.5%이었다. 여성보다 남성에서, 근무 경력이 길수록, 전문의보다 일반의에서 환자의 이물질 삼킴과 흡인의 경험 빈도가 높았다(P < .05). 관련된 교육을 이수한 응답자는 50.3%이었다. 관련 교육을 이수했을 때 걱정 정도가 작고, 상황에 대한 대처 자신감이 높았으나, 추후 교육을 이수할 의향은 낮게 나타났다 (P < .05). 결론: 일반치료보다 보철치료를 할 때 이물질 떨어뜨림이 16% 더 높게 나타났다. 치과의사의 53.5%는 환자의 이물질 삼킴과 흡인이 발생한 경험이 있었고, 이 중 이물질 삼킴은 92.9%, 흡인은 7.1%이었다.
Abstract
Purpose: This study was to investigate the dentists’ experience and awareness of foreign body ingestion and aspiration during dental prosthetic treatment. Materials and Methods: A survey of 157 dentists working at 108 dental institutions in Daejeon and Chungcheong provinces was carried out and frequency analysis was conducted. Chi-square test was conducted to find out the difference between the sociodemographic data and experience of foreign body ingestion and aspiration of patients and independent sample t-test was conducted to find out the difference in awareness depending on whether receiving related education. Results: The percentage of dentists experiencing dropping foreign body into patients’ oral cavity was 99.4% and the percentage of dentists experiencing foreign body ingestion and aspiration of patients was 53.5%. There were more dentists who experienced foreign body ingestion and aspiration of patients in male than female, longer working career, and general practitioners than specialists (P < .05). 50.3% of the respondents received related education. When they receive related education, they had low degree of concern, high confidence in coping with situations, and low willingness to receive education in the future (P < .05). Conclusion: The percentage of foreign body dropping was 16% higher in prosthetic treatment than general treatment. The percentage of dentists with experience of foreign body ingestion and aspiration of patients was 53.5%. Among them, 92.9% experienced foreign body ingestion of patients and 7.1% of them experienced foreign body aspiration of patients.
참고문헌 (29)
- 전한솔, "치과 치료에서 발생하는 이물질의 삼킴과 흡인의 예방과 대처", 구강회복응용과학지, 34(2), pp.63~71 (2018), 대한턱관절교합학회[DOI]
- Kim SH, "Foreign body ingestion during dental treatment in pediatric patient", J Korean Assoc Dis Oral Health, 7, pp.29~32 (2011)
- 박원서, "치과에서의 이물흡인 -증례분석-", Journal of Dental Anesthesia and Pain Medicine, 11(1), pp.38~44 (2011), 대한치과마취과학회
- Susini G, "Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population", Int Endod J, 40, pp.585~589 (2007)
- Kitagawa J, "Facilitation of reflex swallowing from the pharynx and larynx", J Oral Sci, 51, pp.167~171 (2009)
- "2022 Statistics on the aged" (2022)[URL]
- Marcus SE, "Tooth retention and tooth loss in the permanent dentition of adults : United States, 1988-1991", J Dent Res, 75, pp.684~695 (1996)
- 류재인, "노인의 치과임플란트 건강보험 급여 이용률 현황", 대한치과의사협회지, 57(9), pp.496~503 (2019), 대한치과의사협회[DOI]
- Arana Ribeiro J, "Dental implant screwdriver aspiration", Pulmonology, 28, pp.239~240 (2022)
- Santos Tde S, "Foreign body ingestion during dental implant procedures", J Craniofac Surg, 23, pp.119~123 (2012)
- 조경아, "The Survey of Dentists: Updated Knowledge about Basic Life support and Experiences of Dental Emergency in Korea", Journal of Dental Anesthesia and Pain Medicine, 14(1), pp.17~27 (2014), 대한치과마취과학회
- Nishino T, "Swallowing as a protective reflex for the upper respiratory tract", Anesthesiology, 79, pp.588~601 (1993)
- 백민관, "두경부암 환자에서 기도 흡인의 예방과 치료를 위한 수술 전략", 대한후두음성언어의학회지, 29(1), pp.9~13 (2018), 대한후두음성언어의학회
- Hisanaga R, "Survey of accidental ingestion and aspiration at Tokyo Dental College Chiba Hospital", Bull Tokyo Dent Coll, 51, pp.95~101 (2010)
- Obinata K, "An investigation of accidental ingestion during dental procedures", J Oral Sci, 53, pp.495~500 (2011)
- Hou R, "Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary : review and analysis of 617 cases", Head Face Med, 12, pp.23~ (2016)
- 허지선, "Foreign body aspiration and ingestion in dental clinic: a seven-year retrospective study", Journal of Dental Anesthesia and Pain Medicine, 22(3), pp.187~195 (2022), 대한치과마취과학회[DOI]
- Parolia A, "Management of foreign body aspiration or ingestion in dentistry", Kathmandu Univ Med J, 7, pp.165~171 (2009)
- Hisanaga R, "Accidental ingestion or aspiration of foreign objects at Tokyo Dental College Chiba Hospital over last 4 years", Bull Tokyo Dent Coll, 55, pp.55~62 (2014)
- 박진우, "노화에 따른 연하기능의 변화", 대한연하장애학회지, 3(1), pp.17~19 (2013), 대한연하장애학회[DOI]
- Di Pede C, "Dysphagia in the elderly : focus on rehabilitation strategies", Aging Clin Exp Res, 28, pp.607~617 (2016)
- Cecconi E, "Dysphagia-pathophysiology, diagnosis and treatment", Front Neurol Neurosci, 30, pp.86~89 (2012)
- 손효진, "Prevalence and influencing factors of dysphagia in elderly patients", Oral Biology Research, 42(4), pp.208~215 (2018), 치의학연구원[DOI]
- Zitmann NU, "Foreign body ingestion and aspiration", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 88, pp.657~660 (1999)
- Limpias Kamiya KJ, "Endoscopic removal of foreign bodies : A retrospective study in Japan", World J Gastrointest Endosc, 12, pp.33~41 (2020)
- 손영진, "치과 치료와 관련된 기도내 이물질 흡인", 대한치과의사협회지, 50(12), pp.755~762 (2012), 대한치과의사협회[DOI]
- "Accidental ingestion of dental materials:treatment and prevention" (2022)[URL]
- 허진영, "Foreign body aspirations in dental clinics: a narrative review", Journal of Dental Anesthesia and Pain Medicine, 22(3), pp.161~174 (2022), 대한치과마취과학회[DOI]
- Yong-Seo Kim, "The prevention of accidental aspiration or swallowing small instruments during implant treatment", Oral Biology Research, 43(1), pp.95~102 (2019), 치의학연구원[DOI]