The change of vital signs in steps when it is extracted a third molor of mandible

Oh, Hae Soo; Kang, Hee In; Choi, Bin; Park, Jun Woo; Sin, Sung Soo; Choi, Je Won; Lee, Sun Keun; Kim, Mi Ja

Abstract

PURPOSE
The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS: A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men , 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories, "Means"and "Tendency". The "Means"is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, "Tendency"is changes of vital signs in comparison with step1 during operation. RESULT: This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency"will present a sudden changes of vital signs and it can lead to more safe treatment.
CONCLUSION
Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means"and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.