J Dent Anesth Pain Med.  2016 Jun;16(2):123-129. 10.17245/jdapm.2016.16.2.123.

A survey of the intravenous sedation status in one provincial dental clinic center for the disabled in Korea

• Seok U
• Ji S
• Yoo S
• Kim J
• Kim S
• Kim J

• KMID: 2328855
• DOI: http://doi.org/10.17245/jdapm.2016.16.2.123

Abstract

BACKGROUND
The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results.
METHODS
Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends.
RESULTS
Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients.
CONCLUSIONS
With increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

Keyword

Disabled Patients; Intravenous sedation; Retrospective analysis

MeSH Terms

Adult
Anesthesia
Chungcheongnam-do
Dental Anxiety
Dental Clinics*
Dislocations
Humans
Korea*
Reflex
Retrospective Studies
Temporomandibular Joint

Figure

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  Fig. 1 Age distribution.

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  Fig. 2 Departments involved in dental treatment.

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  Fig. 3 Method trend.

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