A Four-year Case Analysis of Dental Treatment with Office-Based Intravenous Sedation in Taiwan

在台灣使用靜脈注射鎮靜下的門診牙科治療四年案例分析

紀乃智(Nai-Chih Chi) ； 黃純德(Shun-Te Huang) ； 劉秀月(Hsiu-Yueh Liu) ； 范國棟(Kuo-Tung Fan) ； 謝尚廷(David Shang-Ting Hsieh)

《臺灣兒童牙醫學雜誌》 16卷2期 (2016/06) Pp. 39-45

https://doi.org/10.6319/TJPD.2016.16(2).1

摘要

背景：當病患年紀太小或是害怕牙科治療時，牙醫師會使用非藥物的行為管理方式，或是藥物的協助來完成治療，如鎮靜或是全身麻醉。目的：分析在靜脈注射鎮靜下完成牙科治療的內容。方法：這是從2011年到2015年在私人診所接受靜脈鎮靜下牙科治療的回顧性研究，分析在不同年齡層的治療時間與治療內容的差異性。結果：四歲的病人接受最多的牙髓治療，二歲與三歲的病人有較多的填補，七歲以上的病人被拔除最多的牙齒，三歲的病人接受最多科的牙齒治療。結論：這研究顯示靜脈注射鎮靜下的牙科治療如同全身麻醉下的牙科治療一樣有效率；但是治療結束後，鎮靜所需要的恢復時間較短。

並列摘要

Background: For children who are at a young age or fear for dental treatment, the dentists can use a non-pharmacologic method such as behavior management or some pharmacologic methods such as sedation, intravenous general anesthesia, and general anesthesia. Aim: To examine the association between the demographics of the children who undergo intravenous sedation and their dental treatment performance. Methods: This is a retrospective study in a private clinic. Between 2011 and 2015, 159 patients received dental treatment under intravenous sedation. The differences between numerical variables of social demography, time and dental treatment were analyzed using analysis of variance and two sample t-test and are presented as the mean and standard deviation. Results: The four-year-old patients received the most numbers of pulp therapy. The patients aged between two and three years old received a higher number of filling therapy while the patients who were older than seven years old received the highest number of extraction. The total number of treated teeth was the highest in the patients who were three years old. Conclusion: This study demonstrated that dental rehabilitation under intravenous sedation is effective and efficient as general anesthesia but takes less time to recover than the general anesthesia.