University of California San Francisco における日帰り全身麻酔下歯科治療の実態

DOI 被引用文献1件
  • 福田 理
    愛知学院大学歯学部小児歯科学講座
  • Braham Raymond L.
    Department of Growth and Development, Division of Pediatric Dentistry, School of Dentistry, University of California, San Francisco
  • 黒須 一夫
    愛知学院大学歯学部小児歯科学講座

書誌事項

タイトル別名
  • A Survey of Dental Treatment under the General Anesthesia in Same Day Cases of the Pediatric Dentistry at the University of California, San Francisco

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The ambulatory surgery center of the University California San Francisco (UCSF) was established in 1987. Dental procedures are one of the common cases in the surgery center. The purpose of this study was to investigate the characteristics of out-patients and dental treatment under general anesthesia of Pediatric Dentistry at the UCSF Surgery Center.<BR>One hundred and fifty-six outpatients who received dental treatment under general anesthesia by a pedodontist at the UCSF Surgery Center from May 1990to August 1992 are included in this study. The data were obtained from the patient's clinical and operative record cards. The data of patients were distributed into three groups. The first group was composed of normal healthy children (Normal group), the second group of the patients with major medical problems (Medical Problem group), and the third group of mentally handicapped patients (Handicapped group).<BR>The results were as follows; The largest size group was the normal group including 97 patients(62.2%), and the next size group was the handicapped group (37 patients,23.7%). The smallest size group was the medical problem group including 22 patients(14.1%). The youngest average age among the three groups was 3.3 years (±1.2 years) in normal group. The average age of the medical problem group was 5.0 years (±2.4 years) and that of the handicapped group was 10.4 years (±7.5 years).<BR>The medical problem group had major problems such as heart disease(7patients,31.8%), hemophilia(6 patients,27.3%) and leukemia(4 patients,18.2%). The handicapped group included mental retardation, cerebral palsy and autistic patients. Ten patients(27.0%) of the handicapped group suffered from major medical problems. The problems was heart disease.<BR>The average number of the total treated teeth per person was 10.3 in the normal group,9.5 in the medical problem group and 7.6 in the handicapped group. The ratio of the restorative teeth of the normal and medical problem groups was higher than that of the handicapped group. While the ratio of tooth extraction of the handicapped group was higher than that of the normal and medical problem groups, in some patients of the handicapped group, ambulatory general anesthesia was applied for deep scaling(11 cases) and/or gingiver ectomy(8 cases) as the main procedure.<BR>Approximately 78% of the cases finished all of the procedure in the operating room within 2 hours, and moved to the recovery room. All cases were able to return to their homes with stable condition and did not suffer from any major adverse effects at home.<BR>The authors are very grateful to Dr. Martin S. Bogetz, M. D. for allowing us to use statistical data from the U. C. S. F. Surgery Center.

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