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KMID : 1144020110070020107
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Journal of Korean Association for Disability and Oral Health
2011 Volume.7 No. 2 p.107 ~ p.114
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EFFECT OF DRAINAGE AS A STRESS REDUCTION METHOD BEFORE EXTRACTION OF ADVANCED INFECTED TEETH IN DISABLED PATIENTS : REVIEW OF LITERATURE & REPORT OF CASES
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Yoo Jae-Ha
Choi Byung-Ho
Lee Chun-Ui
Kim Jong-Bae
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Abstract
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Dental extraction is potentially stress-inducing in many disabled patient. The body’s response to dental stress involves the cardiovascular system(an increase in cardiovascular workload), the respiratory organ and the endocrine system(change in metabolism). To minimize the stress, the stress reduction method was established. The obtained contents were as follows: (1) Recognize the patient’s degree of medical risk, (2) Complete medical consultation before dental therapy, (3) Schedule the patient’s appointment in the morning, (4) Monitor and record preoperative and postoperative vital signs, (5) Use psychosedation during therapy, (6) Use adequate pain control during therapy, (7) Short length of appointment : do not exceed the patient’s limits of tolerance, (8) Follow up with postoperative pain/anxiety control, (9) Telephone the risk patient later on the same day that treatment was given. Though the stress reduction method above was applied to the dental extraction in disabled patients with the advanced infected teeth, the complications(syncope, shock, bleeding & infection, etc.) may be occurred. For prevention of complications associated with the extraction, the authors treated the advanced infected teeth with endodontic drainage and incision & drainage before extraction. The final extraction and wound closure were then done after about 3 weeks.
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KEYWORD
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Disabled patient, Endodontic drainage & extraction, Incision & drainage, Stress reduction method
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