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KMID : 1144020140100020106
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Journal of Korean Association for Disability and Oral Health
2014 Volume.10 No. 2 p.106 ~ p.113
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CARE OF ANXIETY DISORDER AND HYPERVENTILATION DURING REFRACTORY TOOTH EXTRACTION IN A PSYCHOLOGIC DISABLED PATIENT
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Oh Ji-Hyeon
Yoo Jae-Ha
Kim Jong-Bae
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Abstract
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Hyperventilation is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, bleeding, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, a hyperventilation were occurred during the surgical extraction of impacted third molar with pericoronitis. We suggest that the dental patients with anxiety disorder must be attention for the manifestation of hyperventilation, especially in the psychologic disabled patient.
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KEYWORD
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Anxiety disorder, Dental fears, Hyperventilation, Surgical extraction
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