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KMID : 1146620200090020043
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Journal of Korean Academy of Advanced General Dentistry
2020 Volume.9 No. 2 p.43 ~ p.47
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Survey of Dental Treatment under Intravenous Sedation for Patients with Exaggerated Gag Reflex in Korean University Hospital
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Shin Soo-Il
Kim Seung-Oh
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Abstract
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Background: The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation for suppressing exaggerated gag reflex (EGR) at Dankook University Dental Hospital (DUDH) in Korea. And it was written to provide dentists information that dental treatment under IV sedation for relieve the EGR.
Methods: Retrospective analysis was performed on 457 cases of patients who had received dental treatments under IV sedation between January 2012 and March 2018. 90 cases of patients received dental treatment under IV sedation for relieve the EGR. The analysis examined the patient’s sex, age, onset and recovery time for IV sedation, type of dental treatment performed and annual trends.
Results: Patients with EGR have difficulty getting the dental treatment, IV sedation is often used to relieve EGR in some patients. The mean duration of IV sedation was 87.1 min, while the mean duration of treatment was 73.4 min. The onset and recovery time for IV sedation is in short, 10 min to 45 min, mean time is 13.7 min. Total number of patients were 90, the number of different types of dental treatment were 109. These included surgical treatment (n=28), periodontal treatment (n=15), prosthodontic treatment (n=30), restorative treatment (n=13), implant surgery (n=8), endodontic treatment (n=14), etc. (n=1).
Conclusions: The use of IV sedation for dental treatment with EGR provide more comfortable dental service, fewer side effects because of the fast onset and recovery time and lesser risk than general anesthesia. Dentists can secure sufficient dental time through IV sedation and provide various type of dental treatments during that time. IV sedation will be able to satisfy the needs of patients with EGR to receive dental treatment more comfortably, and when sufficient information about IV sedation is provided, its use is expected to expand in the future.
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KEYWORD
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Gag reflex, IV sedation, Retrospective analysis, Dental treatment
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