Abstract
A statistical study was made for the understand of the actual states in the management for the medically compromised patients at the clinic of dental anesthesia. The subjects were the patients who visited to our out-patient clinic as the request from the other clinics in the hospital for the evaluation of the present states or general care for the safety in the dental procedure, for the last 9 years (from April '85 to march '94).
Results were as follows:
1) The medically compromised patients were 44.8% (425 cases) among the total 1055 cases who were treated as the out-patients.
2) The ratio of male to female was 50.6% (215 cases) /49.4% (210 cases) which was appeared in no significantly deference. But the average of age was 56.4±15.3 year-old which was significantly higher than 27.3±17.2 year-old of those normal heaethy patients.
3) Among systemic diseases, both hypertension and cardiovascular diseases reached to 74.4%. And hypertensive patients were frequent complicated with multiple systemic diseases.
4) As the dental treatment, oral surgery including teeth extraction amounted to 78.7%.
5) The general management were made under N20 inhalation sedation or intravenous sedation with minor tranquilizers, monitoring cardiac and respiratory function, and SpO2.
6) In 121cases among patients with hypertension and cardiovascular diseases, positive treatment for hypertensive crisis was done during the operation using vasodilators such as diltiazem, nifedipine and nitroglycerine.
