The Japanese Journal of Pediatric Dentistry
Online ISSN : 2186-5078
Print ISSN : 0583-1199
ISSN-L : 0583-1199
Fluctuations in the Pulse Rates and SpO2 during Dental Treatment of the Children under Restraint
Kazuhiro ShimamuraHiroki HaruyamaNorihisa AizawaMikihiko YagiHiromi YamauchiYasuo Suzuki
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2005 Volume 43 Issue 5 Pages 613-618

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Abstract
The aim of this study was to assess the effects of the respiration and circulation of child patients during restraint dental treatment. The subjects were divided into the non-restraint group (19 child patients) and the restraint group (16 child patients).
The pulse rates (P. R. ) and percutaneous oxygen saturation (SpO2) were measured with a pulse oximeter during dental treatment, and the maximum, and minimum values as well as the difference between the maximum and minimum (Δ) were compared between the non-restraint and restraint groups.
Based on the results, it was found that the maximum P. R. and ΔP. R. of the restraint group were higher than those of the non-restraint group with a statistical significance (P<0.0005), the minimum SpO2 of the restraint group was lower than that of the non-restraint group with a statistical significance of (P<0.05), the ΔSpO2 of the restraint group was higher than that of the non-restraint group with a statistical significance of (P<0.02).
These results suggest that careful observation of the patient and the monitoring with a pulse oximeter during dental treatment under restraint are necessary, because respiration and circulation can fluctuate considerably.
For the high-risk cases dental treatment under general anesthesia that is preferred to dental treatment under restraint.
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© The Japanese Society of Pediatric Dentistry
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