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.