論文

査読有り
2017年3月1日

Clinical analysis of analgesics and steroids use for extraction of teeth in patients with intellectual disability under general anesthesia

Open Dentistry Journal
  • Shigeru Maeda
  • ,
  • Yuka Honda
  • ,
  • Hiroshi Tanimura
  • ,
  • Yumiko Tomoyasu
  • ,
  • Hitoshi Higuchi
  • ,
  • Naomichi Murata
  • ,
  • Masahiko Egusa
  • ,
  • Takuya Miyawaki

11
開始ページ
181
終了ページ
186
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2174/1874210601711010181
出版者・発行元
Bentham Science Publishers B.V.

Background: The extraction of lower wisdom teeth is often performed under general anesthesia in patients with intellectual disabilities. However, the choice of analgesics has not yet been investigated. Objective: To analyze the use of analgesics during general anesthesia for extraction including lower wisdom teeth in patients with intellectual disabilities. Methods: This research is a retrospective observational study. The study population was composed of all patients presenting for extraction of lower wisdom teeth under ambulatory general anesthesia in the clinic of Special Needs Dentistry in Okayama University Hospital from April 2011 to March 2016. The distribution of the combination of analgesics and the relationship between the use of analgesics and the type of extraction were investigated. Results: One hundred and twelve cases were enrolled in this study. Intravenous injections of flurbiprofen, acetaminophen and betamethasone were used in 96 (85.7%), 12 (10.7%) and 26 cases (23.2%), respectively. Flurbiprofen is a non-steroid anti-inflammatory drugs (NSAIDs). Acetaminophen is an old analgesic, but an injection of acetaminophen is new, which was released in 2013 in Japan. And betamethasone is not an analgesic, but a steroid. Betamethasone was used in combination with other analgesics, and was used at a higher dose in a case in which four wisdom teeth were extracted. Conclusion: Flurbiprofen was the main analgesic used for extraction of wisdom teeth under general anesthesia in patients with intellectual disabilities. Betamethasone was used to support flurbiprofen or acetaminophen for extractions of multiple wisdom teeth, with the aim of controlling swelling rather than relieving pain.

リンク情報
DOI
https://doi.org/10.2174/1874210601711010181
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28567142

エクスポート
BibTeX RIS