대한장애인치과학회지 (The Journal of Korea Assosiation for Disability and Oral Health)

  • 제14권1호
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  • Pages.26-30
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  • 2018
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  • 1738-8813(pISSN)
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  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
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경련성 질환을 가진 장애 아동에서 치아로 추정되는 이물질 흡인에 의한 폐렴

Pneumonia due to tooth-like foreign body aspiration in a child with seizure disorder

  • 박민지 (연세대학교 치과대학 소아치과학교실) ;
  • 이고은 (연세대학교 치과대학 소아치과학교실) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실)
  • Park, Minji (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Ko-Eun (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
  • 투고 : 2018.06.15
  • 심사 : 2018.06.25
  • 발행 : 2018.06.30
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초록

9세 레녹스-가스토 증후군을 앓고 있는 여아가 정기검진을 위해 연세대학교 치과대학병원 소아치과에 내원하였으며 구강 내 임상 검사 시 유견치 및 제1유구치의 동요도가 관찰되었다. 본과 내원 두 달 전 폐렴으로 인한 입원 및 치아로 추정되는 물질의 흡인 병력이 있었으며 치과에 내원했을 당시 구강 내에서 상악 좌측 제1유구치가 관찰되지 않았다. 해당 치아가 흡인되어 폐렴을 유발했을 가능성이 높은 것으로 판단하고 동요도가 있는 나머지 유치의 발치를 시행하였다. 인후 반사가 제한되어 흡인 위험성이 높은 장애 환자들에서는 치과 치료 상황 외에도 구강 내 이물질의 흡인이 일어날 수 있으므로 동요도가 있는 유치나 잘 맞지 않는 보철물 등을 예방적으로 제거하는 것이 흡인의 위험성을 줄일 수 있을 것으로 생각된다.

Aspiration of tooth can occur not only during dental treatment, but also due to factors like trauma or physiologic exfoliation of primary tooth. If this occurs, complications such as fever, cough, dyspnea, pain, and bronchitis can be appeared. 9 years-old girl with Lennox-Gastau syndrome visited the dental clinic for regular checkups. Calcified tooth-like material was observed in the chest PA x-ray, and maxillary left primary first molar was not observed in the patient's oral cavity. She had a history of hospitalization for pneumonia two months ago. Because it was considered that the tooth was likely to be aspirated and caused pneumonia, the extraction of remaining primary teeth with mobility was performed. It is necessary to reduce the risk of aspiration in patient with disabilities by performing active treatment such as removal of primary tooth with mobility or ill-fitting restorations.

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참고문헌

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