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Updated: Sep 9, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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小児歯科患者のモハン・スケールの改変を用いた全身麻酔と吸入による鎮静の必要性の評価
Sriram Swetha1, Bagmar R Mehul1, Jayakumar Priya1
1Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600 116, Tamil Nadu, India.
Journal of oral biology and craniofacial research
|September 2, 2025
まとめ
改変されたモハンスケールは,非協力的な小児歯科患者のために,全身麻酔 (GA) と吸入鎮静 (IS) の間の決定を効果的に導く. このツールは臨床医が 最も適切な行動管理技術を 選択するのに役立ちます
科学分野:
- 小児歯科
- 歯科麻酔
- 行動管理
背景:
- 子供の歯科治療の成功には 効果的な行動管理が不可欠です
- 一般麻酔 (GA) と吸入鎮静 (IS) は一般的ですが,客観的な選択基準が必要です.
- 協力しない子供に対して 最適なアプローチを決めるには 客観的なツールが必要です
研究 の 目的:
- 小児歯科患者のGAとISの選択におけるモハンスケールの有効性を評価する.
- スケールが臨床的意思決定に 構造的な方法を提供しているかどうかを判断する.
主な方法:
- 30人の子ども (3~6歳) がモハンスケールで評価された.
- このスケールには,ASA分類,治療の複雑さ,歯の数,行動,親の要因,フランクルスケールが含まれています.
- マン・ホイットニーUテストで GAとISのグループを比較した.
主要な成果:
- GA群とIS群の間で,モハンスケールの合計スコアで有意な差異が観察された (p=0,0001).
- 治療の複雑性 (p=0. 011) と放射線行動 (p=0. 029) のサブスケール変動は,GAの必要性が高いことを示した.
- 高いスコアはGAの需要の増加と相関する.
結論:
- 改変されたモハンスケールは,小児歯科におけるGAとISの選択を導くための一貫したツールとしての可能性を示しています.
- このスケールは,臨床的意思決定と治療計画を支援します.
- 検証のために,より大きなサンプルを用いたさらなる研究が推奨されます.
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