Dental damage in anaesthesia

Milne, Andrew; Lockie, Jane

doi:10.1016/j.mpaic.2014.04.015

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Dental trauma management has been described to include accounting for all dental fragments, offering a full explanation and clear apology to the patient when sufficiently awake, and organizing urgent dental assessment [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Dental injury in anaesthesia: a tertiary hospital’s experience

et al. 2018

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BackgroundDental injury is a common perioperative complication, but there are no country specific data available, especially with the use of supraglottic airway devices (SAD). The aims of our study are to report the incidence, risk factors, and local practices in the management of perioperative dental injuries in Singapore.MethodsWe analyzed data from the departmental database from 2011 to 2014, noting the anticipated difficulty of airway instrumentation, intubation grade, pre-existing dental risk factors, location of dental trauma discovery, position of teeth injured and presence of dental referral. The risk factors for dental trauma were then identified using logistic regression (between 51 dental trauma patients and 55,107 patients without dental trauma).ResultsThe rate of dental injury was 0.092% for general anaesthesia cases. The most significant patient risk factor is the presence of pre-existing dental risk factors (OR 12.55). Anaesthetic risk factors include McGrath MAC usage (OR 2.51) and a Cormack and Lehane grade of 3 or more (OR 7.25). Most of the dental injuries were discovered in the operating theatre. 7 (13.7%) patients had SAD inserted and only 23 (45.1%) cases were referred to dental services.ConclusionVideolaryngoscopy with the McGrath MAC is associated with an increased likelihood of dental injury. This could be either because videolarygoscopes were used when increased risk of dental trauma was anticipated, or due to incorrect technique of laryngoscopy. Future studies should be done to establish the causality. The management of dental injuries could be improved with development of departmental guidelines.

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Section: Introductionmentioning

confidence: 99%

Dental injury in anaesthesia: a tertiary hospital’s experience

et al. 2018

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“…In order to avoid possible medicolegal disputes, several authors have suggested a systematic documentation of the pre-operative patients' dentition and of the associated accidents [4,7,8,[11][12][13]. Corroborating this need is the awareness that dental factors increase the susceptibility to trauma, accounting for 40% of injuries [14]. However, there are few publications on registration strategies that support the implementation of effective preoperative measures to prevent damage, namely through the laryngoscopy procedures.…”

Section: Introductionmentioning

confidence: 99%

Validation of a Suggested Pre-Operative Protocol for the Prevention of Traumatic Dental Injuries during Oroendotracheal Intubation: A Pilot Study

et al. 2023

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The aim of this study was to develop a protocol for oral pre-operative registration and dental risk assessment by the anaesthesiologist, determining its reliability through the inter-observer agreement between a senior dental student and an internal physician specializing in anaesthesiology. A convenience sample consisting of 35 patients was selected. These were observed during the anaesthesiology consultation, at Hospital de São João, Porto, Portugal. The protocol included a self-administered questionnaire and a brief clinical examination by the two observers. A descriptive analysis (qualitative and quantitative variables) was performed. The Fleiss Kappa index was used to measure the degree of agreement between the two observers. In most of the parameters defined, the agreement presented Kappa index values between 0.6 and 1, corresponding to good and excellent correlation, respectively. The general oral status was considered “poor”, with a great number of missing teeth, namely the upper central and lateral incisors. The proposed pre-anaesthetic protocol can be a reliable tool for the anaesthesiologists, which suggests the relevancy of incorporating interdisciplinary training between future health professionals. Further research is needed to assess its implementation, providing information about the pre-operative oral status, preventing intraoperative damage and potential medicolegal litigation.

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Dislodgement and aspiration of a tooth during endotracheal intubation in a cat

Makepeace,

Khenissi

2024

Vet Record Case Reports

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A 25‐week‐old Oriental shorthair cat was anaesthetised to perform computed tomography and bronchoscopy. During endotracheal intubation, a deciduous premolar was contacted with the laryngoscope blade, dislodged, and subsequently aspirated into the trachea. The tooth was removed via bronchoscopy, and the cat was recovered in the intensive care unit due to the development of laryngeal oedema. The risk factors for tooth dislodgement in the cat and proposed improvements in the immediate period after dislodgement are discussed in this report.

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Dental damage in anaesthesia

Cited by 4 publications

References 5 publications

Dental injury in anaesthesia: a tertiary hospital’s experience

Dental injury in anaesthesia: a tertiary hospital’s experience

Validation of a Suggested Pre-Operative Protocol for the Prevention of Traumatic Dental Injuries during Oroendotracheal Intubation: A Pilot Study

Dislodgement and aspiration of a tooth during endotracheal intubation in a cat

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