Legal Pitfalls in the Practice of Anesthesiology Part 2

Wasmuth, Carl E.

doi:10.1213/00000539-196003000-00005

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Which Teeth Are At Risk Of Damage?1

What Should Patients Be Told About the Possibility Of Damage1

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2015

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Cited by 7 publications

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“…Anterior crowding increases the likelihood of damage 17 and isolated teeth appear to be at particular risk 17 . Generally only one tooth is damaged but simultaneous trauma to two, three and even four teeth has been described [24][25][26] .…”

Section: Which Teeth Are At Risk Of Damage?mentioning

confidence: 99%

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Dental Trauma Associated with Anaesthesia

Owen

Waddell-Smith

2000

Anaesth Intensive Care

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Damage to teeth is the most common complaint against anaesthetists. A dental history and oral examination are important before anaesthesia. Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected. The maxillary central incisors are most at risk. Certain diseases and drugs should alert anaesthetists to increased likelihood of dental pathology. The flange of the Macintosh blade appears responsible for much damage and alternative equipment or techniques of endotracheal intubation should be considered, particularly when risk factors are present. Manoeuvres to protect teeth must not impact adversely on airway management. Custom mouthguards can be useful. A management plan can help control losses if damage does occur. Patients should be warned about the possibility of dental trauma.

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Section: Which Teeth Are At Risk Of Damage?mentioning

confidence: 99%

“…Failure to do so is likely to be considered negligent, even if the initial injury was not 26 . Even when bronchoscopy for retrieval of the avulsed tooth resulted in avulsion of another tooth, appropriate management has been found not to be negligent 25 .…”

Section: What Should Patients Be Told About the Possibility Of Damagementioning

confidence: 99%