Research offers clinicians and stakeholders a comprehensive assessment and high-quality evidence for the safety and efficacy of molded dental protection.
Dental Considerations in anaesthesia
Conclusions:
Endotracheal intubation accounts for the highest incidence of dental trauma in patients undergoing surgery under general anesthesia.
The Effectiveness of Preformed Tooth Protectors During Endotracheal Intubation: An Upper Jaw Model
Enrico Monaca, MD, Norbert Fock, MD, Manfred Doehn, MD Frank Wappler, MD
Conclusions:
Tooth damage accounts for many adverse events in anesthetic practice and is the most common reason for litigation against anesthesiologists.
A Review of Dental Anatomy and Dental Injury Associated With Anesthesia
Kyle M. Stein, DDS, FACS John Aker, DNAP, CRNA
https://pdfs.semanticscholar.org/b546/492061bd14d6750ef122a59924a1f9b92ee8.pdf
Conclusions:
These injuries have a substantial physical and economic impact and are one of the leading causes of malpractice claims against anesthesiologists. In the Unites States dental injuries account for 25% of the available closed insurance claims against anesthesia providers reviewed by the American Society of Anesthesiologists’ Professional liability committee.
Protective Dental Splint for oroendtracheal intubation : experience of 202 cases
Kang-Hee Lee, Tae-min You, Wonse Par k, Sun Hwa Lee, Bock-oung jung, Nan Sim Pangz, Kee Deog Kim, Much More..
Conclusions:
Damage to the teeth during general anesthesia via oroendotracheal intubation is very common. This occurs mainly due to misuse of the laryngoscope. However, even experienced anesthesiologists can experience this what patient has potential risk factor such as pathologically weakend teeth. The recent expansion of the esthetics fields of dentistry has resulted in an increase in the number of anterior teeth treated with tooth-colored restoration, including procelain veeners resin and procelain fused to mental restrorations. These materials provide esthetically excellent results for patients; however they are much mor brittle then natural teeth. The risk of dental injury is higher in these pateints, as the esthetic restoration is often very difficult to disinguish from the natural tooth.
Results:
No cases of dental trauma during oroendotracheal intubation were reported among the 202 patients who used a protective device.
Oral complications associated with endotracheal general anesthesia.
Chen JJ, Sumac) L. Chao CC.
Conclusions:
A series of 745 consecutive cases of endotracheal anesthesia were collected at the National Taiwan University Hospital. Evaluation of the oral conditions was performed before, during and after Lite anesthesia. Injuries to oral structures were recorded. An 18% incidence of oral injuries was noted and the frequency for dental damage was 12.1%.
Most Common Anesthesia Injuries: Insights From Malpractice Insurance Claims
TEI Expert
Conclusions:
Tooth damage is the most common non-threatening complication in anesthesia (20.8%). Injuries to the teeth arc most commonly associated with airway care during general anesthesia.
Perioperative Dental Considerations for the Anesthesiologist
Jeffrey S. Yasny, DDS
Conclusions:
Perioperative dental damage is one of the most common anesthesia-related adverse events and is responsible for the greatest number of malpractice claims against anesthesiologists.
Reducing Anesthesia-Related Dental Risk
Jeremy Wale
https://www.midwestmediceledition.com/2016/12/28/131934/reducing-anesthesia-related-dentakrisk
Conclusions:
One of the most common general anesthesia injuries is dental injury. Examples include broken or chipped teeth, broken bridges, or dislodged implants.
Two types of patients are highest risk for dental injury: difficult patients to intubate and those with poor dentition. Difficult patients to intubate have a 5 times greater risk of dental injury. Patients with poor pre-existing dental status present a five-times great’ risk of dental trauma than patients with good pre-existing dental status.
Tooth injury in anesthesiology
Jose Miguel Brandao Ribeiro de Sousa Joana Irene de Barros MouraoF
http://www.scielo.bilpdf/rba/v65n6/0034-7094-rba-65-06-00511.pdf
Conclusions:
Dental injury is the most common complication of general anaesthesia and has significant physical, economic and forensic consequences.
Dental injury is also the most common of all forensic claims related to anaesthesia the event being responsible for the largest number of complaints for medical malpractice against anesthesiologists.