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Protective dental splint for oroendotracheal intubation: experience of 202 cases

  • Lee, Kang-Hee (Department of Advanced General Dentistry, Yonsei University) ;
  • You, Tae-Min (Department of Advanced General Dentistry, Dankook University) ;
  • Park, Wonse (Department of Advanced General Dentistry, Yonsei University) ;
  • Lee, Sun Hwa (Department of Advanced General Dentistry, Yonsei University) ;
  • Jung, Bock-Young (Department of Advanced General Dentistry, Yonsei University) ;
  • Pang, Nan-Sim (Department of Advanced General Dentistry, Yonsei University) ;
  • Kim, Kee-Deog (Department of Advanced General Dentistry, Yonsei University)
  • Received : 2015.03.23
  • Accepted : 2015.04.06
  • Published : 2015.03.31

Abstract

Background: Dental injury as a result of oroendotracheal intubation during general anesthesia is very common. We report our experiences of using mouthguard to prevent dental injury during intubation based on our protocol. Methods: This retrospective study enrolled patients referred for preanesthetic evaluation, those patients with a history of any of the dental treatments to their anterior teeth listed on our fabrication protocol from January 1, 2009 to June 30, 2010. Results: No cases of dental trauma during oroendotracheal intubation were reported among the 202 patients who used a protective device. 66% of the patients had risk factors for hard tissue damage aged 10-40 years. At the ages of 40-70 years, the incidence of risk group for periodontal damage was higher. Conclusions: Preanesthetic consultation was effective for preventing dental injury, so preanesthetic questionnaire and proper dental consultation would be helpful.

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Cited by

  1. A Cheap Fix for an Expensive Problem: The Use of a Thermoplastic Mouthguard to Reduce the Risk of Dental Trauma during Orotracheal Intubation vol.44, pp.5, 2015, https://doi.org/10.1177/0310057x1604400515
  2. Displacement of deciduous tooth into hypopharynx due to endotracheal intubation vol.16, pp.1, 2016, https://doi.org/10.17245/jdapm.2016.16.1.61
  3. Creating protective appliances for preventing dental injury during endotracheal intubation using intraoral scanning and 3D printing: a technical note vol.17, pp.1, 2017, https://doi.org/10.17245/jdapm.2017.17.1.55
  4. An Avulsed Tooth Detected Prior to Insertion of a Laryngeal Mask Airway vol.67, pp.1, 2015, https://doi.org/10.2344/anpr-66-04-01