Lee Kang-Hee, You Tae-Min, Park Wonse, Lee Sun Hwa, Jung Bock-Young, Pang Nan-Sim, Kim Kee-Deog
Department of Advanced General Dentistry, Yonsei University, Seoul, Korea.
Department of Advanced General Dentistry, Dankook University, Cheonan, Korea.
J Dent Anesth Pain Med. 2015 Mar;15(1):17-23. doi: 10.17245/jdapm.2015.15.1.17. Epub 2015 Mar 31.
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.
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.
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.
Preanesthetic consultation was effective for preventing dental injury, so preanesthetic questionnaire and proper dental consultation would be helpful.
全身麻醉期间经口气管插管导致的牙齿损伤非常常见。我们根据方案报告使用口腔护具预防插管期间牙齿损伤的经验。
这项回顾性研究纳入了因麻醉前评估而转诊的患者,这些患者在2009年1月1日至2010年6月30日期间有我们制作方案中列出的任何前牙牙科治疗史。
在使用保护装置的202例患者中,未报告经口气管插管期间发生牙齿创伤的病例。66%的患者有硬组织损伤的危险因素,年龄在10至40岁之间。在40至70岁年龄段,牙周损伤风险组的发生率较高。
麻醉前咨询对预防牙齿损伤有效,因此麻醉前问卷和适当的牙科咨询会有所帮助。