Minneman S A
Dental Department, John Umstead Hospital, Butner, NC 27509-1626, USA.
Convuls Ther. 1995 Jun;11(2):94-103.
Dental injuries and oral soft tissue trauma are recognized risks of electroconvulsive therapy (ECT), which continue to cause concern for patients and providers. The sudden forceful closure of the jaws that precipitates trauma is not avoidable since the pterygoid, masseter, and temporalis muscles are stimulated during treatment. Therefore, the use of a biteguard and oral protection techniques is recommended. No one biteguard has been found to be effective in protecting against all of the oral conditions that exist in the adult ECT patient population. A review of the objectives of ECT oral protection and biteguard design is detailed. The characteristics of patented, commonly used, and home-made ECT oral devices are considered, and recommended techniques for oral protection are detailed.
牙齿损伤和口腔软组织创伤是公认的电休克治疗（ECT）风险，这继续引起患者和医护人员的关注。由于治疗期间翼状肌、咬肌和颞肌会受到刺激，导致创伤的颌骨突然强力闭合是无法避免的。因此，建议使用咬垫和口腔保护技术。尚未发现有一种咬垫能有效预防成年ECT患者群体中存在的所有口腔状况。详细回顾了ECT口腔保护的目标和咬垫设计。考虑了专利的、常用的和自制的ECT口腔装置的特点，并详细介绍了推荐的口腔保护技术。
