Cost-effective dental protection during rigid endoscopy

Domański, Marian; Lee, Patricia; Sadeghi, N.

doi:10.1002/lary.22339

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…Use of tooth protectors and mouth guards have been proposed to minimize dental injuries[ 15 , 30 - 32 ]. These function by dispersing force applied among the teeth to minimize overloading a damaged tooth.…”

Section: Discussionmentioning

confidence: 99%

Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre

Tan¹,

Loh²,

Benjamin³

et al. 2023

World J Gastrointest Endosc

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BACKGROUND Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy. AIM To determine frequency and effects of dental injury in endoscopy, we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature. METHODS Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.284% of procedures. Review of literature identified a similar rate of 0.33%. RESULTS Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected. Pre-endoscopic history and tooth examination are key for risk stratification and may be conducted succinctly with limited time outlay. Tooth retrieval should be prioritized in the event of dental injury to minimize aspiration and be followed by prompt dental consultation for specific management. CONCLUSION Dental complications occur in approximately 1 in 300 of upper endoscopy cases. These are easily preventable by pre-endoscopy screening. Protocols to mitigate dental injury are also suggested.

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Section: Discussionmentioning

confidence: 99%

Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre

Tan¹,

Loh²,

Benjamin³

et al. 2023

World J Gastrointest Endosc

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“…In patients with prominent upper teeth, a 1-2 millimeter reduction in the inter incisor distance because of the teeth guard proposed by Talmon and Gilbey [6] can contribute to dif icult access and increases the risk of dental trauma. Formation and application of a thermoplastic mouthguard as suggested by Domanski, et al [7] spreads the laryngoscope-related pressure uniformly onto the teeth. We employ extending the teeth guard onto the hard palate which has helped us greatly to minimise dental trauma during rigid endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Protecting teeth and gums during rigid endoscopy of the upper aerodigestive tract: Our experience with a disposable, mouldable and rigid thermoplastic mouthguard

Bradish¹,

Kaushal²,

Shakeel³

et al. 2020

Heighpubs Otolaryngol Rhinol

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“…Some studies have suggested the use of ‘boil and bite’ mouth guards; 5 however, this requires patient preparation and cost prior to surgery, and these may still not be suitable for edentulous patients. Others have suggested the use of nasal splints to use as mouth guards, 1 but there is no evidence regarding how well they reduce dental or oral mucosal injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Complications of rigid oesophagoscopy include perforation, mediastinitis, bleeding, dental injury and soft tissue injury. Although dental injuries are a well-recognised risk (most commonly, the maxillary incisors 1 ), the rates of injury reported in the literature are variable, ranging from 0.06 per cent 2 to 12 per cent. 3 Oral mucosa injuries are more common and have been found to occur in up to 75 per cent of patients.…”

Section: Introductionmentioning

confidence: 99%

Preventing trauma during rigid oesophagoscopy in the edentulous patient: how I do it

2020

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BackgroundRigid oesophagoscopy is a widely used therapeutic and diagnostic procedure. Smooth friction-free insertion of the rigid scope is important to prevent oral and oesophageal mucosal damage, as such damage can cause delays in oral intake or more serious complications such as perforation. Protection appliances such as gum guards are useful adjuncts to cushion the teeth in rigid oesophagoscopy; however, there are no specific adjuncts for the edentulous patient.MethodsIn order to investigate different adjuncts, the force required to pull a standard adult rigid oesophagoscope from a metal clamp whilst enclosed in dry gauze, wet gauze, a gum guard or sleek on gauze was recorded, and a prospective audit of post-procedural trauma was performed.Results and conclusionLess force was required to create movement of the scope against sleek on gauze, with a lower rate of oral trauma (8 per cent) compared to that reported in the literature. Sleek on gauze is recommended for the edentulous patient.

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Cost-effective dental protection during rigid endoscopy

Cited by 7 publications

References 4 publications

Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre

Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre

Protecting teeth and gums during rigid endoscopy of the upper aerodigestive tract: Our experience with a disposable, mouldable and rigid thermoplastic mouthguard

Preventing trauma during rigid oesophagoscopy in the edentulous patient: how I do it

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