Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years

Complications bucco-dentaires de l'intubation trachéale : apport des vidéolaryngoscopes

“…Les incisives centrales maxillaires sont les dents les plus touchées lors d'accidents d'intubation. Toutefois, une particularité subsiste : les dents maxillaires et mandibulaires gauches sont plus à risque que les dents controlatérales sur un rapport comprenant 161 687 anesthésies sur plus de 14 ans [10]. Cela peut probablement s'expliquer par la plus grande proportion d'opérateurs droitiers que gauchers.…”

Perioperative Dental Evaluation

“…73 When a tooth's natural structure has been compromised by decay or the placement of a restoration, it becomes proportionally weaker and more prone to injury. 74,75 Newland et al 76 found that patients with poor dentition or reconstructive work were 3.4× more likely to have dental injuries related to anesthesia. An increased incidence of dental injury has also been reported in cases exhibiting the following anesthesia risk factors: general anesthesia, endotracheal intubation, emergency surgery, and a difficult airway (ie, Mallampati class 3 or 4).…”

Perioperative Dental Injuries: A Retrospective Analysis of Documented Injuries at Penn State Hershey Medical Center

“…The reported incidence of perioperative dental injury varies from 0.02% to 0.04% in retrospective studies. [2]- [4] Poor dentition, reconstructive work, and difficult intubation were described as risk factors [2]- [6]. The teeth most likely to be injured are the upper incisors [2]- [6].…”

“…[2]- [4] Poor dentition, reconstructive work, and difficult intubation were described as risk factors [2]- [6]. The teeth most likely to be injured are the upper incisors [2]- [6]. Newland et al, [2] found that 86% of dental injuries were discovered by the anesthesiologist, whereas 14% were missed and reported by the patient.…”

“…The teeth most likely to be injured are the upper incisors [2]- [6]. Newland et al, [2] found that 86% of dental injuries were discovered by the anesthesiologist, whereas 14% were missed and reported by the patient.…”