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

Bradish, Tom; Kaushal, Sarita; Shakeel, M. Danish; Zainuri, Ahmad

doi:10.29328/journal.hor.1001021

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…Teeth are subjected to immense loads generated during mastication with forces exerted exceeding 800N during strenuous clenching[ 13 ]. Dental damage may occur during instrumentation, insertion of bite-block, due to inadequate pressure distribution or slippage of the bite-block during upper endoscopy[ 8 , 14 ]. There has been a report of dental implant dislodgement from reflexive jaw clenching upon retroflexion during colonoscopy[ 15 ].…”

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

View full text Add to dashboard Cite

show abstract

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

Abstract: How to cite this article: Bradish T, Kaushal S, Shakeel M, Ahmad Z. Protecting teeth and gums during rigid endoscopy of the upper aerodigestive tract: Our experience with a disposable, mouldable and rigid thermoplastic mouthguard.

Cited by 1 publication

References 7 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

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