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Protective dental splint for oroendotracheal intubation: experience of 202 cases

Journal of Dental Anesthesia and Pain Medicine 2015³â 15±Ç 1È£ p.17 ~ 23
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ÀÌ°­Èñ ( Lee Kang-Hee ) - Yonsei University Department of Advanced General Dentistry
À¯Å¹Π( You Tae-Min ) - Dankook University Department of Advanced General Dentistry
À̼±È­ ( Lee Sun-Hwa ) - Yonsei University Department of Advanced General Dentistry
Á¤º¹¿µ ( Jung Bock-Young ) - Yonsei University Department of Advanced General Dentistry
¹æ³­½É ( Pang Nan-Sim ) - Yonsei University Department of Advanced General Dentistry
±è±â´ö ( Kim Kee-Deog ) - Yonsei University Department of Advanced General Dentistry

Abstract


Background: 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.

Methods: 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.
Results: 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.

Conclusions: Preanesthetic consultation was effective for preventing dental injury, so preanesthetic questionnaire and proper dental consultation would be helpful.

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Dental trauma; General anesthesia; Intubation; Prevention

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