Abstract:
:This observational study assessed the frequency and risk factors of dental damage after classic direct laryngoscopy for tracheal intubation in 536 adult patients. The patients' sex, age, height, weight, dental condition, dental mobility, Mallampati class, interincisor gap, thyromental distance, neck circumference, and head and neck extension were recorded. From anaesthesia records, the difficulty of intubation, the number of attempts, type of neuromuscular blocking agent used and duration of anaesthesia were recorded. After anaesthesia, examination revealed that 134 patients (25.0%) had dental damage affecting 162 teeth (147 maxillary; 15 mandibular). Enamel fracture was the commonest injury. In tooth number 21, the interincisor gap (OR 2.5 (95% CI 1.0-5.9)) and in tooth number 22, the number of intubation attempts (OR 5.3 (95% CI 1.3-22.0)) were considered a risk factor for dental injury. Conventional direct laryngoscopy is associated with a strikingly high incidence of dental damage, although specific risk factors remain unclear.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Mourão J,Neto J,Luís C,Moreno C,Barbosa J,Carvalho J,Tavares Jdoi
10.1111/anae.12342subject
Has Abstractpub_date
2013-10-01 00:00:00pages
1059-65issue
10eissn
0003-2409issn
1365-2044journal_volume
68pub_type
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