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Volume 10, Issue 1 (1-2021)
2021, 10(1): 20-26 |
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manifar S, Tonkaboni A, rahi D, Jafarnejad B, Gholamhossein zadeh A, Kharazi fard M J. The Prevalence of intubation induced dental complications among hospitalized patients
Running title: Dental trauma in General Anesthesia. Journal title 2021; 10 (1) :20-26
URL: http://3dj.gums.ac.ir/article-1-444-en.html
URL: http://3dj.gums.ac.ir/article-1-444-en.html
Soheila Manifar1 
, Arghavan Tonkaboni *2 , Dorsa Rahi3 , Behzad Jafarnejad4 , Armin Gholamhossein zadeh5 , Mohammad Javad Kharazi fard6
, Arghavan Tonkaboni *2 , Dorsa Rahi3 , Behzad Jafarnejad4 , Armin Gholamhossein zadeh5 , Mohammad Javad Kharazi fard6
1- Assistant Professor, Oral and Maxillofacial Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Oral and Maxillofacial Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3- Dentist, special clinic of dentistry, Guilan University of Medical Sciences, Rasht, Iran
4- Assistant Professor , Anesthesiologist Imam Khomeini Hospital Complex Departments Of Anesthesiology And Intensive Care, Tehran University Of Medical Sciences, Tehran, Iran.
5- Dentist, Dental Research Center, Guilan University of Medical Sciences, Rasht, Iran.
6- 6. Research Advisor, Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran
2- Associate Professor, Oral and Maxillofacial Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3- Dentist, special clinic of dentistry, Guilan University of Medical Sciences, Rasht, Iran
4- Assistant Professor , Anesthesiologist Imam Khomeini Hospital Complex Departments Of Anesthesiology And Intensive Care, Tehran University Of Medical Sciences, Tehran, Iran.
5- Dentist, Dental Research Center, Guilan University of Medical Sciences, Rasht, Iran.
6- 6. Research Advisor, Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (1427 Views)
Introduction: Intraoral manipulation is performed during endotracheal intubation for general anesthesia, which can traumatize the soft and hard tissue in the oral cavity and cause postoperative pain and discomfort. Dental trauma is the most common complication of intubation. This study aimed to assess the prevalence of dental complications due to intubation in patients hospitalized in Imam Khomeini Hospital during 2018-2019.
Materials and Methods:A total of 805 patients presenting to the Cancer Institute of Imam Khomeini Hospital for preoperative anesthesia consultation were randomly enrolled. A dentist interviewed the patients and performed a comprehensive clinical oral examination, preoperatively. The patients underwent clinical oral examination by another dentist, postoperatively.
Results: No significant correlation was found between dental trauma (tooth fracture, tooth mobility or soft tissue injury) after intubation with age or gender of patients. According to the Wilcoxon test and McNemar-Bowker Test, the rate of mobility before the intubation was significantly different from that after the intubation (P=0.000). Maxillary central incisors, maxillary left canine and mandibular right and left central incisors had the highest rate of fracture.
Conclusion: Mobile teeth before the intubation are at higher risk of avulsion and aspiration during the procedure. Patients with primary temporomandibular joint disorders are more susceptible to post-intubation trismus.
Materials and Methods:A total of 805 patients presenting to the Cancer Institute of Imam Khomeini Hospital for preoperative anesthesia consultation were randomly enrolled. A dentist interviewed the patients and performed a comprehensive clinical oral examination, preoperatively. The patients underwent clinical oral examination by another dentist, postoperatively.
Results: No significant correlation was found between dental trauma (tooth fracture, tooth mobility or soft tissue injury) after intubation with age or gender of patients. According to the Wilcoxon test and McNemar-Bowker Test, the rate of mobility before the intubation was significantly different from that after the intubation (P=0.000). Maxillary central incisors, maxillary left canine and mandibular right and left central incisors had the highest rate of fracture.
Conclusion: Mobile teeth before the intubation are at higher risk of avulsion and aspiration during the procedure. Patients with primary temporomandibular joint disorders are more susceptible to post-intubation trismus.
Type of Study: Original article |
Subject:
So on
Received: 2021/01/25 | Accepted: 2021/02/5 | Published: 2021/02/5
Received: 2021/01/25 | Accepted: 2021/02/5 | Published: 2021/02/5
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Articles Copyright © The Author(s).
Owned by Guilan University of Medical Sciences.
Co-published by Zamen Salamati.
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