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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
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Abstract
Title
TRAUMA OF ORAL TISSUE AFTER THE ADMINISTRATION OF GENERAL ANESTHESIA
Author
Dr. Anindita Acharya
Email
anindita12acharya@gmail.com
keyword
Trauma, Dental, Oral, General Anaesthesia
Abstract
Dental trauma is a common perioperative potential complication, with an incidence between 0.02–0.07%. Dental trauma include enamel fractures, loosened or subluxated teeth, tooth avulsion, crown or root fracture. Newland et al. reported that the anesthetist detected 86% of all dental injuries, while only 14% were reported by the patient. Dental trauma was listed as a procedural complication. Three independent anesthetists were involved in collating the data. Three types of supraglottic airway devices were used in the institution during the review period: the ProSeal LMA, Supreme LMA and I-gel. All videolaryngoscopy was done using the McGrath MAC laryngoscope and number of McGrath blades used was taken as a surrogate of the incidence of videolaryngoscopies performed. The proportion of patients who had SADs used in the dental trauma population is significantly less than what would be expected given the widespread use of SADs in the general anaesthesia population. However, study has also shown that usage of a SAD does not obliterate dental trauma risk as a number of cases were still associated with SAD usage. Although insertion of a SAD often eliminates the risk associated with instrumenting the airway with a laryngoscope, the act of inserting a bulky device into the oral cavity still poses a risk especially if additional manipulation is required in a crowded airway. In addition, there may be involuntary biting on the hard stems of SADs during emergence that will not be preventable with careful insertion techniques that will result in dental injury in teeth at risk
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