Dental trauma in anaesthesia

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
C ClokieA Holland

Abstract

Dental trauma is the largest single reason for successful malpractice claims against anaesthetists. The purpose of this article is to familiarize the anaesthetist with basic tooth anatomy and pathology and to provide an update on the different types of dental treatment and appliances which one may encounter in anaesthetic practice. Traumatic fractures to teeth are classified into six categories; Class I - fracture into the enamel layer, Class II - fracture into the dentinal layer, Class III - fracture into the pulp of a tooth, Class IV - fracture of the root of a tooth, Class V - subluxation of a tooth, and Class VI - avulsion of a tooth. Treatment for each class of fracture is described as well as certain preventative ideas. Some of the more recent developments in dental therapy such as the butterfly bridge, titanium implants and porcelain laminate veneers are described. Such developments in their turn have led to new and different problems. Care must be taken when using the laryngoscope as these teeth may be more easily fractured or dislodged. Several investigations into malpractice claims found that the oral airway was responsible for up to 55 per cent of dental complications. Prevention of dental trauma begins with an under...Continue Reading

References

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Citations

Nov 1, 1990·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Gemma, C Ferrazza
Nov 24, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M OoishiA Shigematsu
May 1, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Fabienne JordanaJacques Colat-Parros
Aug 26, 1998·Anesthesia and Analgesia·R R Gaiser, A D Castro
Apr 18, 2009·Anesthesia and Analgesia·Jeffrey S Yasny
Jul 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M J BucxP R Wesselink
Nov 29, 2015·Brazilian Journal of Anesthesiology·José Miguel Brandão Ribeiro de Sousa, Joana Irene de Barros Mourão
Jan 7, 2003·Anesthesiology Clinics of North America·Robert S Greenberg
Oct 4, 2016·Revista brasileira de anestesiologia·Gema Ruíz-López Del PradoMaria João Forjaz
May 2, 2000·Anaesthesia and Intensive Care·H Owen, I Waddell-Smith
May 24, 2005·British Journal of Anaesthesia·A R Aitkenhead

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