Tooth injury in anaesthesiology

Braz J Anesthesiol. 2015 Nov-Dec;65(6):511-8. doi: 10.1016/j.bjane.2013.04.011. Epub 2014 Apr 6.

Abstract

Background and objectives: Dental injury is the most common complication of general anaesthesia and has significant physical, economic and forensic consequences. The aim of this study is to review on the characteristics of dental injury associated with anaesthesiology and existing methods of prevention.

Contents: In this review, the time of anaesthesia in which the dental injury occurs, the affected teeth, the most frequent type of injury, established risk factors, prevention strategies, protection devices and medico-legal implications inherent to its occurrence are approached.

Conclusions: Before initiating any medical procedure that requires the use of classic laryngoscopy, a thorough and detailed pre-aesthetic evaluation of the dental status of the patient is imperative, in order to identify teeth at risk, analyze the presence of factors associated with difficult intubation and outline a prevention strategy that is tailored to the risk of dental injury of each patient.

Keywords: Anestesia geral; Dental injury/anaesthesiology; Dental trauma; Diagnóstico bucal; General anaesthesia/complications; Medição de risco; Traumatismo dentário.

MeSH terms

  • Anesthesia / adverse effects*
  • Anesthesiology*
  • Humans
  • Preoperative Care
  • Risk Factors
  • Tooth / anatomy & histology
  • Tooth Injuries / etiology*
  • Tooth Injuries / prevention & control