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[Tooth Mobility Evaluation -A Comparison with Dental Assessment-].
Masui. the Japanese Journal of Anesthesiology
|November 2, 2018
Summary
Many patients are unaware of having mobile teeth, increasing the risk of injury during tracheal intubation. Dental consultation is crucial for identifying mobile teeth before surgery, even if patients do not report them.
Area of Science:
- Anesthesiology
- Oral Surgery
- Patient Safety
Background:
- Mobile teeth pose a significant risk for dental injury during tracheal intubation.
- Patients often lack awareness of their own mobile teeth.
- Preoperative interviews may not accurately identify all patients with mobile teeth.
Purpose of the Study:
- To investigate the discrepancy between patient-reported mobile teeth and findings from dental consultations.
- To assess the prevalence of mobile teeth in patients undergoing thoracoscopically-assisted surgery.
Main Methods:
- Retrospective study of 76 patients undergoing thoracoscopically-assisted surgery.
- Evaluation of tooth mobility using the Miller index.
- Comparison of patient self-reporting versus dental consultation findings.
Main Results:
- Dental consultation identified mobile teeth in 13 patients.
- Only 8 patients reported having mobile teeth during preoperative visits.
- A notable inconsistency exists between patient awareness and clinical findings.
Conclusions:
- Preoperative patient interviews may underestimate the prevalence of mobile teeth.
- Dental consultation is essential for identifying at-risk patients.
- Vigilance during tracheal intubation is necessary even when patients do not report mobile teeth.
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