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Stabilization of Loose Dentition During Anesthesia Using Oxidized Regenerated Cellulose Surgicel: A Case Report
Ashley Samuel1, Sallie Canumay2, Ioana Pasca2
1From the Loma Linda University, School of Medicine, Loma Linda, California.
None:
Dental injury is a recognized complication of airway management during general anesthesia. We report the case of a 50-year-old woman undergoing elective hysterectomy under general anesthesia with endotracheal intubation, in whom a loose upper incisor with active gingival bleeding was identified after airway management. Oxidized regenerated cellulose (ORC) Surgicel, placed between the tooth and gingiva, achieved hemostasis and stabilization. The material was removed during emergence to permit direct visualization of tooth stability and to avoid unintended retention within the oral cavity. This case describes a simple intraoperative technique for managing unexpected dental bleeding and loose dentition during anesthesia.

