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Liu Y, Wu Y, Hu X, Sun Y, Zeng G, Wang Q, Liu S, Sun M. The role of vitamin D receptor in predentin mineralization and dental repair after injury. Cell Tissue Res 2024:10.1007/s00441-024-03886-7. [PMID: 38492000 DOI: 10.1007/s00441-024-03886-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 03/06/2024] [Indexed: 03/18/2024]
Abstract
Dentin is a permeable and complex tubular composite formed by the mineralization of predentin that mineralization and repair are of considerable clinical interest during dentin homeostasis. The role of Vdr, a receptor of vitamin D, in dentin homeostasis remains unexplored. The aim of the present study was to assess the impact of Vdr on predentin mineralization and dental repair. Vdr-knockout (Vdr-/-) mice models were constructed; histology and immunohistochemistry analyses were conducted for both WT and Vdr-/- mice. The finding revealed a thicker predentin in Vdr-/- mice, characterized by higher expression of biglycan and decorin. A dental injury model was employed to observe tertiary dentin formation in Vdr-/- mice with dental injuries. Results showed that tertiary dentin was harder to form in Vdr-/- mice with dental injury. Over time, heightened pulp invasion was observed at the injury site in Vdr-/- mice. Expression of biglycan and decorin was reduced in the predentin at the injury site in the Vdr-/- mice by immunohistochemistry. Taken together, our results imply that Vdr plays a regulatory role in predentin mineralization and tertiary dentin formation during dentin homeostasis.
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Affiliation(s)
- Yudong Liu
- Department of Histology and Embryology, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
- Anhui Key Laboratory of Infection and Immunity, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Yinlin Wu
- Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Xiaodong Hu
- Department of Histology and Embryology, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Yu Sun
- Department of Biochemistry and Molecular Biology, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Guojin Zeng
- Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Qinglong Wang
- Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China
| | - Shanshan Liu
- Anhui Key Laboratory of Infection and Immunity, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China.
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chuang Huai Road, Bengbu, 233004, China.
| | - Meiqun Sun
- Department of Histology and Embryology, Bengbu Medical College, 2600 Dong Hai Avenue, Bengbu, 233030, China.
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2
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Susarla HK, Sheller B. Dental and Dentoalveolar Injuries in the Pediatric Patient. Oral Maxillofac Surg Clin North Am 2023; 35:543-554. [PMID: 37640587 DOI: 10.1016/j.coms.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
Dental and dentoalveolar injuries are common in the pediatric population. Management is predicated on the type of tooth injured (primary or permanent), extent of injury, the dental and behavioral age of the patient, and ability of the patient to tolerate treatment. Although many dental injuries occur in isolation, a systematic evaluation of the patient is mandatory to confirm the absence of basal bone fractures of the maxilla or mandible, traumatic brain injury, cervical spine injury, and/or facial soft tissue injury. Long-term follow-up is paramount to achieving a functional occlusion and optimal dental health following injury.
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Affiliation(s)
- Harlyn K Susarla
- Department of Dentistry, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
| | - Barbara Sheller
- Department of Dentistry, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98105, USA
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Dilworth N, Abrahim M, Starratt C. Air of caution: sudden unilateral cervicofacial swelling amidst dental procedure? Think emphysema. CAN J EMERG MED 2023; 25:93-95. [PMID: 36472812 DOI: 10.1007/s43678-022-00419-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 11/11/2022] [Indexed: 12/12/2022]
Affiliation(s)
- Neil Dilworth
- Georgetown Hospital, Halton Healthcare, Georgetown, ON, Canada. .,University of Toronto, DFCM, Toronto, ON, Canada.
| | - Mohamed Abrahim
- Georgetown Hospital, Halton Healthcare, Georgetown, ON, Canada.,McMaster University, Hamilton, ON, Canada
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Kotani T, Inoue S, Kawaguchi M. Perioperative Dental Injury Associated With Intubated General Anesthesia. Anesth Prog 2022; 69:3-9. [PMID: 35377930 DOI: 10.2344/anpr-68-03-02] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 04/28/2021] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE Factors related to perioperative dental injury have likely changed as a variety of airway devices and preventive measures have been introduced. This retrospective chart review used data from an institutional registry to evaluate the incidence, timing, and contributing factors of patient self-reported dental injury and to assess the impact of dental injury on patient satisfaction. METHODS Multivariate logistic analysis was performed on the records of 14,820 patients using the incidence of dental injury as the dependent variable and covariates in the anesthesia registry and a postoperative questionnaire as independent variables to investigate factors significantly associated perioperative dental injury. In addition, satisfaction with the anesthesia service was compared between patients with and without injury using a matched-pair population. RESULTS A total of 101 dental injuries were identified. Of those, 25% were associated with intubation and extubation in the operating room, while most other injuries occurred postoperatively. Duration of anesthesia (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00-1.03) and emergency surgery (OR, 1.92; 95% CI, 1.11-3.30) were independently associated with perioperative dental injury. Dental injury did not significantly decrease a patient's satisfaction with the anesthesia service (P = .441). CONCLUSION Most perioperative dental injuries are unrelated to anesthesia procedures. However, the duration of anesthesia and emergency surgery were significantly associated with perioperative dental injury, while decreased patient satisfaction was not.
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Affiliation(s)
- Taichi Kotani
- Department of Anesthesiology and Division of Intensive Care, Nara Medical University, Nara, Japan
| | - Satoki Inoue
- Department of Anesthesiology and Division of Intensive Care, Nara Medical University, Nara, Japan
| | - Masahiko Kawaguchi
- Department of Anesthesiology and Division of Intensive Care, Nara Medical University, Nara, Japan
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5
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Patel PN, Rohlfing ML, Levi JR. Delayed onset of tooth decay in a routine pediatric adenotonsillectomy. Am J Otolaryngol 2021; 42:103019. [PMID: 33836484 DOI: 10.1016/j.amjoto.2021.103019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 03/28/2021] [Indexed: 11/15/2022]
Abstract
Adenotonsillectomy is a common pediatric surgical procedure with a well-defined safety profile. Major complications from this procedure include bleeding/hemorrhage, infection, pain leading to dehydration, and airway obstruction or edema. Though rare, oral endotracheal intubation and oral retractor placement may result in injuries to the teeth and the surrounding soft tissue. We describe a rare case of delayed tooth decay in a 3-year-old female following an otherwise routine adenotonsillectomy.
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Affiliation(s)
- Prachi N Patel
- Boston Medical Center- Department of Otolaryngology- Head and Neck Surgery, United States of America.
| | - Matthew L Rohlfing
- Boston Medical Center- Department of Otolaryngology- Head and Neck Surgery, United States of America.
| | - Jessica R Levi
- Boston Medical Center- Department of Otolaryngology- Head and Neck Surgery, United States of America.
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Shehri SZA, Ababtain RA, Fotawi RA, Alkindi M, Premnath S, Alhindi M, Divakar DD. Pediatric maxillofacial and dental trauma: A retrospective review of pediatric emergency management in Riyadh, Kingdom of Saudi Arabia. Saudi Dent J 2021; 33:328-333. [PMID: 34434035 PMCID: PMC8376668 DOI: 10.1016/j.sdentj.2021.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 01/10/2021] [Accepted: 03/02/2021] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Due to the high prevalence of oral and maxillofacial (OMF) trauma in city of Riyadh, a special focus on pediatric trauma is needed. The purpose of this audit was to assess the protocol followed by the OMF unit at King Khalid University Hospital (KKUH) on pediatric trauma patients. The trauma incidence, mechanism of injury, volume, the type of pediatric trauma operated and dental management were analyzed. MATERIALS AND METHODS A quantitative retrospective review of 223 patients, at pediatric emergency unit of KKUH, Riyadh, KSA from January 2017 to July 2018, was done. The data retrieved included variables such as, age, gender, and cause of injury, site of injury, type of injury, and assessment of jaws, and teeth. Data regarding the type of investigations, treatment protocol, follow up visit, and dental management, were extracted from the medical records. RESULTS Of the 223 pediatric patients presenting to the emergency unit, 116 (52%) were under the age of 5 years. A total of 64.4% of patients reported "self-fall" as the cause of injury. Soft-tissue injuries were common in 63 (56.8%) of patients in the form of lacerations 87 (41.2%). Involvement of the teeth in the injury was observed in 57 patients, in which 33 (57.9%) patients were reported to have tooth/teeth avulsions, 15 (26.3%) patients had luxation and 9 (15.8%) patients had crown fractures. 27 (47%) patients were referred to the pedodontist for a follow-up visit. CONCLUSIONS It can concluded that clinicians facing maxillofacial trauma in an emergency department need to have access to useful and practice guidelines. The study also showed the need for more manpower-oriented training such as a pedodontist and a general dentist to join the OMFS team to manage pediatric patients. The regional referral hospitals should be equipped to decentralize the management of these patients to the Dental University Hospital.
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Affiliation(s)
- Saleh Zaid Al Shehri
- Department of Oral and Maxillofacial Surgery, King Saud University, Riyadh, Saudi Arabia
| | | | - Randa Al Fotawi
- Department of Oral and maxillofacial surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Mohammed Alkindi
- Department of Oral and maxillofacial surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Sangeetha Premnath
- Department of Oral and maxillofacial surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Maryam Alhindi
- Department of Oral and maxillofacial surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Darshan Devang Divakar
- Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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Kannari L, Marttila E, Thorén H, Snäll J. Dental injuries in paediatric mandibular fracture patients. Oral Maxillofac Surg 2021; 26:99-104. [PMID: 33913044 PMCID: PMC8843920 DOI: 10.1007/s10006-021-00966-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 04/18/2021] [Indexed: 11/28/2022]
Abstract
Purpose Dental injuries (DIs) are associated with facial fractures, particularly mandibular fractures. As paediatric mandibular fractures have special features, we sought to clarify the occurrence and types of DIs among this patient group. We assessed how age, injury type, and fracture location affects the occurrence of DIs and thereby defined which patients are most susceptible. Methods This retrospective study included patients < 18 years with a recent mandibular fracture. Predictor variables were gender, age group, mechanism of injury, type of mandibular fracture, and other associated facial fracture(s). Types and locations of DIs and tooth loss due to injury were also reported. Results DIs were detected in 34.7% (n = 41) out of 118 patients. Patients with tooth injury had on average 3.5 injured teeth. A total of 16.2% of injured teeth were lost, typically at the time of the injury. Loss of at least one tooth was seen in approximately 10% of patients. Avulsion was the most common cause of tooth loss (52.2%). Non-complicated crown fracture (50.7%) was the most common DI type. Statistically significant associations between studied variables and DIs were not detected. Conclusion DIs are common and often multiple in paediatric mandibular fracture patients regardless of background factors. DIs often lead to tooth loss. Prompt replantation of an avulsed tooth, early detection of DIs, and prevention of tooth loss whenever possible are important to avoid permanent tooth defects.
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Affiliation(s)
- Leena Kannari
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, 00029, Helsinki, Finland.
| | - Emilia Marttila
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, 00029, Helsinki, Finland
| | - Hanna Thorén
- Department of Oral and Maxillofacial Surgery, Institute of Dentistry, University of Turku, Turku, Finland.,Department of Oral and Maxillofacial Diseases, Turku University Hospital, Turku, Finland
| | - Johanna Snäll
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, 00029, Helsinki, Finland
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8
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Tong H, Chen X, Zhang B, Rothschild B, White S, Balisi M, Wang X. Hypercarnivorous teeth and healed injuries to Canis chihliensis from Early Pleistocene Nihewan beds, China, support social hunting for ancestral wolves. PeerJ 2020; 8:e9858. [PMID: 33194358 PMCID: PMC7485486 DOI: 10.7717/peerj.9858] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 08/11/2020] [Indexed: 11/23/2022] Open
Abstract
Collaborative hunting by complex social groups is a hallmark of large dogs (Mammalia: Carnivora: Canidae), whose teeth also tend to be hypercarnivorous, specialized toward increased cutting edges for meat consumption and robust p4-m1 complex for cracking bone. The deep history of canid pack hunting is, however, obscure because behavioral evidence is rarely preserved in fossils. Dated to the Early Pleistocene (>1.2 Ma), Canis chihliensis from the Nihewan Basin of northern China is one of the earliest canines to feature a large body size and hypercarnivorous dentition. We present the first known record of dental infection in C. chihliensis, likely inflicted by processing hard food, such as bone. Another individual also suffered a displaced fracture of its tibia and, despite such an incapacitating injury, survived the trauma to heal. The long period required for healing the compound fracture is consistent with social hunting and family care (food-sharing) although alternative explanations exist. Comparison with abundant paleopathological records of the putatively pack-hunting Late Pleistocene dire wolf, Canis dirus, at the Rancho La Brea asphalt seeps in southern California, U.S.A., suggests similarity in feeding behavior and sociality between Chinese and American Canis across space and time. Pack hunting in Canis may be traced back to the Early Pleistocene, well before the appearance of modern wolves, but additional evidence is needed for confirmation.
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Affiliation(s)
- Haowen Tong
- Key Laboratory of Vertebrate Evolution and Human Origins of Chinese Academy of Sciences, Institute of Vertebrate Paleontology and Paleoanthropology, Chinese Academy of Sciences, Beijing, China.,CAS Center for Excellence in Life and Paleoenvironment, Beijing, China.,University of Chinese Academy of Sciences, Beijing, China
| | - Xi Chen
- Nanjing Normal University, Nanjing, Jiangsu, China
| | - Bei Zhang
- Key Laboratory of Vertebrate Evolution and Human Origins of Chinese Academy of Sciences, Institute of Vertebrate Paleontology and Paleoanthropology, Chinese Academy of Sciences, Beijing, China.,CAS Center for Excellence in Life and Paleoenvironment, Beijing, China.,University of Chinese Academy of Sciences, Beijing, China
| | - Bruce Rothschild
- Department of Vertebrate Paleontology, Carnegie Museum of Natural History, Pittsburgh, PA, United States of America
| | - Stuart White
- School of Dentistry, University of California, Los Angeles, Los Angeles, CA, United States of America
| | - Mairin Balisi
- Natural History Museum of Los Angeles County, Los Angeles, CA, United States of America
| | - Xiaoming Wang
- Key Laboratory of Vertebrate Evolution and Human Origins of Chinese Academy of Sciences, Institute of Vertebrate Paleontology and Paleoanthropology, Chinese Academy of Sciences, Beijing, China.,Natural History Museum of Los Angeles County, Los Angeles, CA, United States of America
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9
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Lee JM. Videolaryngoscopy could decrease claims associated with dental injury. J Clin Anesth 2018; 47:64. [PMID: 29587207 DOI: 10.1016/j.jclinane.2018.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 02/28/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Jae Myeong Lee
- Department of Anesthesiology and Pain Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea.
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10
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Engoren M, Rochlen LR, Diehl MV, Sherman SS, Jewell E, Golinski M, Begeman P, Cavanaugh JM. Mechanical strain to maxillary incisors during direct laryngoscopy. BMC Anesthesiol 2017; 17:151. [PMID: 29115945 PMCID: PMC5688811 DOI: 10.1186/s12871-017-0442-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2017] [Accepted: 10/31/2017] [Indexed: 01/19/2023] Open
Abstract
Background While most Direct laryngoscopy leads to dental injury in 25–39% of cases. Dental injury occurs when the forces and impacts applied to the teeth exceed the ability of the structures to dissipate energy and stress. The purpose of this study was to measure strain, (which is the change produced in the length of the tooth by a force applied to the tooth) strain rate, and strain-time integral to the maxillary incisors and determine if they varied by experience, type of blade, or use of an alcohol protective pad (APP). Methods A mannequin head designed to teach and test intubation was instrumented with eight single axis strain gauges placed on the four maxillary incisors: four on the facial or front surface of the incisors and four on the lingual or back, near the insertion of the incisor in the gums to measure bending strain as well as compression. Anesthesiology faculty, residents, and certified registered nurse anesthetists intubated with Macintosh and Miller blades with and without APP. Using strain-time curves, the maximum strain, strain rate, and strain time integral were calculated. Results Across the 92 subjects, strain varied 8–12 fold between the 25th and 75th percentiles for all four techniques, but little by experience, while strain rate and strain integral varied 6–13 fold and 15–26 fold, respectively, for the same percentiles. Intubators who had high strain values with one blade tended to have high strains with the other blade with and without the APP (all pairwise correlation rho = 0.42–0.63). Conclusions Strain varies widely by intubator and that the use of the APP reduces strain rate which may decrease the risk of or the severity of dental injury.
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Affiliation(s)
- Milo Engoren
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA. .,Department of Anesthesiology, Mercy St. Vincent Medical Center, Toledo, OH, USA.
| | - Lauryn R Rochlen
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA
| | - Matthew V Diehl
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
| | - Sarah S Sherman
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
| | - Elizabeth Jewell
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA
| | - Mary Golinski
- Beaumont Graduate Program of Nurse Anesthesia, Oakland University, Rochester, MI, USA
| | - Paul Begeman
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
| | - John M Cavanaugh
- Department of Biomedical Engineering, Wayne State University, Detroit, MI, USA
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11
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Giraudon A, de Saint Maurice G, Biais M, Benhamou D, Nouette-Gaulain K. Dental injury associated with anaesthesia: An 8-year database analysis of 592 claims from a major French insurance company. Anaesth Crit Care Pain Med 2018; 37:49-53. [PMID: 28838826 DOI: 10.1016/j.accpm.2017.04.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Revised: 01/25/2017] [Accepted: 04/13/2017] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Dental injury is the most common incident associated with anaesthesia. Regarding recent recommendations on informed consent and changes in airway management practices, a large series of claims related to dental injury has not been recently described. The aim of this study was to analyse a recent database in order to describe the characteristics of dental injury in France. METHODS A database that prospectively collected claims reported to Le Sou Médical-MACSF between January 2003 and December 2010, was analysed. Five hundred and ninety-two cases were reported. The following characteristics were analysed: number and type of teeth injured, mechanism of injury, anaesthetic procedure, risk factors and dental outcome after injury. RESULTS Amongst the 1514 claims related to anaesthesia, 592 (39.2%) were classified as dental damage. Preoperative informed consent concerning possible perioperative dental injury was documented in only 34.8% of patients. Only one tooth was affected in 65.2% of patients, dental bridge injury in 12.8% of cases and damage to two or more teeth in 14% of patients. Incisors were involved in 50% of cases. Fracture was the most common type of injury (64.2%). Poor dentition was the most common risk factor (23.1%) followed by difficult intubation (15.4%). Both risks were combined in only 7.6% of cases. Tracheal intubation was the highest risk procedure (41.6%). CONCLUSION Dental injury remains the most common anaesthesia-related claim. Dental examination and documentation in patient medical files requires improvement and better informed consent on dental injury risk needs to be provided to patients.
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12
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Ruíz-López Del Prado G, Blaya-Nováková V, Saz-Parkinson Z, Álvarez-Montero ÓL, Ayala A, Muñoz-Moreno MF, Forjaz MJ. [Design and validation of an oral health questionnaire for preoperative anaesthetic evaluation]. Rev Bras Anestesiol 2016; 67:6-14. [PMID: 27692805 DOI: 10.1016/j.bjan.2016.09.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Accepted: 08/17/2015] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Dental injuries incurred during endotracheal intubation are more frequent in patients with previous oral pathology. The study objectives were to develop an oral health questionnaire for preanaesthesia evaluation, easy to apply for personnel without special dental training; and establish a cut-off value for detecting persons with poor oral health. METHODS Validation study of a self-administered questionnaire, designed according to a literature review and an expert group's recommendations. The questionnaire was applied to a sample of patients evaluated in a preanaesthesia consultation. Rasch analysis of the questionnaire psychometric properties included viability, acceptability, content validity and reliability of the scale. RESULTS The sample included 115 individuals, 50.4% of men, with a median age of 58 years (range: 38-71). The final analysis of 11 items presented a Person Separation Index of 0.861 and good adjustment of data to the Rasch model. The scale was unidimensional and its items were not biased by sex, age or nationality. The oral health linear measure presented good construct validity. The cut-off value was set at 52 points. CONCLUSIONS The questionnaire showed sufficient psychometric properties to be considered a reliable tool, valid for measuring the state of oral health in preoperative anaesthetic evaluations.
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Affiliation(s)
- Gema Ruíz-López Del Prado
- Hospital Clínico Universitario, Departamento de Medicina Preventiva y Salud Pública, Valladolid, Espanha
| | - Vendula Blaya-Nováková
- Hospital General Universitario Gregorio Marañón, Servicio de Medicina Preventiva y Gestión de Calidad, Madri, Espanha; Instituto de Salud Carlos III, Agencia de Evaluación de Tecnologías Sanitarias, Madri, Espanha
| | - Zuleika Saz-Parkinson
- Instituto de Salud Carlos III, Agencia de Evaluación de Tecnologías Sanitarias, Madri, Espanha; Hospital Clínico San Carlos, Instituto de Investigación Sanitaria, Madri, Espanha
| | - Óscar Luis Álvarez-Montero
- Hospital Universitario Infanta Leonor, Departamento de Otorrinolaringología, Madrid, Espanha; Hospital Universitario Puerta de Hierro, Departamento de Otorrinolaringología, Madri, Espanha
| | - Alba Ayala
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madri, Espanha
| | - Maria Fe Muñoz-Moreno
- Hospital Clínico Universitario, Unidad de Investigación Biomédica, Valladolid, Espanha
| | - Maria João Forjaz
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madri, Espanha.
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13
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Kaul R, Jain P, Angrish P, Saha S, Patra TK, Saha N, Mitra M. Knowledge, Awareness and Attitude towards Emergency Management of Dental Trauma among the Parents of Kolkata-An Institutional Study. J Clin Diagn Res 2016; 10:ZC95-ZC101. [PMID: 27630963 DOI: 10.7860/jcdr/2016/20682.8208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Accepted: 06/15/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Traumatic dental injuries are one of the commonly encountered dental emergencies. Missing anterior tooth in children due to any injury can be a source of considerable physical and psychological discomfort for the child. The prognosis of some dental injuries depends to a great extent on parents' knowledge of correct and prompt emergency measures. AIM The purpose of this cross-sectional study was to assess the knowledge, attitude and awareness level of parents regarding the emergency management of dental trauma and to find out the relation of the responses to social variables. MATERIALS AND METHODS A total of 2000 parents were surveyed over a period of three months using a pretested close ended questionnaire prepared in English, Hindi as well as in the regional language which was divided into three parts: Part 1 contained questions on personal information, Part 2 on an imaginary case of trauma to assess their knowledge regarding trauma management and Part 3 related to their attitude towards dental trauma management education. The data was statistically analysed using descriptive and chi-square statistics. RESULTS The overall knowledge of parents regarding emergency management of trauma was not satisfactory. Although most of the people were in favour of taking professional consultation for emergency management of trauma but most of them were unaware of the steps that need to be taken on their part so as to minimize complications and improve prognosis. CONCLUSION Educational campaigns are the need of the day to increase the knowledge of parents regarding emergency management of dental trauma.
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Affiliation(s)
- Rahul Kaul
- Post Graduate Student, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
| | - Parul Jain
- Post Graduate Student, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
| | - Paras Angrish
- Post Graduate Student, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
| | - Subrata Saha
- Professor, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
| | - Tamal Kanti Patra
- Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, Burdawan Dental College , Burdawan, West Bengal, India
| | - Nilanjana Saha
- Assistant Professor, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
| | - Malay Mitra
- Professor, Department of Pedodontics and Preventive Dentistry, Dr. R Ahmed Dental College and Hospital , Kolkata, West Bengal, India
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14
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Ruíz-López Del Prado G, Blaya-Nováková V, Saz-Parkinson Z, Álvarez-Montero ÓL, Ayala A, Muñoz-Moreno MF, Forjaz MJ. Design and validation of an oral health questionnaire for preoperative anaesthetic evaluation. Braz J Anesthesiol 2016; 67:6-14. [PMID: 28017172 DOI: 10.1016/j.bjane.2015.08.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Accepted: 08/17/2015] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Dental injuries incurred during endotracheal intubation are more frequent in patients with previous oral pathology. The study objectives were to develop an oral health questionnaire for preanaesthesia evaluation, easy to apply for personnel without special dental training; and establish a cut-off value for detecting persons with poor oral health. METHODS Validation study of a self-administered questionnaire, designed according to a literature review and an expert group's recommendations. The questionnaire was applied to a sample of patients evaluated in a preanaesthesia consultation. Rasch analysis of the questionnaire psychometric properties included viability, acceptability, content validity and reliability of the scale. RESULTS The sample included 115 individuals, 50.4% of men, with a median age of 58 years (range: 38-71). The final analysis of 11 items presented a Person Separation Index of 0.861 and good adjustment of data to the Rasch model. The scale was unidimensional and its items were not biased by sex, age or nationality. The oral health linear measure presented good construct validity. The cut-off value was set at 52 points. CONCLUSIONS The questionnaire showed sufficient psychometric properties to be considered a reliable tool, valid for measuring the state of oral health in preoperative anaesthetic evaluations.
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Affiliation(s)
- Gema Ruíz-López Del Prado
- Hospital Clínico Universitario, Departamento de Medicina Preventiva y Salud Pública, Valladolid, Spain
| | - Vendula Blaya-Nováková
- Hospital General Universitario Gregorio Marañón, Servicio de Medicina Preventiva y Gestión de Calidad, Madrid, Spain; Instituto de Salud Carlos III, Agencia de Evaluación de Tecnologías Sanitarias, Madrid, Spain
| | - Zuleika Saz-Parkinson
- Instituto de Salud Carlos III, Agencia de Evaluación de Tecnologías Sanitarias, Madrid, Spain; Hospital Clínico San Carlos, Instituto de Investigación Sanitaria, Madrid, Spain
| | - Óscar Luis Álvarez-Montero
- Hospital Universitario Infanta Leonor, Departamento de Otorrinolaringología, Madrid, Spain; Hospital Universitario Puerta de Hierro, Departamento de Otorrinolaringología, Madrid, Spain
| | - Alba Ayala
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madrid, Spain
| | - Maria Fe Muñoz-Moreno
- Hospital Clínico Universitario, Unidad de Investigación Biomédica, Valladolid, Spain
| | - Maria João Forjaz
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madrid, Spain.
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15
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Asahi Y, Fujii R, Usui N, Kagamiuchi H, Omichi S, Kotani J. Anesthetic management by laryngeal mask airway in a patient with a history of difficult intubation resulting in dental injuries. Anesth Prog 2015; 62:20-1. [PMID: 25849470 DOI: 10.2344/0003-3006-62.1.20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Disabled patients may face respiratory problems during general anesthesia because of head and neck anomalies. We describe a case of dental treatment under general anesthesia using a laryngeal mask airway in a disabled patient who faced difficulty in endotracheal intubation on several occasions, 5 of which resulted in dental injuries.
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Affiliation(s)
- Yoshinao Asahi
- Department of Dentistry, Morinomiya Hospital, Osaka, Japan
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16
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Abstract
Placement of dental implants in the maxillofacial region is routine and considered safe. However, as with any surgical procedure, complications occur. Many issues that arise at surgery can be traced to the preoperative evaluation of the patient and assessment of the underlying anatomy. In this article, the authors review some common and uncommon complications that can occur during and shortly after implant placement. The emphasis of each section is on the management and prevention of complications that may occur during implant placement.
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Affiliation(s)
- Igor Batista Camargo
- Department of Oral and Maxillofacial Surgery, College of Dentistry of Pernambuco, University of Pernambuco, 1650 General Newton Cavalcalte Avenue, Recife, Pernambuco, Brazil 54753-020; Brazilian Army, Brazil; Military Hospital Area of Recife, 95 General Salgado Road, Office 103 Recife, Pernambuco, Brazil 51130-320; Department of Oral and Maxillofacial Surgery, University of Kentucky, College of Dentistry, D-508, 800 Rose Street, Lexington, KY 40536-0297, USA
| | - Joseph E Van Sickels
- Department of Oral and Maxillofacial Surgery, University of Kentucky, College of Dentistry, D-508, 800 Rose Street, Lexington, KY 40536-0297, USA.
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17
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Denny JT, Yeh S, Mohiuddin A, Denny JE, Fratzola CH. Preventing "a bridge too far": promoting earlier identification of dislodged dental appliances during the perioperative period. J Clin Med Res 2014; 7:115-7. [PMID: 25436029 PMCID: PMC4245063 DOI: 10.14740/jocmr1981w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2014] [Indexed: 01/01/2023] Open
Abstract
The presence of fixed partial dentures presents a unique threat to the perioperative safety of patients that require orotracheal intubation or placement of instruments into the gastrointestinal (GI) tract. There are many chances for the displacement of a fixed partial denture: instrumentation of the airway for intubation, or introduction of temporary devices, such as gastroscopes or transesophageal echo probes. If dislodged, the fixed partial dentures can enter the hypopharynx, esophagus or lungs and cause perforations with their sharp tines. Oral or esophageal perforation can lead to potentially fatal mediastinitis. We describe a case of a patient with a fixed partial denture who underwent cardiac surgery with intubation and transesophageal echocardiography (TEE). His partial denture was intact after the procedure. After extubation, he reported that his teeth were missing. Multiple procedures were required to remove his dislodged partial dentures. In sign-out reports, verbal descriptions of the patient’s partial dentures were not adequate in this case. A picture of the patient’s denture and oral pharynx pre-operatively would have provided a more accurate template for the post-operative team to refer to when caring for the patient. This may have avoided the multiple potentially risky procedures the patient had to undergo. We describe a suggested protocol utilizing a pre-operative photo to reduce the incidence of unrecognized partial denture dislodgement in the perioperative period. Because the population is aging, this will become a more frequent issue confronting practitioners. This protocol could mitigate this complication.
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Affiliation(s)
- John T Denny
- Department of Anesthesia, Rutgers/Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - Sloane Yeh
- Department of Anesthesia, Rutgers/Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - Adil Mohiuddin
- Department of Anesthesia, Rutgers/Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
| | - Julia E Denny
- Rutgers Graduate School of Nursing, 65 Bergen Street, Newark, NJ 07107, USA
| | - Christine H Fratzola
- Department of Anesthesia, Rutgers/Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08901, USA
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Abstract
Sports dentistry is one of the most recent and upcoming field in dentistry. It mainly includes the prevention and management of athletics-related orofacial injuries and associated oral diseases. The sports or team dentist assists athletes in the prevention, treatment, and diagnosis of oral injuries. The most significant aspect in preventing sports-related orofacial injuries is wearing basic protective devices such as properly-fitting helmets, face masks and/or mouth guards. Dental injuries are the most common type of orofacial injury sustained during participation in sports. Many athletes are not aware of the health implications of a traumatic injury to the mouth or of the potential for incurring severe head and orofacial injuries while playing. The dentist can play an imperative role in informing athletes, coaches and patients about the importance of preventing orofacial injuries in sports. The aim of this paper is to increase professional awareness and interest for orientation toward sports dentistry.
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Affiliation(s)
- Rajiv Saini
- Departments of Periodontology and Oral Implantology, Rural Dental College, Loni, Ahmednagar, Maharashtra, India
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