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Case Reports
. 2024;12(4):202-206.
doi: 10.30476/beat.2024.100293.1466.

Management of Laryngoscope-Induced Iatrogenic Dental Injury: A Case Series

Mridula Goswami  1 , Vashi Narula  1 , Ramanandvignesh Pandiyan  2
Affiliations
Case Reports

Management of Laryngoscope-Induced Iatrogenic Dental Injury: A Case Series

Mridula Goswami et al. Bull Emerg Trauma. 2024.

Abstract

Dental injury is a common anesthesia-related adverse event, with a high incidence of damage to teeth and surrounding tissues during oro-endotracheal intubation. Poor oral hygiene, compromised periodontium, faulty or loose prosthesis, proclined maxillary incisors along with increased difficulty level of airway management, improper use of laryngoscope, and use of maxillary anterior teeth as a fulcrum for achieving accessibility to the airway are all risk factors for iatrogenic dental injury. This type of injury provides additional physical and psychological trauma to patients who have already undergone medical surgical procedures. The consequences of such mishaps might potentially result in medico-legal suits and financial claims. The present case series described three cases of managing iatrogenic dental lesions during oro-endotracheal intubation, after obtaining written informed consent, as well as methods for preventing such accidental injuries. This study emphasized the importance of collaboration between medical and dental professionals in preventing and successfully managing accidental dental injuries.

Keywords: Anesthesia; Children; Dental injury; Laryngoscope.

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Conflict of interest statement

The authors had no conflict of interest to declare.

Figures

Fig. 1
Fig. 1
a. Pre-operative frontal view showing reimplanted #21; b. Pre-operative maxillary occlusal view showing traumatic injury to maxillary incisors; c. Post-operative frontal view showing flexible splint; d. Pre-operative radiograph; e. Post-operative radiograph; f. Radiograph after 3 months follow-up
Fig. 2
Fig. 2
a. Pre-operative frontal view showing reimplanted #21; b. Post-operative frontal view showing flexible splint; c. Frontal view at 3 months follow up; d. Pre-operative radiograph showing immature roots of #11 and #21; e. Immediate post-operative radiograph; f. Radiograph after 3 months follow-up
Fig. 3
Fig. 3
a. Pre-operative frontal view; b. Pret-operative maxillary occlusal view; c. Post-operative frontal view showing flexible splint; d. Pre-operative radiograph showing immature roots of #11 and #21; e. Immediate post-operative radiograph
See this image and copyright information in PMC

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