Tooth avulsion accidents due to urgent and emergency orotracheal intubation
Med. oral patol. oral cir. bucal (Internet)
; 25(3): e353-e358, mayo 2020. tab
Article
in English
| IBECS
| ID: ibc-196321
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND:
Intubation is necessary during critical situations to reduce the risk of death. In Brazil, a need exists to determine the prevalence of tooth avulsions in emergency and urgent care. The objective of this study was to identify the causes of orotracheal intubation (OTI), the number of tooth avulsions, and the avulsed teeth that result from urgent and emergency intubation. MATERIAL ANDMETHODS:
The sample consisted of 116 patients (total group) in intensive care units (ICUs) distributed across Group 1 (G1), which was composed of 71 patients from an urgent-care hospital, and Group 2 (G2), which was composed of 45 patients from an emergency hospital. Clinical examinations showed dental alveolus with signs of recent exodontia in the upper and lower anterior regions. Sociodemographic data and the reason for intubation were evaluated. The Shapiro-Wilk normality test, chi-square test, Fisher's exact test, Mann-Whitney U test, and univariate logistic regression were performed with a significance level of 5%.RESULTS:
The avulsion prevalence was 4.3%, with more cases receiving emergency intubation (n = 4). All avulsions occurred in adults, and a significant difference (p = 0.011) was observed with regard to the elderly. A 1-year reduction in age increased the chance of tooth avulsion during intubation by 1.09 times; being female increased the chance by 2.88 times.CONCLUSION:
Pulmonary problems were the major causes of intubation, with the highest tooth avulsion prevalence observed during emergency intubation. The avulsed teeth were 11, 12, 13, 22, 32, and 33 across all casesRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Tooth Avulsion
/
Intubation, Intratracheal
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2020
Document type:
Article
Institution/Affiliation country:
Cruzeiro do Sul University São Paulo/Brazil
/
Dentistry for Special Patients and Hospital Dentistry - Catholic University of Brasília (UCB)/Brazil
/
Higher Education Institute of Paraíba (IESP)/Brazil