Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre.

Autor:	Tan CQL; Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117594, Singapore., Loh GYW; Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117594, Singapore., Benjamin TWR; Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore. benjamin_tay@nuhs.edu.sg., Koh CJ; Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore., Mok JSR; Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore., Hartono JL; Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore., Chua KTC; Department of Medicine, Ng Teng Fong General Hospital, Singapore., Tan HH; Division of Prosthodontics, National University Centre for Oral Health, Singapore 119074, Singapore., Siah KTH; Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore.
Jazyk:	angličtina
Zdroj:	World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2023 Aug 16; Vol. 15 (8), pp. 518-527.
DOI:	10.4253/wjge.v15.i8.518
Abstrakt:	Background: Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy. Aim: To determine frequency and effects of dental injury in endoscopy, we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature. Methods: Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.284% of procedures. Review of literature identified a similar rate of 0.33%. Results: Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected. Pre-endoscopic history and tooth examination are key for risk stratification and may be conducted succinctly with limited time outlay. Tooth retrieval should be prioritized in the event of dental injury to minimize aspiration and be followed by prompt dental consultation for specific management. Conclusion: Dental complications occur in approximately 1 in 300 of upper endoscopy cases. These are easily preventable by pre-endoscopy screening. Protocols to mitigate dental injury are also suggested. Competing Interests: Conflict-of-interest statement: Conflict of Interest: Nothing to disclose. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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