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Anaesth Crit Care Pain Med · Feb 2018
Dental injury associated with anaesthesia: An 8-year database analysis of 592 claims from a major French insurance company.
- Antoine Giraudon, de Saint MauriceGuillaumeGHôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France., Matthieu Biais, Dan Benhamou, and Karine Nouette-Gaulain.
- Anesthesia and Critical Care Department 3, centre hospitalier universitaire de Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France. Electronic address: antoine.giraudon@chu-bordeaux.fr.
- Anaesth Crit Care Pain Med. 2018 Feb 1; 37 (1): 49-53.
IntroductionDental 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.MethodsA 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.ResultsAmongst 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%).ConclusionDental 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.Copyright © 2017. Published by Elsevier Masson SAS.
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