전신마취와 관련된 치아손상의 보존적 관리: 증례보고

Abstract

Damage to teeth during general anesthesia are most occurred by intubation when shearing force is exerted by the pressure of the laryngoscope. However, injury to teeth is also possible when the patient bites on the intubation tube in the stage of excitation at the beginning or the end of the anesthesia or because of adequate relaxation. Dental damage in general anestesia mainly involves the upper incisor teeth. The damage to front teeth of the lower jaw mostly reported in forced opening of the mouth with support on teeth damaged by periodontitis. If the dental injuries (subluxation, luxation, fracture etc) have occurred during anesthesia, immediate reduction & fixation is to be aimed for the proper care & prevention of medicolegal problems. The authors reviewed the cases of damaged teeth care during general anesthesia in Wonju Christian Hospital ad Dongsan Medical Center. The all injuried teeth were conserved by the immediate reduction & fixation, primary endodontic drainage (pulp extirpation & canal open drainage) ( dental restoration with occlusal adjustment and medications (antibiotics and analgesics) without the specific complications (infection, teeth mobility, root resorption etc). The two typical cases were reported.