A review of the Accident Compensation Corporation (ACC) files on dental damage following anaesthesia or surgery was undertaken along with a survey of New Zealand anaesthetists asking about their practice with respect to protection of teeth during anaesthesia. These results confirm that damage is relatively common and that the majority of damaged teeth (62%) were known to have been previously restored, or weakened through periodontal disease prior to the damage occurring. The anaesthetists surveyed thought that dental damage was even more common than shown from the ACC records, and yet the vast majority of them did not routinely use specific protective guards and 45% of them did not ever use protective guards of any type.
EversW, RaczGB, GlazerJ, DobkinAB. Orahesive as a protection for the teeth during general anaesthesia and endoscopy. Canad Anaesth Soc J1967; 14:123–128.
9.
RosenbergM, BolgaJ.Protection of teeth and gums during endotracheal intubation. Anesth Analg1968; 47:34–36.
10.
HenryPJ. Mouth guards in general anaesthesia. Med J Aust1969; 1:911–912.
11.
DavisF O'B, De FreeceAB, ShroffPF. Custom-made plastic guards for tooth protection during endoscopy and orotracheal intubation. Anesth Analg1971; 50:203–206.
12.
PodoshinL.Protecting the upper teeth during microlaryngoscopy. Arch Otolaryngol1976; 102:439.
13.
McCarthyG, CarlsonO.A dental splint for use during peroral endoscopy. Acta Otolaryngol1977; 84:450–452.
14.
SalisburyPL. Appliance to protect maxillary teeth and palate during endoscopy. Arch Otolaryngol1984; 110:106–107.
15.
BizzarriDV, GuiffridaJG. Improved laryngoscope blade designed for ease of manipulation and reduction of trauma. Anesth Analg1958; 37:231–232.
RoddaJC. Quoted in Accident Compensation Appeal Authority (New Zealand): Decision 497, re Tesoriero, 18 December 1980, ACA 140/79.
25.
SalisSG. Dynamic fracture of intact and restored teeth. M.D.S. Thesis, University of Otago1984.
26.
SalisSG, HoodJAA, KirkEEJ, StokesANS. Impact fracture of human pre-molar teeth. J Prosth Dent1986: (in press).
27.
WhiteA, KarderPL. Anatomical factors in difficult direct laryngoscopy. Br J Anaesth1975; 47:468–473.
28.
AtkinsonRS, RushmanGB, LeeJA. A Synopsis of Anaesthesia. 9th ed. Wright, Bristol1982; 230–231.
29.
NicholsonMJ. Case history: Endobronchial aspiration of a tooth. Anesth Analg1965; 44:355–357.
30.
NatiellaJR, ArmitageJE, GreenGW. The replantation and transplantation of teeth. Oral Surg, Med, Path1970; 29:397–419.
31.
WhiteacreGW, EdwardsJL. Re-implantation of avulsed teeth. NZ Dent J1976; 72:96–98.
32.
AndreasenJO, Hjorting-HansenE.Replantation of teeth. 1. Radiographic and clinical study of 110 human teeth replanted after accidental loss. Acta Odontol Scand1966; 24:263–286.
