Evaluation of dentoalveolar and temporomandibular joint injuries during endotracheal intubation: a survey study

Ezgi Eroğlu Çakmakoğlu; Adalet Çelebi; Ayşe Rençber Kızılkaya; Gamze Açıkyol; Ayşe Özcan Küçük; Nurcan Doruk; Fethi Atıl

Makale detayları

Evaluation of dentoalveolar and temporomandibular joint injuries during endotracheal intubation: a survey study

Yazarlar:

Ezgi Eroğlu Çakmakoğlu | Adalet Çelebi | Ayşe Rençber Kızılkaya | Gamze Açıkyol | Ayşe Özcan Küçük | Nurcan Doruk | Fethi Atıl

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ağız ve Çene Cerrahisi | Çocuk Diş Hekimliği | Diş Hekimliği (Diğer) | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.222-227

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343105

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aims: Endotracheal intubation is a widely utilised technique in the fields of anesthesia and resuscitation. However, dentoalveolar and temporomandibular joint TMJ injuries may occur frequently during this procedure. Such injuries can result in patient morbidity and, in some cases, may also give rise to medico-legal issues. It is therefore essential to develop a comprehensive understanding of the prevalence of such injuries, the risk factors that contribute to their occurrence, and effective management strategies to minimize the likelihood of these complications arising. Methods: A cross-sectional study was conducted to evaluate the knowledge and attitudes of 227 anesthesiologists across Turkiye regarding dentoalveolar and TMJ injuries occurring during endotracheal intubation. A previously validated online questionnaire consisting of 20 questions was administered. Data were analyzed with IBM SPSS v23 software, and the significance level was evaluated as p0.05 using Fishers exact test with Monte Carlo correction between categorical data. Results: The survey revealed that 67.4 of the participants reported cases of dental trauma in adult patients, with a smaller percentage 28.2 reporting cases in pediatric patients. The survey also revealed that the use of protective devices was minimal, with only 5.3 of participants reporting their use. However, a significant proportion 93 of the participants stated that education should be provided on the prevention and management of dental trauma. The most common site of injury was the anterior teeth of the maxilla 82.8, and the most common type of trauma was tooth fracture 56.6. Furthermore, temporomandibular joint dislocation was reported in 26.4 of participants during the intubation process. Conclusion: Dentoalveolar and TMJ injuries during endotracheal intubation are a prevalent yet under-researched problem. This study underscores the necessity for training programmes to formulate preventive measures and emergency intervention methods. Preoperative dental assessments and the utilization of protective devices can markedly reduce the incidence of such injuries.

 Aims: Endotracheal intubation is a widely utilised technique in the fields of anesthesia and resuscitation. However, dentoalveolar and temporomandibular joint TMJ injuries may occur frequently during this procedure. Such injuries can result in patient morbidity and, in some cases, may also give rise to medico-legal issues. It is therefore essential to develop a comprehensive understanding of the prevalence of such injuries, the risk factors that contribute to their occurrence, and effective management strategies to minimize the likelihood of these complications arising. Methods: A cross-sectional study was conducted to evaluate the knowledge and attitudes of 227 anesthesiologists across Turkiye regarding dentoalveolar and TMJ injuries occurring during endotracheal intubation. A previously validated online questionnaire consisting of 20 questions was administered. Data were analyzed with IBM SPSS v23 software, and the significance level was evaluated as p0.05 using Fishers exact test with Monte Carlo correction between categorical data. Results: The survey revealed that 67.4 of the participants reported cases of dental trauma in adult patients, with a smaller percentage 28.2 reporting cases in pediatric patients. The survey also revealed that the use of protective devices was minimal, with only 5.3 of participants reporting their use. However, a significant proportion 93 of the participants stated that education should be provided on the prevention and management of dental trauma. The most common site of injury was the anterior teeth of the maxilla 82.8, and the most common type of trauma was tooth fracture 56.6. Furthermore, temporomandibular joint dislocation was reported in 26.4 of participants during the intubation process. Conclusion: Dentoalveolar and TMJ injuries during endotracheal intubation are a prevalent yet under-researched problem. This study underscores the necessity for training programmes to formulate preventive measures and emergency intervention methods. Preoperative dental assessments and the utilization of protective devices can markedly reduce the incidence of such injuries.

 Aims: Endotracheal intubation is a widely utilised technique in the fields of anesthesia and resuscitation. However, dentoalveolar and temporomandibular joint TMJ injuries may occur frequently during this procedure. Such injuries can result in patient morbidity and, in some cases, may also give rise to medico-legal issues. It is therefore essential to develop a comprehensive understanding of the prevalence of such injuries, the risk factors that contribute to their occurrence, and effective management strategies to minimize the likelihood of these complications arising. Methods: A cross-sectional study was conducted to evaluate the knowledge and attitudes of 227 anesthesiologists across Turkiye regarding dentoalveolar and TMJ injuries occurring during endotracheal intubation. A previously validated online questionnaire consisting of 20 questions was administered. Data were analyzed with IBM SPSS v23 software, and the significance level was evaluated as p0.05 using Fishers exact test with Monte Carlo correction between categorical data. Results: The survey revealed that 67.4 of the participants reported cases of dental trauma in adult patients, with a smaller percentage 28.2 reporting cases in pediatric patients. The survey also revealed that the use of protective devices was minimal, with only 5.3 of participants reporting their use. However, a significant proportion 93 of the participants stated that education should be provided on the prevention and management of dental trauma. The most common site of injury was the anterior teeth of the maxilla 82.8, and the most common type of trauma was tooth fracture 56.6. Furthermore, temporomandibular joint dislocation was reported in 26.4 of participants during the intubation process. Conclusion: Dentoalveolar and TMJ injuries during endotracheal intubation are a prevalent yet under-researched problem. This study underscores the necessity for training programmes to formulate preventive measures and emergency intervention methods. Preoperative dental assessments and the utilization of protective devices can markedly reduce the incidence of such injuries.

 Giriş Endotrakeal entübasyon, anestezi ve resüsitasyon alanlarında yaygın olarak kullanılan bir tekniktir. Ancak bu işlem sırasında sıklıkla dentoalveolar ve temporomandibular eklem TME yaralanmaları meydana gelebilmektedir. Bu tür yaralanmalar hastalarda morbiditeye yol açabilir ve bazı durumlarda medikolegal sorunlara da yol açabilir. Bu nedenle, bu tür yaralanmaların yaygınlığı, oluşmalarına katkıda bulunan risk faktörleri ve bu komplikasyonların ortaya çıkma olasılığını en aza indirmek için etkili yönetim stratejileri hakkında kapsamlı bir anlayış geliştirmek çok önemlidir. Materyal ve Yöntem: Türkiye genelinde 227 anestezi uzmanının endotrakeal entübasyon sırasında meydana gelen dentoalveolar ve TME yaralanmalarına ilişkin bilgi ve tutumlarını değerlendirmek amacıyla kesitsel bir çalışma yürütülmüştür. Daha önce geçerliliği onaylanmış 20 sorudan oluşan çevrimiçi bir anket uygulanmıştır. Veriler IBM SPSS v23 yazılımı ile analiz edilmiş ve anlamlılık düzeyi kategorik veriler arasında Monte Carlo düzeltmeli Fishers Exact testi kullanılarak p0.05 olarak değerlendirilmiştir. Sonuçlar: Anket, katılımcıların 67,4ünün yetişkin hastalarda dental travma vakası bildirdiğini, daha küçük bir oranın 28,2 ise çocuk hastalarda vaka bildirdiğini ortaya koymuştur. Anket ayrıca koruyucu cihaz kullanımının minimum düzeyde olduğunu ve katılımcıların yalnızca 5,3ünün bu cihazların kullanıldığını bildirdiğini ortaya koymuştur. Bununla birlikte, katılımcıların önemli bir kısmı 93 dental travmanın önlenmesi ve yönetimi konusunda eğitim verilmesi gerektiğini belirtmiştir. En yaygın yaralanma bölgesi üst çenenin ön dişleri 82,8 ve en yaygın travma türü diş kırılmasıdır 56,6. Ayrıca, entübasyon işlemi sırasında katılımcıların 26,4ünde temporomandibular eklem dislokasyonu rapor edilmiştir. Sonuç Endotrakeal entübasyon sırasında dentoalveolar ve TME yaralanmaları yaygın ancak yeterince araştırılmamış bir sorundur. Bu çalışma, önleyici tedbirleri ve acil müdahale yöntemlerini formüle etmek için eğitim programlarının gerekliliğinin altını çizmektedir. Ameliyat öncesi dental değerlendirmeler ve koruyucu cihazların kullanımı bu tür yaralanmaların insidansını önemli ölçüde azaltabilir. Translated with DeepL.com free version.

Makale detayları

Evaluation of dentoalveolar and temporomandibular joint injuries during endotracheal intubation: a survey study

Yazarlar:

Ezgi Eroğlu Çakmakoğlu | Adalet Çelebi | Ayşe Rençber Kızılkaya | Gamze Açıkyol | Ayşe Özcan Küçük | Nurcan Doruk | Fethi Atıl

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ağız ve Çene Cerrahisi | Çocuk Diş Hekimliği | Diş Hekimliği (Diğer) | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.222-227

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343105

pISSN:

2636-8579

Dentoalveolar injuries

temporomandibular joint injuries

endotracheal intubation

surveyDentoalveolar Yaralanmalar

Temporomandibular Eklem Yaralanmaları

Endotrakeal Entübasyon

Anket

Sayı

Makale detayları

Yazarlar: Ezgi Eroğlu Çakmakoğlu | Adalet Çelebi | Ayşe Rençber Kızılkaya | Gamze Açıkyol | Ayşe Özcan Küçük | Nurcan Doruk | Fethi Atıl

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ağız ve Çene Cerrahisi | Çocuk Diş Hekimliği | Diş Hekimliği (Diğer) | Anesteziyoloji

Dergi: Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.222-227

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001343105

pISSN: 2636-8579

Sayı

Yazarlar:

Ezgi Eroğlu Çakmakoğlu | Adalet Çelebi | Ayşe Rençber Kızılkaya | Gamze Açıkyol | Ayşe Özcan Küçük | Nurcan Doruk | Fethi Atıl

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ağız ve Çene Cerrahisi | Çocuk Diş Hekimliği | Diş Hekimliği (Diğer) | Anesteziyoloji

Dergi:

Journal of Health Sciences and Medicine Vol.8 Issue 2, pp.222-227

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001343105

pISSN:

2636-8579