Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Creating protective appliances for preventing dental injury during endotracheal intubation using intraoral scanning and 3D printing: a technical note

  • Cho, Jin-Hyung (Department of Advanced General Dentistry, College of Dentistry, Yonsei University) ;
  • Park, Wonse (Department of Advanced General Dentistry, College of Dentistry, Yonsei University) ;
  • Park, Kyeong-Mee (Department of Advanced General Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Seo-Yul (Department of Advanced General Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Kee-Deog (Department of Advanced General Dentistry, College of Dentistry, Yonsei University)
  • Received : 2017.01.02
  • Accepted : 2017.02.26
  • Published : 2017.03.30
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Abstract

Digital dentistry has influenced many dental procedures, such as three-dimensional (3D) diagnosis and treatment planning, surgical splints, and prosthetic treatments. Patient-specific protective appliances (PSPAs) prevent dental injury during endotracheal intubation. However, the required laboratory work takes time, and there is the possibility of tooth extraction while obtaining the dental impression. In this technical report, we utilized new digital technology for creating PSPAs, using direct intraoral scanners and 3D printers for dental cast fabrication.

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References

  1. Chen JJ, Susetio L, Chao CC. Oral complications associated with endotracheal general anesthesia. Ma Zui Xue Za Zhi 1990; 28: 163-9.
  2. Lockhart PB, Feldbau EV, Gabel RA, Connolly SF, Silversin JB. Dental complications during and after tracheal intubation. J Am Dent Assoc 1986; 112: 480-3. https://doi.org/10.14219/jada.archive.1986.0035
  3. Burton JF, Baker AB. Dental damage during anaesthesia and surgery. Anaesth Intensive Care 1987; 15: 262-8. https://doi.org/10.1177/0310057X8701500304
  4. Deppe H, Reeker W, Horch HH, Kochs E. Tooth injury during intubation--diagnostic and therapeutic aspects. Anasthesiol Intensivmed Notfallmed Schmerzther 1998; 33: 722-5. https://doi.org/10.1055/s-2007-994843
  5. Ghabash MB, Matta MS, Mehanna CB. Prevention of dental trauma during endotracheal intubation. Anesth Analg 1997; 84: 230-1. https://doi.org/10.1213/00000539-199701000-00054
  6. Lee KH, You TM, Park W, Lee SH, Jung BY, Pang NS, et al. Protective dental splint for oroendotracheal intubation: Experience of 202 cases. J Dent Anesth Pain Med 2015; 15: 17-23. https://doi.org/10.17245/jdapm.2015.15.1.17
  7. Akyalcin S, Cozad BE, English JD, Colville CD, Laman S. Diagnostic accuracy of impression-free digital models. Am J Orthod Dentofacial Orthop 2013; 144: 916-22. https://doi.org/10.1016/j.ajodo.2013.04.024
  8. Nedelcu RG, Persson AS. Scanning accuracy and precision in 4 intraoral scanners: An in vitro comparison based on 3-dimensional analysis. J Prosthet Dent 2014; 112: 1461-71. https://doi.org/10.1016/j.prosdent.2014.05.027
  9. De Luca Canto G, Pacheco-Pereira C, Lagravere MO, Flores-Mir C, Major PW. Intra-arch dimensional measurement validity of laser-scanned digital dental models compared with the original plaster models: A systematic review. Orthod Craniofac Res 2015; 18: 65-76. https://doi.org/10.1111/ocr.12068
  10. Renne W, Ludlow M, Fryml J, Schurch Z, Mennito A, Kessler R, et al. Evaluation of the accuracy of 7 digital scanners: An in vitro analysis based on 3-dimensional comparisons. J Prosthet Dent 2016.
  11. Mangano F, Shibli JA, Fortin T. Digital dentistry: New materials and techniques. Int J Dent 2016; 2016: 5261247.
  12. Patzelt SB, Lamprinos C, Stampf S, Att W. The time efficiency of intraoral scanners: An in vitro comparative study. J Am Dent Assoc 2014; 145: 542-51. https://doi.org/10.14219/jada.2014.23
  13. Chia HN, Wu BM. Recent advances in 3D printing of biomaterials. J Biol Eng 2015; 9: 4. https://doi.org/10.1186/s13036-015-0001-4
  14. Kloeg EF, Collys K. Materials for mouth protectors. Rev Belge Med Dent 2003; 58: 21-33.
  15. Manka-Malara K, Gawlak D, Hovhannisyan A, Klikowska M, Kostrzewa-Janicka J. Dental trauma prevention during endotracheal intubation--review of literature. Anaesthesiol Intensive Ther 2015; 47: 425-9. https://doi.org/10.5603/AIT.2015.0054
  16. Monaca E, Fock N, Doehn M, Wappler F. The effectiveness of preformed tooth protectors during endotracheal intubation: An upper jaw model. Anesth Analg 2007; 105: 1326-32. https://doi.org/10.1213/01.ane.0000281909.65963.c8
  17. Sato N, Shingu K. Another reason to choose the left molar approach of laryngoscopy: To spare the incisor teeth. Anesthesiology 2002; 96: 1279. https://doi.org/10.1097/00000542-200205000-00047
  18. Haddy S. Protecting teeth during endotracheal intubation. Anesthesiology 1989; 71: 810-1. https://doi.org/10.1097/00000542-198911000-00041
  19. Hagelsten JO, Marvitz L. Prevention of dental damage during anesthesia. Z Prakt Anasth 1971; 6: 195-205.
  20. Field JM. Dental injuries during general anaesthesia. Br Dent J 1996; 181: 11. https://doi.org/10.1038/sj.bdj.4809140
  21. Newland MC, Ellis SJ, Peters KR, Simonson JA, Durham TM, Ullrich FA, et al. Dental injury associated with anesthesia: A report of 161,687 anesthetics given over 14 years. J Clin Anesth 2007; 19: 339-45. https://doi.org/10.1016/j.jclinane.2007.02.007
  22. Cass NM. Medicolegal claims against anaesthetists: A 20 year study. Anaesth Intensive Care 2004; 32: 47-58. https://doi.org/10.1177/0310057X0403200108
  23. Owen H, Waddell-Smith I. Dental trauma associated with anaesthesia. Anaesth Intensive Care 2000; 28: 133-45. https://doi.org/10.1177/0310057X0002800202
  24. Klionsky DJ, Abdelmohsen K, Abe A, Abedin MJ, Abeliovich H, Acevedo Arozena A, et al. Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition). Autophagy 2016; 12: 1-222. https://doi.org/10.1080/15548627.2015.1100356
  25. Warner ME, Benenfeld SM, Warner MA, Schroeder DR, Maxson PM. Perianesthetic dental injuries: Frequency, outcomes, and risk factors. Anesthesiology 1999; 90: 1302-5. https://doi.org/10.1097/00000542-199905000-00013
  26. Magnin C, Bory EN, Motin J. Tooth injuries during intubation: A new preventive device. Ann Fr Anesth Reanim 1991; 10: 171-4. https://doi.org/10.1016/S0750-7658(05)80461-7
  27. Folwaczny M, Hickel R. Oro-dental injuries during intubation anesthesia. Anaesthesist 1998; 47: 707-31. https://doi.org/10.1007/s001010050619

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  1. 3D Printing and Digital Processing Techniques in Dentistry: A Review of Literature vol.21, pp.6, 2017, https://doi.org/10.1002/adem.201801013