Dental examinations prior to elective surgery under anesthesia.
Dental examinations prior to elective surgery under anesthesia.
复制标题
麻醉下择期手术前进行牙科检查。
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
J. A. Zukaitis
中科院分区：
文献类型：
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作者：
S. A. Chidyllo;J. A. Zukaitis
重要的是让患者的普通牙医参与术前管理，因为常规牙科检查比手术更频繁。如果牙医从病人那里得知他或她将接受手术，牙医应该强调在手术前稳定或去除任何松动的牙齿或假体的重要性。在今天的大多数医疗中心，接受择期手术的患者在手术前由麻醉师进行入院前检查。对患者的病史进行回顾，并进行体格检查。麻醉师检查患者是否难以张口，以及是否有松动的牙冠或假牙。如果有需要矫正的牙齿问题，应要求患者在手术前去看牙医。这将有助于防止在全身麻醉管理过程中出现问题。回顾文献，很难获得关于全身麻醉继发牙科并发症发生率的确切统计数据。大多数参考文献认为，牙齿和牙科用具的损伤是插管最常见的并发症。牙齿受损导致对麻醉师提起的诉讼数量最多。一项对麻醉相关索赔的审查报告说，17%的索赔是由于牙齿或假牙受损。一些作者主张在手术过程中使用器械来帮助保护牙列。这些装置中的大多数在插管和拔管期间临时夹板或保护牙齿免受创伤。（250字处删节）
It is important to involve the patient's general dentist in the preoperative management, since routine dental examinations are performed more frequently than surgery. If the dentist learns from the patient that he or she will be undergoing surgery, the dentist should stress the importance of stabilizing or removing any loose teeth or prostheses prior to surgery. In most medical centers today, patients undergoing elective surgery are seen by the anesthesiologist prior to their date of surgery for preadmission testing. A review of the patient's medical history is obtained and physical examination is performed. The anesthesiologist examines the patient for difficulty with opening the mouth, and for any loose crowns or dentures. If there are dental problems that should be corrected, the patient should be requested to visit his/her dentist prior to surgery. This will help prevent problems during the administration of general anesthesia. Reviewing the literature, it is difficult to obtain definite statistics on the incidence of dental complications secondary to general anesthesia. Most references agree that damage to the teeth and dental appliances is the most common complication of intubation. Damaged teeth result in the largest number of lawsuits filed against anesthesiologist. One review of anesthesia-related claims reports that 17 percent of the claims are due to damage to the teeth or dental prosthesis. Several authors had advocated the use of devices to help protect the dentition during the surgery. Most of these devices temporarily splint or protect the teeth from trauma during intubation and extubation.(ABSTRACT TRUNCATED AT 250 WORDS)