Abstract
BackgroundThis report presents a case of a patient with multiple tooth fractures in posterior teeth that were diagnosed several months following an emergency intubation.FindingsA 68-year-old woman, with a history of an emergency intubation during ascending aorta dissection repair performed 7 months ago, presented with a complaint of long lasting pain in the right side of her face, and a recent pain evoked by mastication and cold stimuli, located in her right mandibular area. Upon clinical examination, the 1st mandibular molar was diagnosed with chronic apical abscess associated with a vertical root fracture (VRF); the 2nd mandibular molar was diagnosed with extensive cracks across the floor of the pulp chamber, extending apically deep into the distal root. Both teeth were extracted, and the symptoms were resolved.ConclusionsMultiple posterior teeth may fracture as a result of emergency intubation procedure and the diagnosis of such fractures may be delayed and complicated. A thorough dental evaluation and follow-up after the emergency procedures is indicated. Additional clinical studies are warranted in order to shed light on this complication.
Highlights
This report presents a case of a patient with multiple tooth fractures in posterior teeth that were diagnosed several months following an emergency intubation
Multiple posterior teeth may fracture as a result of emergency intubation procedure and the diagnosis of such fractures may be delayed and complicated
Additional clinical studies are warranted in order to shed light on this complication
Summary
This report presents a case of a patient with multiple tooth fractures in posterior teeth that were diagnosed several months following an emergency intubation. Dental injury has been associated with endotracheal intubation (de Sousa and Mourao 2015; Warner et al 1999; Vogel et al 2009). The reported incidence of this complication is up to 12% (de Sousa and Mourao 2015; Warner et al 1999). Most studies reported that dental injuries may occur during intubation for elective surgery (de Sousa and Mourao 2015; Adolphs et al 2011). Some studies indicate that emergency surgical procedures are associated with an increased risk of dental injuries (de Sousa and Mourao 2015; Feltracco et al 2011). Only one tooth is injured, simultaneous injuries of two or more teeth were already described (de Sousa and Mourao 2015; Burton and Baker 1987).
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