To the Editor: Damaged teeth constitute the most frequent anesthesia-related claim in the United States [1]. The incidence of dental trauma in anesthesia practice varies from 1:150 to 1:1000 [2]. Most occurrences are due to the application of pressure by the hard metallic blade of the laryngoscope during endotracheal intubation. Dental damage is classified as fracture into the enamel layer (class I), fracture into the dentinal layer (II), fracture into the tooth pulp (class III), fracture of the tooth root (class IV), subluxation of a tooth (class V), or avulsion of a tooth (class VI). Factors predisposing to dental trauma include emergencies, situations in which intubation is difficult such as mandibulofacial abnormalities, and increased vulnerability of the teeth caused, for example, by caries, periodontal disease, restorations of teeth, crowns, or fixed partial dentures [2]. The use of different types of tooth protectors has often been advocated to prevent dental trauma during anesthesia [3]. Poor visibility and lack of space when ordinary protectors are applied make the intubation difficult or even impossible [4]. We have advocated the use of surgical adhesive tape (3M Microfoam surgical tape) on the metallic blade of the laryngoscope prior to intubation to decrease the incidence of dental trauma during intubation (Figure 1). The adhesive tape acts as a cushion to the teeth during intubation when pressure is applied by the laryngoscope, thus eliminating class I and II trauma to the teeth, especially the sharp incisors, even in difficult intubation cases. The adhesive tape adds less than 1 mm of thickness to the laryngoscope blade and does not interfere with the visibility or the space for intubation as do the classic tooth protectors. Also, the adhesive tape does not allow the blade to slide over the teeth during intubation.Figure 1: The adhesive tape applied to the blade of the laryngoscope.Maroun B. Ghabash, MD Department of Anesthesia; H. Hospital for the Rosary Sisters; Beirut, Lebanon May S. Matta, MD Department of Anesthesia; H. Hospital for the Rosary Sisters; Beirut, Lebanon Carina B. Mehanna, DDS Consultant; H. Hospital for the Rosary Sisters; Beirut, Lebanon