[牙齿活动性评估-与牙科评估-的比较]。

Tomoki Ishikawa, Masahiko Oiwa, Eriko Minami, Hideyuki Mieda, Sachiko Sato, Mizue Ishii, Hiroyuki Kobayashi, Takeshi Mikane, Tomihiro Fukushima, Hiroaki Tokioka
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引用次数: 0

摘要

背景:移动牙齿的患者在气管插管相关的牙齿损伤风险增加。虽然通过术前访问的访谈可以确认是否存在活动牙,但患者往往不知道这种牙齿的存在。在我们的诊所,所有接受胸腔镜辅助手术的病人都可以接受牙科咨询,这是口腔卫生管理的一部分。本研究调查了患者在术前就诊时报告的活动牙的存在/不存在,以及在牙科咨询时发现的,重点是它们之间的不一致。方法:回顾性分析2014年1月至10月在我院行胸腔镜辅助手术的患者。采用Miller指数评估牙齿活动性。结果:76例患者(男46例,女30例),年龄36 ~ 88岁(平均67.8岁),其中13例在牙科会诊时发现移动牙,8例在术前就诊时报告移动牙。结论:基于这些发现,即使患者在术前就诊时未报告移动牙齿,在插入管时也有必要引起足够的注意。
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[Tooth Mobility Evaluation -A Comparison with Dental Assessment-].

Background: Patients with mobile teeth are at an increased risk of tooth injury related to tracheal intu- bation. Although the presence/absence of mobile teeth is confirmed through interviews during preoperative visits, patients are frequently unaware of the presence of such teeth. In our facility, dental consultation is pro- vided for all patients undergoing thoracoscopically- assisted surgery as part of the management of oral hygiene. This study examined the presence/absence of mobile teeth reported by patients during preoperative visits and those identified on dental consultation, focus- ing on the inconsistency between them.

Methods: Patients who had undergone thoraco- scopically-assisted surgery in our facility between Janu- ary and October 2014 were retrospectively studied. Tooth mobility was evaluated using the Miller index.

Results: Among the 76 (46 males and 30 females) patients aged 36 to 88 (mean: 67.8), mobile teeth were identified on dental consultation in 13 and reported during preoperative visits by 8.

Conclusions: Based on this findings, it may be nec- essary to pay sufficient attention when inserting tubes even when mobile teeth have not been reported by patients during preoperative visits.

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