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My tooth was knocked out during surgery intubation!

Several times a year I have dental patients who come to me after their tooth was knocked out after general surgery. The whole tooth could be knocked out or a crown could be broken off the tooth. Having a tooth knocked out unexpectedly can be quite disturbing. Let me suggest a solution to prevent this problem: a simple biteguard.

General anesthesia is sedation that is deep enough to cause you to stop breathing. Intubation (inserting a breathing tube to the back of the throat) is part of the plan. Still it can be difficult to correctly position the tube depending on your weight, neck flexibility, how wide open your throat is, etc. The more difficult the intubation, the more work the anesthesiologist has to do to correctly place the tube, and the more likely it is that a tooth might be damaged.

If the intubation is done quickly in an emergency situation, the risk of damage to the teeth increases.

If you have gum disease, recession, or thin gums (all of these are signs of less bone support for the roots of your teeth), your risk of having a tooth knocked out is higher.

Consider these stories:

The Case of the Dislodged Tooth
http://mobile.csahq.org/pdf/bulletin/issue_7/pauker044.pdf

http://www.amfs.com/resources/medical-legal-articles-by-our-experts/480/dental-injuries-during-surgery

Having a tooth knocked out is a source of litigation.  Your surgeon will have you sign a waiver so they are not liable if it happens.

clear bite gaurdBefore undergoing general anesthesia surgery, have your dentist make a thin, custom-fit clear biteguard that you can wear during your surgery. This thin plastic is similar to an Invisalign retainer. Weaker teeth that are at risk of being knocked out will be connected to and supported by the stronger teeth. This is highly recommended if you have had gum disease, or if you’ve had a lot of dental work (multiple crowns, bridges, fillings, etc.)The solution and prevention that I suggest is a biteguard. Would you rather spend a couple hundred dollars on a preventive biteguard, or a thousand dollars on a crown, or several thousand on an implant if you lose a whole tooth?

Tell your surgeon and anesthesiologist that you’ll be wearing the biteguard during surgery. Place it on your teeth before you are sedated, and you can leave it there until you have recovered and woken up later. It is thin enough that it won’t interfere with the intubation process. This can give you–and your anesthesiologist–peace of mind that your teeth won’t be damaged. You can focus on recovering from surgery instead of worrying about a broken tooth.



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