Tan CQL, Loh GYW, Benjamin TWR, Koh CJ, Mok JSR, Hartono JL, Chua KTC, Tan HH, Siah KTH. Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre. World J Gastrointest Endosc 2023; 15(8): 518-527 [PMID: 37663114 DOI: 10.4253/wjge.v15.i8.518]
Corresponding Author of This Article
Tay Wei Rong Benjamin, MBBS, MMed, MRCP, Doctor, Division of Gastroenterology and Hepatology, National University Health System, 1E Kent Ridge Rd, Singapore 119074, Singapore. benjamin_tay@nuhs.edu.sg
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Aug 16, 2023; 15(8): 518-527 Published online Aug 16, 2023. doi: 10.4253/wjge.v15.i8.518
Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre
Chelsea Qiu Lin Tan, Gabrielle Yi Wen Loh, Tay Wei Rong Benjamin, Calvin Jianyi Koh, John Shao Rong Mok, Juanda Leo Hartono, Kai Ting Cheryl Chua, Hee Hon Tan, Kewin Tien Ho Siah
Chelsea Qiu Lin Tan, Gabrielle Yi Wen Loh, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117594, Singapore
Tay Wei Rong Benjamin, Calvin Jianyi Koh, John Shao Rong Mok, Juanda Leo Hartono, Kewin Tien Ho Siah, Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore
Kai Ting Cheryl Chua, Department of Medicine, Ng Teng Fong General Hospital, Singapore
Hee Hon Tan, Division of Prosthodontics, National University Centre for Oral Health, Singapore 119074, Singapore
Author contributions: Tan CQL and Loh GYW contributed equally to this work; Tan CQL, Loh GYW, Tay WRB, Koh CJY, Mok JSR, Hartono JL, Chua KTC, Tan HH, Siah KTH conceived and designed the study; Tan CQL, Loh GYW, Tay WRB Chua KTC performed research and analyzed data; and Tan CQL, Loh GYW, Tay WRB, Koh CJY, Mok JSR, Hartono JL, Chua KTC, Tan HH, Siah KTH wrote the paper; all authors reviewed and approved the final manuscript.
Conflict-of-interest statement: Conflict of Interest: Nothing to disclose.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tay Wei Rong Benjamin, MBBS, MMed, MRCP, Doctor, Division of Gastroenterology and Hepatology, National University Health System, 1E Kent Ridge Rd, Singapore 119074, Singapore. benjamin_tay@nuhs.edu.sg
Received: March 21, 2023 Peer-review started: March 21, 2023 First decision: April 21, 2023 Revised: May 22, 2023 Accepted: July 6, 2023 Article in press: July 6, 2023 Published online: August 16, 2023 Processing time: 142 Days and 0.2 Hours
Abstract
BACKGROUND
Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy.
AIM
To determine frequency and effects of dental injury in endoscopy, we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature.
METHODS
Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.284% of procedures. Review of literature identified a similar rate of 0.33%.
RESULTS
Pre-existing dental pathology or the presence of prostheses makes damage more likely but sound teeth may be affected. Pre-endoscopic history and tooth examination are key for risk stratification and may be conducted succinctly with limited time outlay. Tooth retrieval should be prioritized in the event of dental injury to minimize aspiration and be followed by prompt dental consultation for specific management.
CONCLUSION
Dental complications occur in approximately 1 in 300 of upper endoscopy cases. These are easily preventable by pre-endoscopy screening. Protocols to mitigate dental injury are also suggested.
Core Tip: Peri-intubation dental injury is a leading cause of litigation in endoscopy, and its complications are largely prevented with sufficient foreknowledge and counselling. We summarize findings from an audit of dental injury on endoscopy as well as review relevant literature to guide identification, mitigation and management of peri-endoscopic dental trauma.
