Acta Medica Okayama 68巻 6号
2014-12 発行
Yamanaka, Reiko
Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital
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Moriya, Yoshie
Department of Anesthesiology and Resuscitology, Okayama University Hospital
Okui, Akemi
Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital
Takeuchi, Tetsuo
Division of Dental Laboratory, Medical Support Department, Okayama University Hospital
Sato, Kenji
Department of Anesthesiology and Resuscitology, Okayama University Hospital
We encountered a 74-year-old male patient with tongue laceration after convulsive seizures under intensive care. The tongue showed severe swelling, and the right ventral surface had been lacerated by his isolated and pointed right lower canine. Our university hospital has established a perioperative management center, and is promoting interprofessional collaboration, including dentists, in perioperative management. Dentists collaborating in the perioperative management center took dental impressions, with the support of anesthesiologists who opened the patientʼs jaw under propofol sedation, to produce a mouth protector. By raising the patientʼs bite, the completed mouth protector prevented the isolated tooth from contacting the tongue and protected the lacerated wound. Use of the mouth protector prevented the lacerated tongue from coming into contact with the pointed tooth, and the tongue healed gradually. These findings underscore that interprofessional collaboration including dentists can improve the quality of medical care.