Document Detail


Dental management of neonates requiring prolonged oral intubation.
MedLine Citation:
PMID:  8601178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An orotracheal route is frequently the preferred method of intubation for premature infants. Nasal intubation may contribute to airway obstruction and possible hypoxia, further contributing to labored breathing. Additional complications include occlusion of the nasal aperture during a crucial period of development, nasal infections, and hypertrophy of the nasal lining. Oral mucosa is less susceptible to damage than nasal mucosa; however, orotracheal tubes must be stabilized against displacement from tongue and jaw movements to prevent discomfort and subsequent tissue trauma. Problems associated with rehabilitation of very-low-birth-weight neonates and other infants requiring long-term oral intubation include palatal grooving, acquired cleft palate, and damage to the primary dentition. Various intraoral aids have been used to reduce pressure application from intubation and feeding tubes on the palatal tissues. References to these procedures have yet to be reported in the prosthodontic literature. This article presents a rational for design and construction of an intraoral device which protects the palatal tissues and stabilizes the orotracheal tube.
Authors:
A S von Gonten; J B Meyer; A K Kim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of prosthodontics : official journal of the American College of Prosthodontists     Volume:  4     ISSN:  1059-941X     ISO Abbreviation:  J Prosthodont     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-05-09     Completed Date:  1996-05-09     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  9301275     Medline TA:  J Prosthodont     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  221-5     Citation Subset:  D    
Affiliation:
William Beaumont Army Medical Center, El Paso, TX, USA.
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MeSH Terms
Descriptor/Qualifier:
Alveolar Process / injuries
Dental Care for Children / instrumentation*,  methods
Dental Care for Chronically Ill / instrumentation,  methods
Equipment Design
Humans
Incisor / injuries
Infant, Newborn
Infant, Very Low Birth Weight*
Intensive Care, Neonatal / methods*
Intubation, Intratracheal / adverse effects,  instrumentation*
Maxillofacial Development
Maxillofacial Injuries / etiology,  prevention & control*
Maxillofacial Prosthesis
Mouth Mucosa / injuries
Mouth Protectors*
Palate / injuries*
Prosthesis Design

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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