Management of Lacerated and Swollen tongue after convulsive seizure with a mouth protector: Interprofessional collaboration including dentists in intensive care

Reiko Yamanaka, Yoshihiko Soga, Yoshie Moriya, Akemi Okui, Tetsuo Takeuchi, Kenji Sato, Hiroshi Morimatsu, Manabu Morita

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Abstract

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 patient's jaw under propofol sedation, to produce a mouth protector. By raising the patient's 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.

Original languageEnglish
Pages (from-to)375-378
Number of pages4
JournalActa medica Okayama
Volume68
Issue number6
Publication statusPublished - Jan 1 2014

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Keywords

  • Mouth protector
  • Tongue laceration

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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