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KMID : 1144020100060020116
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Journal of Korean Association for Disability and Oral Health
2010 Volume.6 No. 2 p.116 ~ p.119
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THE MANAGEMENT OF TONGUE BITE IN A PATIENT OF CEREBRAL PALSY AFTER DENTAL TREATMENT UNDER GENERAL ANESTHESIA -CASE REPORTT-
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Shin Teo-Jeon
Seo Kwang-Suk
Kim Hyun-Jeong
Park Sung-Soo
Kim Hye-Jung
Yang So-Young
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Abstract
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Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn’t try to bite his tongue. After 4 hour admission, he was discharged without other complications.
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KEYWORD
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Tongue bite, Dental treatment, General Anesthesia, Cooperation difficulty, Cerebral Palsy, Complications
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