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Comparison of a novel teeth-protecting mouthpiece with a traditional device in preventing endoscopy-related complications involving teeth or temporomandibular joint: a multicenter randomized trial.
- Source :
-
Endoscopy [Endoscopy] 2008 Jun; Vol. 40 (6), pp. 472-7. - Publication Year :
- 2008
-
Abstract
- Background and Study Aims: After upper endoscopy, patients have complained of symptoms involving teeth or the temporomandibular joint; however, these endoscopy-related complications are usually ignored with few attempts to prevent them. The aim of this study was to identify the incidence of endoscopy-related complications involving teeth or temporomandibular joint, and to compare the effectiveness of a newly developed teeth-protecting mouthpiece (TPM) with a traditional mouthpiece (the MB-142) in preventing these complications.<br />Patients and Methods: 872 patients from 28 centers, who were undergoing their first upper endoscopy, were randomly assigned to TPM and MB-142 groups. At 3 - 4 days after the procedure, the occurrence of endoscopy-related complications involving the teeth or the temporomandibular joint was investigated using a structured questionnaire. Finally 865 patients (TPM group, n = 423; MB-142, n = 442) responded to this questionnaire and were included in the analysis.<br />Results: Overall, the incidence of complications was significantly lower in the TPM than in the MB-142 group (0.9% vs. 3.2%). With stratification according to sedation status, in nonsedated patients no significant difference was found between the two groups (0.7% vs. 0.9%). In sedated patients, however, the TPM group showed a significantly lower incidence of complication than the MB-142 group (1.7% vs. 11.6%). Clinically serious problems such as a tooth fracture or a loose tooth occurred only in sedated patients in the MB-142 group.<br />Conclusions: The TPM showed an advantage over the MB-142 mouthpiece for preventing endoscopy-related complications involving teeth or the temporomandibular joint.
- Subjects :
- Adult
Aged
Endoscopy, Digestive System methods
Equipment Design
Equipment Safety
Esophagoscopy adverse effects
Esophagoscopy methods
Gastroscopy adverse effects
Gastroscopy methods
Humans
Middle Aged
Mouth Protectors statistics & numerical data
Reference Values
Sensitivity and Specificity
Temporomandibular Joint Disorders etiology
Tensile Strength
Tooth Diseases etiology
Endoscopy, Digestive System adverse effects
Mouth Protectors standards
Temporomandibular Joint Disorders prevention & control
Tooth Diseases prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1438-8812
- Volume :
- 40
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 18543135
- Full Text :
- https://doi.org/10.1055/s-2007-995647