title: Management of lacerated and swollen tongue after convulsive seizure with a mouth protector: interprofessional collaboration including dentists in intensive care.
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.
authors.affiliation: Division of Hospital Dentistry, Central Clinical Department, Okayama University Hospital, Okayama 700-8558, Japan.reiko_y@md.okayama-u.ac.jp.
authors.forename: Reiko
authors.initials: R
authors.lastname: Yamanaka
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Soga
authors.forename: Yoshie
authors.initials: Y
authors.lastname: Moriya
authors.forename: Akemi
authors.initials: A
authors.lastname: Okui
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Takeuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Sato
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Morimatsu
authors.forename: Manabu
authors.initials: M
authors.lastname: Morita
mesh_terms: D000368:Aged; D003299:Cooperative Behavior; D003481:Cuspid; D003815:Dentists; D019468:Disease Management; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D007362:Intensive Care Units; D007400:Interprofessional Relations; D022125:Lacerations / Q000209:etiology* / Q000628:therapy*; D008297:Male; D009064:Mouth Protectors; D011787:Quality of Health Care; D012640:Seizures / Q000150:complications*; D014059:Tongue / Q000293:injuries*; D016896:Treatment Outcome; D014945:Wound Healing