Usefulness of Dental Damage Prevention Protector in Upper Gastrointestinal Endoscopy

Ujiie Hiroyuki, Hikichi Takuto, Nakamura Jun, Hashimoto Minami, Kato Tsunetaka, Yanagita Takumi, Yamada Yukie, Kono Sayuri, Saito Noriko, Saito Yuri, Mizuno Yoriko, Anzai Akiko, Ishikawa Kaori, Miura Momoe, Nihei Sayaka, Terashima Yukimi, Kato Mika, Sato Kimie, Sasaki Norihisa, Ishikawa Yuki, Igarashi Hiroki, Sakuma Tomoko, Kobayakawa Masao

doi:10.5387/fmedj.74.2_31

When patients with mobile or missing teeth undergo oral gastrointestinal endoscopy （GIE）, there is a risk of tooth damage.　The purpose of this survey was to examine the satisfaction of the patients and the endoscopist for a dental protector during upper GIE procedures in patients with mobile or missing teeth. Patients scheduled for upper therapeutic GIE who had a mobile or missing tooth were surveyed.　The presence of tooth damage was checked after treatment.　Questionnaires were administered to the patients before and after treatment regarding their anxiety and satisfaction, and a questionnaire to the doctors was also administered after treatment. Four patients were included in the survey.　All patients had missing teeth, and two patients had mobile teeth.　Three patients underwent endoscopic submucosal dissection and one underwent endoscopic mucosal resection.　Three patients had dental protectors made only for the maxilla, and one patient had dental protectors made only for the mandible.　One patient had a hard-type protector because the soft type was not comfortable to wear.　No postoperative tooth damage was observed.　Two of the four patients answered that they were “a little anxious” before the dental protectors were made, but after receiving instruction on wearing the dental protectors, both patients answered that they were “no longer anxious”.　All four patients reported that the dental protectors gave them a sense of security.　After the endoscopic procure, all four patients felt no discomfort in their teeth, were satisfied with the dental protectors, and would like to use them next time.　All endoscopists stated that there were no problems with the operability of the scope.　The dental protector was able to make the patients feel relieved and did not hinder the handling of endoscope during upper GIE． （Fukushima Medical University Ethics Committee : 2020-149）

Usefulness of Dental Damage Prevention Protector in Upper Gastrointestinal Endoscopy

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