Evidence map›Paper›PMID 42558231›Full record

ArticleJournal of dental anesthesia and pain medicine2026

Navigating intraoperative tooth loss during oral surgery under general anesthesia: radiographic localization and videolaryngoscopic retrieval of a supraglottic foreign body: a case report.

Sung Bin Youn, Myong-Hwan Karm, Hyun Jeong Kim, Seung-Hwa Ryoo

Abstract readCase Reports
In one paragraph

Article in Journal of dental anesthesia and pain medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sung Bin YounOrthognathic and Facial Contouring Surgery Center, Seoul National University Dental Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-4961-7058
Myong-Hwan KarmDepartment of Dental Anesthesiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-7494-4747
Hyun Jeong KimDepartment of Dental Anesthesiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-9265-7549
Seung-Hwa RyooDepartment of Dental Anesthesiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-7442-8531

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dental dislodgement during oral and maxillofacial surgery is an uncommon, but potentially serious complication. We report a case of intraoperative tooth loss with asymptomatic supraglottic retention during oral surgery under general anesthesia. A 55-year-old man underwent bilateral maxillary endoscopic sinus surgery (MESS) under general anesthesia. A severely mobile mandibular tooth was missing during surgery, although the ventilation and hemodynamic parameters remained stable. As the patient showed no evidence of airway compromise and the location of the tooth was uncertain, radiographic localization was performed after completion of the procedure. Portable radiograph revealed a tooth-shaped foreign body in the laryngeal region. Subsequent videolaryngoscopic examination revealed a tooth lodged beneath the epiglottis and above the vocal cord. The tooth was successfully removed using Magill forceps and the patient recovered without any respiratory complications. This case highlights that a dislodged tooth may remain undetected in the supraglottic airway despite stable respiratory parameters. Radiographic localization, followed by targeted video laryngoscopic retrieval, has enabled successful management.

Indexed as

Anesthesia, GeneralClinical Decision-MakingForeign BodiesLaryngoscopyOral Surgical ProceduresRespiratory Aspiration

Identifiers

PMID42558231
PMCPMC13437173

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