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This study examined a selective system in which dental hygienists perform preoperative oral screening at a hospital preoperative dental clinic. Outcomes included anesthesia-related dental complication incidence, referral patterns for dental intervention, and anesthesiologists’ perceptions. Compared with the pre-implementation period, complications decreased after clinic establishment, and anesthesiologists valued hygienist notes highlighting intubation and extubation risks.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/usefulness-of-preoperative-oral-screening-for-safe-anesthesia-management/408166/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/usefulness-of-preoperative-oral-screening-for-safe-anesthesia-management/408166.png","ImageObject",300,407,{"name":92,"@type":93},"Muffet","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the objective of the selective dental intervention system in this study?","Question",{"text":112,"@type":113},"To evaluate the effectiveness and challenges of a selective system where dental hygienists conduct preoperative oral screening for patients undergoing anesthesia, focusing on complication incidence, referral patterns, and anesthesiologists’ perceptions.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study period structured before and after implementing the clinic?",{"text":117,"@type":113},"Dental issues during January 2012–October 2019 were compared with issues during November 2019–December 2024 after the preoperative outpatient dental screening clinic was established.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings regarding dental complications and clinician perceptions?",{"text":121,"@type":113},"The incidence of dental problems during anesthesia decreased after clinic establishment. Anesthesiologists recognized dental risks—especially during intubation and extubation—based on notes from dental hygienists, which helped alert them to potential issues.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},408166,1790707996,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46,"preview_page_count":4},962090768927,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Review began 10/23/2025  \nReview ended 11/27/2025  \nPublished 12/01/2025  \n© Copyright 2025  \nYamamura et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98235  \nOpen Access Original Article  \nUsefulness of Preoperative Oral Screening for Safe Anesthesia Management  \nYoshiko Yamamura 1, Shiho Koroku 1, Yumena Morimoto 1, Yuki Sato 1 , Junko Yamazaki 1, Seiji Ishikawa 2, Izumi Kawagoe 2 , Shunsuke Namaki 3  \n1. Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Juntendo University Hospital, Tokyo, JPN 2. Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Juntendo University, Tokyo, JPN 3. Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Juntendo University, Tokyo, JPN  \nCorresponding author: Yoshiko Yamamura, [y.yamamura.dh@juntendo.ac.jp](y.yamamura.dh@juntendo.ac.jp)  \nAbstract  \nObjective: Preoperative assessment plays a crucial role in ensuring patient safety and minimizing postoperative complications. To improve perioperative management, a preoperative outpatient clinic was established at our hospital for patients scheduled to undergo surgery or examination under anesthesia. Given the high number of patients requiring anesthesia in our hospital, it is not feasible for dentists to examine all the patients preoperatively. This study aimed to evaluate the effectiveness and challenges of a selective dental intervention system based on preoperative oral screening by dental hygienists for patients undergoing anesthesia. The primary outcome was the incidence of dental complications during anesthesia, and the secondary outcomes were the referral patterns for dental intervention and the anesthesiologists’perceptions regarding the system.  \nMethods: We investigated and compared dental issues before (January 2012-October 2019) and after (November 2019-December 2024) establishing the preoperative outpatient dental screening clinic. Additionally, a questionnaire survey was conducted with anesthesiologists to determine their perceptions of the need for dental intervention.  \nResults: There were 32 cases of dental problems during anesthesia between January 2012 and December 2024. This number decreased after the establishment of the preoperative outpatient clinic in November 2019 (p=0 .036) . The questionnaire revealed that anesthesiologists recognized dental risks during anesthesia, particularly during intubation and extubation, based on notes from dental hygienists, which helped alert them to potential issues.  \nConclusions: Providing dental interventions by dentists for all patients scheduled for anesthesia is not possible owing to human resource and time constraints. Although some issues persist, such as the inability to inspect diagnostic images and a lack of clarity regarding lesions within the jawbone, our findings suggest that preoperative oral screening plays an important role in ensuring safe anesthesia management.  \nCategories: Dentistry, Anesthesiology  \nKeywords: general anesthesia, incident, oral screening, questionnaire survey, selective dental intervention system  \nIntroduction  \nDental problems, such as tooth loss or fracture, during general anesthesia, which have been reported in 0.04%-12 . 1% of cases [1-4], are an extremely serious issue that can lead to lawsuits. We must be aware of this problem and work towards preventing its occurrence.  \nA preoperative outpatient clinic was established at our hospital in May 2019 for patients scheduled for anesthesia, with the aim of providing safe management and reducing postoperative complications. Preoperative oral screening began in November 2019. This clinic provides vital checks, medication guidance from pharmacists, an explanation of the hospital stay, a preoperative examination by anesthesiologists,","cbCaifsuEPopsnm9","https://ap.wps.com/l/cbCaifsuEPopsnm9","pdf",1580990,"English","# Abstract\n## Objective\n## Methods\n## Results\n## Conclusions\n# Introduction\n# Materials And Methods","[{\"question\":\"What was the objective of the selective dental intervention system in this study?\",\"answer\":\"To evaluate the effectiveness and challenges of a selective system where dental hygienists conduct preoperative oral screening for patients undergoing anesthesia, focusing on complication incidence, referral patterns, and anesthesiologists’ perceptions.\"},{\"question\":\"How was the study period structured before and after implementing the clinic?\",\"answer\":\"Dental issues during January 2012–October 2019 were compared with issues during November 2019–December 2024 after the preoperative outpatient dental screening clinic was established.\"},{\"question\":\"What were the main findings regarding dental complications and clinician perceptions?\",\"answer\":\"The incidence of dental problems during anesthesia decreased after clinic establishment. Anesthesiologists recognized dental risks—especially during intubation and extubation—based on notes from dental hygienists, which helped alert them to potential issues.\"}]","Usefulness of Preoperative Oral Screening for Safe Anesthesia Management | PDF",1790578436]