{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T15:18:08Z","timestamp":1774019888062,"version":"3.50.1"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-025-85573-3","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T22:29:36Z","timestamp":1736029776000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Incidence of oral complications during endotracheal intubation in general anesthesia among hospitalized children"],"prefix":"10.1038","volume":"15","author":[{"given":"Mohammed N.","family":"Al-Shiekh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Altinawi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mawia","family":"Karkoutly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"85573_CR1","first-page":"33","volume":"31","author":"S Ansari","year":"2016","unstructured":"Ansari, S., Rajpurohit, V. & Dev, V. Dental Trauma due to intubating during General Anaesthesia: incidence, risks factors, and Prevention. Oral Health Dent. Manag. 31, 33 (2016).","journal-title":"Oral Health Dent. Manag"},{"key":"85573_CR2","volume-title":"Traumatic dental injuries in children: a clinical guide to management and prevention","author":"RL Slayton","year":"2019","unstructured":"Slayton, R. L. & Palmer, E. A. Traumatic Dental Injuries in Children: A Clinical Guide to Management and Prevention (Springer, 2019)."},{"key":"85573_CR3","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1111\/j.1365-2044.2010.06331.x","volume":"65","author":"TM Cook","year":"2010","unstructured":"Cook, T. M., Scott, S. & Mihai, R. Litigation related to airway and respiratory complications of anaesthesia: an analysis of claims against the NHS in England 1995\u20132007. Anaesthesia 65, 556\u2013563 (2010).","journal-title":"Anaesthesia"},{"key":"85573_CR4","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/j.jclinane.2015.07.009","volume":"27","author":"J Mour\u00e3o","year":"2015","unstructured":"Mour\u00e3o, J., Moreira, J., Barbosa, J., Carvalho, J. & Tavares, J. Soft tissue injuries after direct laryngoscopy. J. Clin. Anesth. 27, 668\u2013671 (2015).","journal-title":"J. Clin. Anesth."},{"key":"85573_CR5","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1093\/bja\/aeq339","volume":"106","author":"NM Woodall","year":"2011","unstructured":"Woodall, N. M. & Cook, T. M. National census of airway management techniques used for anaesthesia in the UK: first phase of the Fourth National Audit Project at the Royal College of Anaesthetists. Br. J. Anaesth. 106, 266\u2013271 (2011).","journal-title":"Br. J. Anaesth."},{"key":"85573_CR6","doi-asserted-by":"publisher","first-page":"e54","DOI":"10.1016\/j.bja.2020.04.051","volume":"125","author":"L Armstrong","year":"2020","unstructured":"Armstrong, L. et al. An international survey of airway management education in 61 countries. Br. J. Anaesth. 125, e54\u2013e60 (2020).","journal-title":"Br. J. Anaesth."},{"key":"85573_CR7","doi-asserted-by":"publisher","first-page":"266","DOI":"10.4103\/0970-9185.81843","volume":"27","author":"B Sowmya","year":"2011","unstructured":"Sowmya, B. & Raghavendra, P. Management of dental trauma to a developing permanent tooth during endotracheal intubation. J. Anaesthesiol. Clin. Pharmacol. 27, 266\u2013268 (2011).","journal-title":"J. Anaesthesiol. Clin. Pharmacol."},{"key":"85573_CR8","first-page":"20","volume":"10","author":"SOHEILA Manifar","year":"2011","unstructured":"Manifar, S. O. H. E. I. L. A., Tonkaboni, A. R. G. H. A. V. A. N., Rahi, S., Jafarnejad, B. & Gholamhosseinzade, A. Kharazi-fard, M. The prevalence of intubation induced dental complications among hospitalized patients. J. Dentomaxillofacial Radiol. Pathol. Surg. 10, 20\u201326 (2011).","journal-title":"J. Dentomaxillofacial Radiol. Pathol. Surg."},{"key":"85573_CR9","volume-title":"Textbook and color atlas of traumatic injuries to the teeth","year":"2018","unstructured":"Andreasen, J. O., Andreasen, F. M. & Andersson, L. (eds) Textbook and Color Atlas of Traumatic Injuries to the Teeth (Wiley, 2018)."},{"key":"85573_CR10","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/j.1600-9657.2010.00947.x","volume":"27","author":"J Mour\u00e3o","year":"2011","unstructured":"Mour\u00e3o, J. et al. A prospective non-randomised study to compare oral trauma from laryngoscope versus laryngeal mask insertion. Dent. Traumatol. 27, 127\u2013130 (2011).","journal-title":"Dent. Traumatol."},{"key":"85573_CR11","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1177\/0310057X0002800202","volume":"28","author":"H Owen","year":"2000","unstructured":"Owen, H. & Waddell-Smith, I. Dental trauma associated with anaesthesia. Anaesth. Intensive Care. 28, 133\u2013145 (2000).","journal-title":"Anaesth. Intensive Care"},{"key":"85573_CR12","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1016\/j.mpaic.2008.06.006","volume":"9","author":"J Windsor","year":"2008","unstructured":"Windsor, J. & Lockie, J. Anaesthesia and dental trauma. Anaesthesia Intensive Care Medicine. 9, 355\u2013357 (2008).","journal-title":"Anaesthesia Intensive Care Medicine"},{"key":"85573_CR13","first-page":"511","volume":"65","author":"JMBRD Sousa","year":"2015","unstructured":"Sousa, J. M. B. R. D. & Mour\u00e3o, J. I. D. B. Tooth injury in anaesthesiology. Revista Brasileira De Anestesiologia. 65, 511\u2013518 (2015).","journal-title":"Revista Brasileira De Anestesiologia"},{"key":"85573_CR14","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1111\/j.1600-9657.2010.00956.x","volume":"27","author":"RM Gaudio","year":"2011","unstructured":"Gaudio, R. M. et al. Traumatic dental injuries during anaesthesia. Part II: Medico-legal evaluation and liability. Dent. Traumatol. 27, 40\u201345 (2011).","journal-title":"Dent. Traumatol."},{"key":"85573_CR15","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.jclinane.2007.02.007","volume":"19","author":"MC Newland","year":"2007","unstructured":"Newland, M. C. et al. Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years. J. Clin. Anesth. 19, 339\u2013345 (2007).","journal-title":"J. Clin. Anesth."},{"key":"85573_CR16","first-page":"42","volume":"114","author":"LD Martin","year":"2011","unstructured":"Martin, L. D. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. J. Am. Soc. Anesthesiologists. 114, 42\u201348 (2011).","journal-title":"J. Am. Soc. Anesthesiologists"},{"key":"85573_CR17","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1016\/j.ajoms.2017.06.010","volume":"29","author":"Y Kakei","year":"2017","unstructured":"Kakei, Y., Akashi, M., Kashin, M., Komori, S. & Komori, T. Dental injuries caused by endotracheal intubation\u2013A retrospective study. J. oral Maxillofacial Surg. Med. Pathol. 29, 518\u2013521 (2017).","journal-title":"J. oral Maxillofacial Surg. Med. Pathol."},{"key":"85573_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12871-018-0569-6","volume":"18","author":"Y Tan","year":"2018","unstructured":"Tan, Y., Loganathan, N., Thinn, K. K., Liu, E. H. C. & Loh, N. H. W. Dental injury in anaesthesia: a tertiary hospital\u2019s experience. BMC Anesthesiol. 18, 1\u20135 (2018).","journal-title":"BMC Anesthesiol."},{"key":"85573_CR19","first-page":"163","volume":"28","author":"JJ Chen","year":"1990","unstructured":"Chen, J. J., Susetio, L. & Chao, C. C. Oral complications associated with endotracheal general anesthesia. Ma Zui Xue Za Zhi = Anaesthesiologica Sinica. 28, 163\u2013169 (1990).","journal-title":"Ma Zui Xue Za Zhi = Anaesthesiologica Sinica"},{"key":"85573_CR20","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.mpaic.2017.06.002","volume":"18","author":"A Basavaraju","year":"2017","unstructured":"Basavaraju, A. & Slade, K. Dental damage in anaesthesia. Anaesthesia Intensive Care Medicine. 18, 438\u2013441 (2017).","journal-title":"Anaesthesia Intensive Care Medicine"},{"key":"85573_CR21","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1111\/j.1365-2044.2008.05855.x","volume":"64","author":"CM Frerk","year":"2009","unstructured":"Frerk, C. M. & Lee, G. Laryngoscopy: time to change our view. Anaesthesia 64, 351\u2013354 (2009).","journal-title":"Anaesthesia"},{"key":"85573_CR22","first-page":"1","volume":"1","author":"S Jain","year":"2015","unstructured":"Jain, S., Gupta, A. & Jain, D. Estimation of sample size in dental research. International Dental Medical J. Adv. Research. 1, 1\u20136 (2015).","journal-title":"International Dental Medical J. Adv. Research"},{"key":"85573_CR23","volume-title":"Oral health surveys: basic methods","author":"World Health Organization","year":"2013","unstructured":"World Health Organization. Oral Health Surveys: Basic Methods (World Health Organization, 2013)."},{"key":"85573_CR24","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1097\/ALN.0000000000004002","volume":"136","author":"JL Apfelbaum","year":"2022","unstructured":"Apfelbaum, J. L. et al. 2022 American Society of Anesthesiologists practice guidelines for management of the difficult airway. Anesthesiology 136, 31\u201381 (2022).","journal-title":"Anesthesiology"},{"key":"85573_CR25","doi-asserted-by":"publisher","first-page":"3087","DOI":"10.3390\/ijerph19053087","volume":"19","author":"P Das","year":"2022","unstructured":"Das, P. et al. Oral health-related quality of life in children and adolescents with a traumatic injury of permanent teeth and the impact on their families: a systematic review. Int. J. Environ. Res. Public Health. 19, 3087 (2022).","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"85573_CR26","first-page":"125","volume":"11","author":"LN Rao","year":"2020","unstructured":"Rao, L. N., Shetty, A. & Hedge, M. N. Psychological effects of trauma to anterior teeth. Exec. EDITOR. 11, 125 (2020).","journal-title":"Exec. EDITOR"},{"key":"85573_CR27","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/adj.12395","volume":"61","author":"R Lam","year":"2016","unstructured":"Lam, R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust. Dent. J. 61, 4\u201320 (2016).","journal-title":"Aust. Dent. J."},{"key":"85573_CR28","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1111\/j.1600-9657.2010.00935.x","volume":"26","author":"G Rosa Maria","year":"2010","unstructured":"Rosa Maria, G. et al. Traumatic dental injuries during anaesthesia: part I: clinical evaluation. Dent. Traumatol. 26, 459\u2013465 (2010).","journal-title":"Dent. Traumatol."},{"key":"85573_CR29","unstructured":"Kestenbaum, B. Epidemiology and biostatistics. An Introduction to Clinical Research. (2009)."},{"key":"85573_CR30","doi-asserted-by":"crossref","unstructured":"Mabrouk, Y., Grissa, M. H. & Youssef, S. ben Dental trauma related to orotracheal intubation: Prospective study of 43 cases. Chinese Journal of Traumatology. (2024).","DOI":"10.1016\/j.cjtee.2024.08.007"},{"key":"85573_CR31","doi-asserted-by":"publisher","first-page":"e34419","DOI":"10.1097\/MD.0000000000034419","volume":"102","author":"LD Nahas","year":"2023","unstructured":"Nahas, L. D. et al. Cleft lip and palate risk factors among otorhinolaryngology: head and neck surgery patients in two hospitals. Medicine 102, e34419 (2023).","journal-title":"Medicine"},{"key":"85573_CR32","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1111\/j.1600-9657.2010.00955.x","volume":"27","author":"N Adolphs","year":"2011","unstructured":"Adolphs, N. et al. Dentoalveolar injury related to general anaesthesia: a 14 years review and a statement from the surgical point of view based on a retrospective analysis of the documentation of a university hospital. Dent. Traumatol. 27, 10\u201314 (2011).","journal-title":"Dent. Traumatol."},{"key":"85573_CR33","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1111\/j.1600-9657.2008.00670.x","volume":"25","author":"J Vogel","year":"2009","unstructured":"Vogel, J., St\u00fcbinger, S., Kaufmann, M., Krastl, G. & Filippi, A. Dental injuries resulting from tracheal intubation\u2013a retrospective study. Dent. Traumatol. 25, 73\u201377 (2009).","journal-title":"Dent. Traumatol."},{"key":"85573_CR34","doi-asserted-by":"publisher","first-page":"1070","DOI":"10.1111\/anae.13560","volume":"71","author":"SY Ham","year":"2016","unstructured":"Ham, S. Y. et al. Risk factors for peri-anaesthetic dental injury. Anaesthesia 71, 1070\u20131076 (2016).","journal-title":"Anaesthesia"},{"key":"85573_CR35","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.1111\/anae.12342","volume":"68","author":"J Mour\u00e3o","year":"2013","unstructured":"Mour\u00e3o, J. et al. Dental injury after conventional direct laryngoscopy: a prospective observational study. Anaesthesia 68, 1059\u20131065 (2013).","journal-title":"Anaesthesia"},{"key":"85573_CR36","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1111\/aas.13378","volume":"63","author":"RE Christensen","year":"2019","unstructured":"Christensen, R. E., Baekgaard, J. S. & Rasmussen, L. S. Dental injuries in relation to general anaesthesia\u2014A retrospective study. Acta Anaesthesiol. Scand. 63, 993\u20131000 (2019).","journal-title":"Acta Anaesthesiol. Scand."},{"key":"85573_CR37","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1213\/ANE.0b013e31826f9125","volume":"116","author":"Z Yan","year":"2013","unstructured":"Yan, Z. et al. Airway trauma in a high patient volume academic cardiac electrophysiology laboratory center. Anesthesia Analgesia. 116, 112\u2013117 (2013).","journal-title":"Anesthesia Analgesia"},{"key":"85573_CR38","doi-asserted-by":"publisher","first-page":"1564","DOI":"10.1213\/ane.0b013e31819d1db5","volume":"108","author":"JS Yasny","year":"2009","unstructured":"Yasny, J. S. Perioperative dental considerations for the anesthesiologist. Anesthesia Analgesia. 108, 1564\u20131573 (2009).","journal-title":"Anesthesia Analgesia"},{"key":"85573_CR39","first-page":"271","volume":"13","author":"SR Idrees","year":"2014","unstructured":"Idrees, S. R., Fujimura, K. & Bessho, K. Dental trauma related to general anesthesia: should the anesthesiologist perform a preanesthetic dental evaluation. Oral Health Dent. Manag. 13, 271\u2013274 (2014).","journal-title":"Oral Health Dent. Manag"},{"key":"85573_CR40","doi-asserted-by":"publisher","first-page":"480","DOI":"10.14219\/jada.archive.1986.0035","volume":"112","author":"PB Lockhart","year":"1986","unstructured":"Lockhart, P. B., Feldbau, E. V., Gabel, R. A., Connolly, S. F. & Silversin, J. B. Dental complications during and after tracheal intubation. J. Am. Dent. Association. 112, 480\u2013483 (1986).","journal-title":"J. Am. Dent. Association"},{"key":"85573_CR41","doi-asserted-by":"publisher","first-page":"5343","DOI":"10.3390\/jcm12165343","volume":"12","author":"JM Neto","year":"2023","unstructured":"Neto, J. M., Teles, A. R., Barbosa, J. & Santos, O. Teeth damage during general anesthesia. J. Clin. Med. 12, 5343 (2023).","journal-title":"J. Clin. Med."},{"key":"85573_CR42","doi-asserted-by":"publisher","first-page":"205427041667508","DOI":"10.1177\/2054270416675082","volume":"7","author":"V Sahni","year":"2016","unstructured":"Sahni, V. Dental considerations in anaesthesia. JRSM open. 7, 2054270416675082 (2016).","journal-title":"JRSM open."},{"key":"85573_CR43","doi-asserted-by":"publisher","first-page":"1064","DOI":"10.1111\/j.1365-2044.1994.tb04358.x","volume":"49","author":"MJL Bucx","year":"1994","unstructured":"Bucx, M. J. L. et al. Forces acting on the maxillary incisor teeth during laryngoscopy using the Macintosh laryngoscope. Anaesthesia 49, 1064\u20131070 (1994).","journal-title":"Anaesthesia"},{"key":"85573_CR44","volume-title":"Fuhrman & Zimmerman\u2019s pediatric critical care","author":"BP Fuhrman","year":"2017","unstructured":"Fuhrman, B. P. Fuhrman & Zimmerman\u2019s pediatric critical care (Elsevier, 2017)."},{"key":"85573_CR45","unstructured":"Andreasen, J. O. & Andreasen, F. M. Textbook and color atlas of traumatic injuries to the teeth. Munksgaard (1994)."},{"key":"85573_CR46","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1213\/00000539-199808000-00004","volume":"87","author":"RR Gaiser","year":"1998","unstructured":"Gaiser, R. R. & Castro, A. D. The level of anesthesia resident training does not affect the risk of dental injury. Anesthesia Analgesia. 87, 255\u2013257 (1998).","journal-title":"Anesthesia Analgesia"},{"key":"85573_CR47","first-page":"29","volume-title":"Z. SM, editor: A guide to dental sedation","author":"L Andreason Chase","year":"2022","unstructured":"Andreason Chase, L. et al. Patient assessment and evaluation. In: Goldstein, L. B. & Gilbert, L. M.  (Eds) A Guide to Dental Sedation: Quintessence Publishing Co, Inc. 29\u201357 (2022)."},{"key":"85573_CR48","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1186\/s12871-022-01901-4","volume":"22","author":"M Sitot","year":"2022","unstructured":"Sitot, M., Amare, W. & Aregawi, A. Predictive values of the modified Mallampati test, upper lip bite test, thyromental distance and ratio of height to thyromental distance to predict difficult laryngoscopy in pediatric elective surgical patients 5\u201312 years old at selected Addis Ababa governmental hospitals, Ethiopia: a multicenter cross-sectional study. BMC Anesthesiol. 22, 364 (2022).","journal-title":"BMC Anesthesiol."},{"key":"85573_CR49","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12903-019-0713-9","volume":"19","author":"MAH Ballouk","year":"2019","unstructured":"Ballouk, M. A. H. & Dashash, M. Caries prevalence and dental health of 8\u201312 year-old children in Damascus city in Syria during the Syrian Crisis; a cross-sectional epidemiological oral health survey. BMC Oral Health. 19, 1\u20136 (2019).","journal-title":"BMC Oral Health"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-85573-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-85573-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-85573-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T12:03:37Z","timestamp":1736078617000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-85573-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,4]]},"references-count":49,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["85573"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-85573-3","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,4]]},"assertion":[{"value":"7 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Informed consent was obtained from all subjects.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"830"}}