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Update on tooth notation, guidelines for extraction and a new technique for extractions: intra-oral dental marking

From Volume 47, Issue 11, December 2020 | Pages 951-955

Authors

Krishna Patel

BDS, PgCert(Primary Dental Care), PgDip(Primary Dental Care)

Dental Core Trainee in Paediatric Oral and Maxillofacial Surgery, Addenbrooke's Hospital

Articles by Krishna Patel

Email Krishna Patel

Huw G Jeremiah

BDS, BSc(Hons), MFDS RCS(Eng), MSc(Orth), MOrth RCS(Ed), FDS(Orth) RCS(Ed)

Consultant in Orthodontics, Addenbrooke's Hospital

Articles by Huw G Jeremiah

Andrew Barber

BDS(Hons), MFDS RCS(Eng), MSc(Dental Implantology), FDS(Rest Dent) RCS(Eng), PGCertMedEd, FHEA

Consultant in Restorative Dentistry, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.

Articles by Andrew Barber

Abstract

Effective communication is required when referring patients for extractions and surgical procedures. There are multiple notation systems used for the identification of teeth, making communication for dental extractions challenging. The aim of this article is to provide an overview of the methods available to identify teeth and to propose a novel technique to identify erupted teeth for extraction.

CPD/Clinical Relevance: Dental professionals should be aware of the importance of effective communication when identifying teeth planned for extraction and using a method that will minimize the chances of wrong tooth extraction.

Article

Dental extractions are a common procedure carried out by many dental professionals. Often, prior to a dental extraction or surgical procedure, a referral is made from one dental professional to another. It is stated by the General Dental Council that, if you request a colleague to provide a treatment, you should make the request clear and give your colleague all the information they need.1 Effective communication when referring patients for extractions and surgical procedures is required.

Failure in communication and tooth identification when referring patients for dental extraction can contribute to surgical errors. Wrong tooth extraction is considered a ‘never event’ by the National Health Service and is regarded as equivalent to ‘wrong leg amputation.’ In 2016/17, 24% of wrong-site surgery was made up of wrong tooth/teeth extractions.2 This article summarizes the present methods used for tooth identification and proposes a novel method to help dental professionals improve communication and, therefore, theoretically reduce the risk of a ‘never event.’

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