Multiple Tooth Fractures in Posterior Teeth Diagnosed Following Emergency Intubation

Background: This report presents a case of a patient with multiple tooth fractures in posterior teeth that were diagnosed several months following an emergency intubation. Findings: A 68-year-old woman, with a history of an emergency intubation during ascending aorta dissection repair performed 7 months ago, presented with a complaint of long lasting pain in the right side of her face, and a recent pain evoked by mastication and cold stimuli, located in her right mandibular area. Upon clinical examination, the 1st mandibular molar was diagnosed with chronic apical abscess associated with a vertical root fracture (VRF); the 2nd mandibular molar was diagnosed with extensive cracks across the floor of the pulp chamber, extending apically deep into the distal root. Both teeth were extracted, and the symptoms were resolved. Conclusions: Multiple posterior teeth may fracture as a result of emergency intubation procedure and the diagnosis of such fractures may be delayed and complicated. A thorough dental evaluation and follow-up after the emergency procedures is indicated. Additional clinical studies are warranted in order to shed light on this complication.