The Incidence of Dental Fracturing in Electroconvulsive Therapy in Sweden

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Göterfelt, LindaUniversity Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro,Orebro Univ, Sweden (author)

The Incidence of Dental Fracturing in Electroconvulsive Therapy in Sweden

Article/chapterEnglish2020

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Lippincott Williams & Wilkins,2020
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LIBRIS-ID:oai:DiVA.org:oru-83289
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-83289URI
https://doi.org/10.1097/YCT.0000000000000652DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-170678URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:144689591URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

OBJECTIVES: One adverse effect of electroconvulsive therapy (ECT) is dental fracture; thus, a bite guard and muscle relaxants are used to prevent it. Earlier research reported varying rates of dental fracture, but there is no large-scale study on the incidence of dental fracture during ECT. This study aimed to examine the incidence of dental fracture during ECT and to investigate whether the incidence differs between different sexes, age groups, diagnosis groups, electrode placements, or number of treatment sessions.METHODS: This register-based study used data from the Swedish national quality register for ECT. All hospitals offering ECT report to this register, and the coverage ratio is about 90%. All registered patients who started an ECT series between January 2012 and January 2019 were included in this study, with the data representing 16,681 individuals, 38,862 series, and 254,906 sessions.RESULTS: Forty-six dental fractures were identified, giving an incidence of dental fracture of 0.2% per series, 0.02% per session, and 0.3% per individual. We did not find any significant associations between dental fracture rates and male or female populations, age, or different diagnosis groups, nor was there any significant difference between dental fracture rates and electrode placement. The mean number of treatments was significantly higher in the dental fracture group than in patients without dental fracture.CONCLUSIONS: There is a minimal risk of dental fracture during ECT. Our findings, together with those of other studies, provide further motivation for the use of a bite guard and muscle relaxant.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
dental fracture
adverse effect
electroconvulsive therapy
Psychiatry
Psykiatri

Added entries (persons, corporate bodies, meetings, titles ...)

Ekman, Carl JohanKarolinska Institutet (author)
Hammar, ÅsaDepartment of Biological and Medical Psychology, University of Bergen; Division of Psychiatry, Haukeland University Hospital, Bergen, Norway,Univ Bergen, Norway; Haukeland Hosp, Norway (author)
Landén, MikaelDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden,Karolinska Inst, Sweden; Gothenburg Univ, Sweden (author)
Lundberg, JohanKarolinska Institutet (author)
Nordanskog, Pia,1971-Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken i Linköping(Swepub:liu)piano33 (author)
Nordenskjöld, Axel,1977-Örebro universitet,Institutionen för medicinska vetenskaper,University Health Care Research Centre,Orebro Univ, Sweden(Swepub:oru)alnd (author)
University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, ÖrebroOrebro Univ, Sweden (creator_code:org_t)

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In:Journal of ECT: Lippincott Williams & Wilkins36:3, s. 168-1711095-06801533-4112

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

Articles in the publication: Journal of ECT

By the university: Örebro University; Linköping University; Karolinska Institutet

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