Which oral alteration may pose problems during intubation?

• A. Dentures
• B. Bridges
• C. Loose teeth
• D. All of the above

Answer: (D)

Oral status can directly affect airway management. During laryngoscopy and tube placement, anything in the mouth that can move, break, or generate debris can complicate the procedure. Dentures, if present, may become dislodged with manipulation and obstruct the view or be aspirated, so they’re often removed before induction when feasible. Bridges can be unstable or damaged by airway manipulation, leading to tooth injury, bleeding, or displacement that can interfere with intubation or pose an aspiration risk. Loose teeth are particularly problematic because the blade or instrument can loosen or knock out a tooth, causing bleeding, aspiration, or obstruction. Because each of these alterations has the potential to create airway hazards or hinder visualization, all of them can pose problems during intubation.