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Charcot-Marie-Tooth disease (CMTD) was described independently by J. M. Charcot, P. Marie, and H. H. Tooth in 1886. 1 This syndrome is characterized by progressive muscle atrophy. 2 Wasting and weakness start in the distal muscles of the lower limbs, and slowly spread proximally to appear in the hands and forearms over several years. 1 , 2 Patients with CMTD exhibit an “inverted champagne bottle” appearance and motor-sensory disorders in all 4 limbs. 3 We report the case of a patient with CMTD who underwent dental implantation under

respiration was easily suppressed, but a nasopharyngeal airway was required to maintain the airway during mask ventilation. Once the patient was anesthetized, we tried to insert a thin-blade video laryngoscope (Airway Scope; MIC Medical Corporation) into the pharynx, but a displaced tooth in the hard palate prevented insertion of the laryngoscope. We then used another type of video laryngoscope (King Vision; Acoma Medical) with a thinner blade. We were able to insert this second blade into the pharynx; however, the tooth affected manipulation of the endotracheal tube in the

aspiration during anesthesia. For example, patients with cerebral palsy (CP) often may demonstrate retention or pooling of excessive quantities of oral secretions due to difficulty of swallowing. Additionally, some patients with intellectual disabilities (IDs) may retain food particles or foreign bodies in their mouths for extended periods of time. Finally, patients with dentition in poor repair are especially at risk for accidental fracture or avulsion of a tooth during the perioperative period. Therefore, in our institution, direct laryngoscopy is routinely performed

Scrubs was a favorite television show of mine during dental school and residency. In one memorable scene, the irascible well-seasoned chief of staff Dr Kelso says, while chiding a particularly poor performing intern, “Is that how you feel, future dentist?” Although I found it hilarious, a fellow classmate was quite offended and declared it patently unfunny considering dentists are doctors too. Dentistry is more than being a tooth technician; it is being a doctor of oral health (ie, the mouth and facial regions) and even the head and neck in

. DISCUSSION Second-degree AV block was first described in 1899 by Karel Frederik Wenckebach by analysis of venous pulsations. 14 After invention of the ECG, second-degree AV block was classified as type I or II by Woldemer Mobitz. 15 Type I second-degree AV block can occur in individuals who have high vagal tone, such as younger persons. 16 The most probable cause of type I second-degree AV block in our patient was vagal reflex triggered by nasotracheal tube stimulation, tooth extraction, or suctioning that stimulated the oral/pharyngeal region. Vasovagal

2. . After hair tourniquet was released. Despite HTS's being a fairly rare event, a second case of HTS occurred following the author's residency. A mother entered an dental ambulatory surgery center and complained of a hair stuck to her child's tooth ( Figure 3 ). Figure 3.  Picture taken once top hair layers removed to show initial circumferential strand. Figure 3. . Picture taken once top hair layers removed to show initial circumferential strand