Foreign Bodies Of Dental Origin Research Articles

Accidental Ingestion of Instruments in Pediatric Dental Patients: Report of Three Cases

Very young children are at risk of swallowing or aspirating numerous household things. This risk is enhanced during dental procedures of these children as they tend to be very unco-operative due to their age and lack of maturity to understand the importance of the treatment. Use of physical barriers, sedation or general anesthesia is not practically possible in every child scheduled for dental treatment. Dentist must be able to manage emergency situations in which patients accidentally swallow dental instruments or materials during treatment and procedures. This article presents ingestion of dental objects in 3 children and attempts to discuss the management and prevention of such mishaps. 1 young children, and especially peaks in children aged six months to three years. In adults, it occurs accidentally more commonly among those with psychiatric disorder, mental retardation, and altered consciousness associated with 2 intravenous sedation. Swallowing of dental materials and devices may lead to serious complication during dental treatment. Any object routinely placed into or removed from the oral cavity during dental or surgical procedures can be aspirated or swallowed. These items can include teeth, restorations, restorative materials, instruments, implant parts, 3-7 rubber dam clamps, gauze packs and impression materials. The incidence of aspiration or swallowing of foreign bodies of dental origin varies considerably in the literature. Tamura 8 et al (1996) in a review reported the range being 3.6-27.7 % of all foreign bodies. The majority of foreign bodies that reach the gastrointestinal tract pass spontaneously. However, 10-20% of cases require nonsurgical intervention, while 1% or less may require surgery. Patients swallowing foreign bodies are usually asymptomatic but symptoms may arise later. Foreign body aspiration or ingestion may cause damage to gastric mucosa, septic abscess, intestinal perforations, partial or complete airway obstruction, post obstructive pneumonia, respiratory distress, pnuemothorax or 9-11 haemorrhage. If these cases are not properly managed and 12 timely intervention is not carried out, it can be lethal. Therefore, pediatric as well as general dental practitioners should be aware of a protocol of management and prevention of swallowing or aspiration of dental objects.

“Where Are My Teeth?” A Case of Unnoticed Ingestion of a Dislodged Fixed Partial Denture

What are the dangers of swallowing foreign bodies of dental origin? How do we recognize when a patient has actually swallowed a dental appliance? How far should we pursue the retrieval of the appliance? We report a case of a patient with unnoticed ingestion of a dislodged fixed partial denture while undergoing general anesthesia and review the literature on dangers of swallowing foreign bodies of dental origin. Anesthesiologists should understand the dangers and recognize this complication when it happens, so that appropriate treatment can be pursued if necessary.

Foreign bodies of dental origin in the airway and gastrointestinal tract

Foreign bodies of dental origin in the airway and gastrointestinal tract

FOREIGN BODY ASPIRATION IN DENTISTRY: A REVIEW

This article reviews the dangers of aspirating foreign bodies of dental origin. Two illustrative cases are presented, including an unusual case involving aspiration of an elastomeric impression material. The authors describe the techniques used to identify the foreign body. A radiodensimetric study of four impression materials demonstrates the difficulty of identifying most impression materials. The authors also present some strategies for reducing the risk of aspiration during dental procedures.

歯科材料の気道・食道異物症例

We treated 109 cases of foreign bodies of dental origin in the airway and gastrointestinal tract in our hospital during the 8 years from 1987 to 1994. A statistical analysis was performed on 109 cases, and the results were as follows:1. Of the 109 cases, 60 were males and 49 were females; 71 patients (65.1%) were over 40 years old.2. Eleven cases involved foreign bodies in the airway and 98 cases involved foreign bodies in the gastrointestinal tract.3. In both the airway and the gastrointestinal tract, crown restorations were the most common foreign objects, followed by dental instruments.4. Gastrointestinal foreign bodies were ejected by defecation in all but 2 cases. In cases of spontaneous ejection, ejection occured within 4 days after misswallowing in 81.2% of patients.5. The accidents occured during dental treatment in 92 cases (84.4%) and while eating in 17 cases (15.6%).We stress the importance of making models of dentures and crown restorations that are misswallowed before removal.

Foreign Bodies of Dental Origin in the Air and Food Passages: An Analysis of 15 Cases

Foreign Bodies of Dental Origin in the Air and Food Passages: An Analysis of 15 Cases

Foreign bodies of dental origin in the air and food passages

6 cases in which a reamer or a cast object was swallowed into the stomach or into the bronchus during dental treatment are described, with a review of the Japanese literature. The foreign bodies were removed by duodenotomy in one case, by endoscopic or bronchoscopic procedure in three cases; spontaneous evacuation in the stool occurred in two cases. The management of patients who swallowed a foreign body into the airway or into the alimentary canal is discussed.

Report of One Case of Tooth Foreign Body in the Left Upper Lobe B3

Foreign body accidents in the air and food passages occur to anyone at any time anywhere. Foreign bodies of dental origin hold a unique position because of their: (1) life-threatening character; (2) requiring a special skill in their removal; and (3) possibility of implicating a medicolegal dispute.One case of a child, who had a tooth as foreign body of bronchus (left upper lobe, B3), was reported. A new flexible forceps was developed for this case. Jackson's forceps is usually used for removal of foreign bodies in the air and food passages; and not for the upper lobe. This instrument, however, is for the removal of foreign body from the upper lobe. By using this forceps it is readily facilitated to solve these cases.

Foreign Bodies of Dental Origin in Air and Food Passages

Accidents of foreign bodies of dental origin constitute not an uncommon occurrence. Our statistics show that out of a total number of 7, 536 foreign bodies, dental objects numbered 315 or 4 percent of the total.During 11 years ending December, 1972, there were 1, 593 patients treated at Keio University Hospital with diagnosis of foreign bodies in the air and food passages. Of this number 162 patients were admitted to the hospital with diagnosis of foreign bodies in the tracheobronchial tree and 116 of the esophagus. In this series 64 or 23 per cent were of dental origin.An analysis of endoscopically removed dentures reveals the following: Of 61 partial dentures 45 were of the upper and 16 of the lower dentures. Less than 4 teeth were attached to each of 46 dentures but in one denture 14 teeth were attached. Thirty of fifty per cent of denture plates were found to be defective or partly broken. In 40 of 51 clasps, 80 per cent, were found broken, abonomally bent, or loosely attached to the plate.Interesting clinical features and pitfalls in diagnosis and treatment have been described.

Abbreviated case report: Foreign bodies of dental origin in the esophagus

Two unusual cases are presented. In one the presence of plaster impression material in the esophagus resulted in the patient's death. In the other case, a portion of a broken dental prosthesis became lodged in the esophagus, with fatal consequences.

An Esophageal Foreign Body of Dental Origin

Accidental ingestion of foreign bodies of dental origin may result from improper treatment planning, shortcuts used in the fabrication of the appliance, or faulty handling of the prosthesis by the patient.

RADIOLUCENT MATERIALS IN DENTAL APPLIANCES

To the Editor.—In answer to the letter from A. J. Drinnan I should like to submit the following comment. Foreign bodies of dental origin are probably number one in foreign body incidence at the present time. The American Bronchoesophagological Association became keenly aware of the problem over five years ago and formed a committee headed by Dr. Paul Bunker, Aberdeen, SD, which did a great deal of investigative, preventive, and public relations work in this regard. Much data was accumulated by this committee whose present chairman is Dr. Gabriel Tucker, Jr., Temple University Hospital, Philadelphia. The writer is referred to these two bronchoesophagologists who have performed exhaustive studies in this regard.

Foreign bodies of dental origin in the maxillary sinus.

Foreign bodies of dental origin in the maxillary sinus.

Accidents of dental origin; oral prostheses in the respiratory and alimentary systems.

FOREIGN bodies of dental origin in the respiratory and alimentary tracts create situations that may be hazardous. On occasion, dental appliances, such as root-canal broaches, files and reamers, fractured rubber-dam clamps and forceps beaks, accidentally may be dropped in the mouth and become lodged in the trachea or the esophagus. It is likewise true that gold crowns and inlays may be displaced and similarly be lodged in these tracts. Again, teeth broken in the process of extraction or teeth that may slip from forceps during removal may be forced into the pharynx and gain entrance to the trachea or esophagus. The recovery of these objects by the endoscopist entails no small degree of skill. Of greater concern is the accidental displacement of oral prostheses or parts thereof and subsequent lodgment of these foreign bodies in the alimentary or respiratory systems. For the most part, these dental restorations are partial denture

Foreign Bodies of Dental Origin in the Air Passages and Lungs: A Review of the Literature, with History of Ten Cases

Foreign Bodies of Dental Origin in the Air Passages and Lungs: A Review of the Literature, with History of Ten Cases

Foreign bodies of dental origin in the respiratory and digestive tract: Their diagnosis and treatment

In 1759, on a certain Monday morning, a child eight years old, while playing with a dried bean, threw it in the air and caught it in her mouth and inhaled it. She was taken to the Charité Hospital in Paris and there seen by the famous Louis. He made a diagnosis on the physical signs which consisted of marked difficulty in breathing and the history. He suggested that the parents permit him to do what was called a bronchotomy, being certain that the bean was localized in the trachea. In those days a tracheotomy was called a bronchotomy. The parents refused this operation. The child died within two days, and at postmortem examination it was found that the bean was in the trachea, and that if the suggestions of Louis had been followed out, the child probably would have been saved. This is one of the first recorded histories of a foreign substance that was diagnosed definitely ante mortem and a proper procedure suggested that was not carried out and at postmortem the findings were corroborated. A careful history and notes of the accident of swallowing or inhaling the foreign substance should be made. Inspection of fauces and indirect examination of the larynx should be done. Physical examination of the chest should be made by inspection, palpation, percussion, and auscultation. Immediate choking and subsequent coughing should direct one's attention to the possibility of the inhalation or swallowing of a dental foreign body, particularly should this foreign body be lost. Fluoroscopy should be accepted if it is positive8; it is of no consequence if negative. Roentgenograms should be taken in order to study properly the localization, size, presentation, etc., of the foreign substance. Pneumonography to outline and localize a nonradiopaque foreign body. Also to ascertain definitely the bronchus that contains the foreign body.

Foreign Bodies of Dental Origin in the Air Passages

Foreign Bodies of Dental Origin in the Air Passages

Foreign bodies of dental origin in the lungs: Analysis of one hundred and seventeen cases

In presenting this subject, a careful and painstaking effort has been made to analyze the reports of all cases that have been published in this, as well as in foreign countries. No attempt to review cases through personal communication has been made. A few cases giving fragmentary reports of foreign bodies of dental origin have been reviewed but not included in this analysis, as it is my purpose in this contribution to give an accurate and complete analysis of only those cases reported in detail up to the present time. There have undoubtedly been many more cases of this type but not published. We are all familiar with the work of our contemporaries in this particular field. The most comprehensive report hitherto made is that by Hedblom. It is to his tabulation that I am indebted for clues to some of my references. Arrowsmith, Wood, Hoffman, Jackson and Forbes, as

FOREIGN BODIES OF DENTAL ORIGIN IN THE LUNGS

In presenting this subject, a careful and painstaking effort has been made to analyze the reports of all cases that have been published in this, as well as in foreign countries. No attempt to review cases through personal communication has been made. A few cases giving fragmentary reports of foreign bodies of dental origin have been reviewed but not included in this analysis, as it is my purpose in this contribution to give an accurate and complete analysis of only those cases reported in detail up to the present time. There have undoubtedly been many more cases of this type but not published. We are all familiar with the work of our contemporaries in this particular field. The most comprehensive report hitherto made is that by Hedblom. It is to his tabulation that I am indebted for clues to some of my references. Arrowsmith, Wood, Hoffman, Jackson and Forbes, as

Foreign Bodies of Dental Origin in the Air and Food Passages

Foreign Bodies of Dental Origin in the Air and Food Passages