Accidental Ingestion or Aspiration of Foreign Body in Dental Treatment: Review of Literature and Case Reports
Article Sidebar
Main Article Content
Abstract
The incidence of accidental ingestion or aspiration of foreign bodies in dental treatment is relatively low. However, both foreign body ingestion and aspiration can lead to serious complications, including death of the patient, especially in the case of foreign body aspiration. Guidelines for the management of these accidents are based on patient symptoms and the location, size and shape of the foreign bodies. Foreign body ingestion and aspiration are preventable, so strict preventive measures should be taken by every dental professionals. Moreover, dental professionals should be competent in providing proper and timely management of the emergency situations, in which patients accidentally aspirate or swallow foreign bodies during dental treatment. This article reviews the incidence, risk factors, pathophysiology, signs and symptoms of, management protocols for, and preventive measures against the accidental ingestion and aspiration of foreign bodies in dental practice. Moreover, three cases of patients accidentally swallowing foreign bodies in dental treatment are presented with three different management modalities.
Article Details
References
Parolia A, Kamath M, Kundubala M, Manuel TS, Mohan M. Management of foreign body aspiration or ingestion in dentistry. Kathmandu University medical journal 2009; 7: 165-171.
Yadav RK, Yadav HK, Chandra A, Yadav S, Verma P, Shakya VK. Accidental aspiration/ingestion of foreign bodies in dentistry: A clinical and legal perspective. National journal of maxillofacial surgery 2015; 6: 144-151.
Adelman HC. Asphyxial deaths as a result of aspiration of dental appliances: a report of three cases. Journal of forensic sciences 1988; 33: 389-395.
Pavlidis TE, Marakis GN, Triantafyllou A, Psarras K, Kontoulis TM, Sakantamis AK. Management of ingested foreign bodies. How justifiable is a waiting policy? Surgical laparoscopy, endoscopy & percutaneous techniques 2008; 18: 286-287.
Basoglu OK, Buduneli N, Cagirici U, Turhan K, Aysan T. Pulmonary aspiration of a two-unit bridge during a deep sleep. Journal of oral rehabilitation 2005; 32: 461-463.
(6) Adewumi A, Kays DW. Stainless steel crown aspiration during sedation in pediatric dentistry. Pediatr Dent 2008; 30: 59-62.
Allwork JJ, Edwards IR, Welch IM. Ingestion of a quadhelix appliance requiring surgical removal: a case report. J Orthod 2007; 34: 154-157.
Amarlal D, Jeevarathan J, Muthu MS, Venkatachalapathy A, Rathna Prabhu V. Iatrogenic accidental ingestion of a dental bur. Indian journal of pediatrics 2009; 76: 333-334.
Bhatnagar S, Das UM, Chandan GD, Prashanth ST, Gowda L, Shiggaon N. Foreign body ingestion in dental practice. J Indian Soc Pedod Prev Dent 2011; 29: 336-338.
Cotrim J, Corujeira S, Jardim J, Cardoso H, Trindade E, Dias JA. Accidental Ingestion of Dentistry Material – Report of Cases and Challenges from the Pediatrician Point of View. GE Portuguese Journal of Gastroenterology 2015; 22: 28-31.
Dent L, Peterson A, Pruett D, Beech D. Dental impression material: a rare cause of small-bowel obstruction. Journal of the National Medical Association 2009; 101: 1295-1296.
Ghori A, Dorricott NJ, Sanders DS. A lethal ectopic denture: an unusual case of sigmoid perforation due to unnoticed swallowed dental plate. Journal of the Royal College of Surgeons of Edinburgh 1999; 44: 203-204.
Hodges ED, Durham TM, Stanley RT. Management of aspiration and swallowing incidents: a review of the literature and report of case. ASDC J Dent Child 1992; 59: 413-419.
Milton TM, Hearing SD, Ireland AJ. Ingested foreign bodies associated with orthodontic treatment: report of three cases and review of ingestion/aspiration incident management. Br Dent J 2001; 190: 592-596.
Murphy JP, Webb DE, Hutchison RA. A case of small-bowel obstruction secondary to inadvertent ingestion of impression material. J Am Dent Assoc 2013; 144: 1252-1255.
Panse A, Metha D, Jathar P. Accidental Ingestion of Instruments in Pediatric Dental Patients: Report of Three Cases. Journal of Dental and Allied Sciences 2012; 1: 79-81.
Sankar NS. Accidental ingestion of a dental instrument. Journal of the Royal Society of Medicine 1998; 91: 538-539.
Santos Tde S, Antunes AA, Vajgel A, Cavalcanti TB, Nogueira LR, Laureano Filho JR. Foreign body ingestion during dental implant procedures. J Craniofac Surg 2012; 23: e119-123.
Swain SK, Sahoo S, Sahu MC. From tooth extraction to fatal airway complication in a child – A case report. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 2016; 17: 27-29.
Tsitrou E, Germanidis G, Boutsiouki C, Koulaouzidou E, Koliniotou-Koumpia E. Accidental ingestion of an air-water syringe tip during routine dental treatment: a case report. Journal of oral science 2014; 56: 235-238.
Ulku R, Baskan Z, Yavuz I. Open surgical approach for a tooth aspirated during dental extraction: a case report. Aust Dent J 2005; 50: 49-50.
Venkataraghavan K, Anantharaj A, Praveen P, Rani SP, Krishnan BM. Accidental ingestion of foreign object: Systematic review, recommendations and report of a case. The Saudi dental journal 2011; 23: 177-181.
Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J 2007; 40: 585-589.
Hisanaga R, Hagita K, Nojima K, et al. Survey of accidental ingestion and aspiration at Tokyo Dental College Chiba Hospital. The Bulletin of Tokyo Dental College 2010; 51: 95-101.
Obinata K, Satoh T, Towfik AM, Nakamura M. An investigation of accidental ingestion during dental procedures. Journal of oral science 2011; 53: 495-500.
Hisanaga R, Takahashi T, Sato T, et al. Accidental ingestion or aspiration of foreign objects at Tokyo Dental College Chiba Hospital over last 4 years. The Bulletin of Tokyo Dental College 2014; 55: 55-62.
Hou R, Zhou H, Hu K, et al. Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head & face medicine 2016; 12: 23.
Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: a 10-year institutional review. J Am Dent Assoc 2004; 135: 1287-1291.
Ashkenazi M, Bijaoui E, Blumer S, Gordon M. Common mistakes, negligence and legal offences in paediatric dentistry: a self-report. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 2011; 12: 188-194.
Umesan UK, Chua KL, Balakrishnan P. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice. Therapeutics and clinical risk management 2012; 8: 245-252.
Gunwal M, Shenoi P, Khadse A, Purba R, Dhote S, Sonarkar S. Unforeseen event during routine dental procedure: a case report. Journal of International Oral Health 2016; 8: 823-826.
Barkmeier WW, Cooley RL, Abrams H. Prevention of swallowing or aspiration of foreign objects. J Am Dent Assoc 1978; 97: 473-476.
Damrongmanee A. Foreign body ingestion, In: Pimlak C, ed. Challenges in pediatrics. Chiang Mai, Thailand: Pongsawatprinting, 2017: 111-119.