title: Stainless steel crown aspiration during sedation in pediatric dentistry.
abstract: Foreign body aspiration (FBA) causes death in more than 300 children every year in the United States. Morbidity and mortality are increased in children due to narrow airways and immature protective mechanisms. Factors to consider in pediatric dentistry are: (1) the patient's age and behavior; (2) presence and extent of disability; (3) local anesthesia; (4) body positioning; and (5) loose teeth. FBA requires prompt recognition and early treatment to minimize potentially serious and sometimes fatal consequences. The purpose of this case report was to describe the aspiration of a stainless steel crown in a 5-year-old boy during conscious sedation. It also discusses how a prompt and accurate diagnosis, early referral, and immediate treatment helped prevent serious complications.
authors.affiliation: Department of Pediatric Dentistry, College of Dentistry, University of Florida, Gainesville, FL, USA. aadewumi@dental.ufl.edu
authors.forename: A
authors.initials: A
authors.lastname: Adewumi
authors.forename: David W
authors.initials: DW
authors.lastname: Kays
mesh_terms: D000766:Anesthesia, Dental; D001980:Bronchi; D001999:Bronchoscopy; D002675:Child, Preschool; D016292:Procedural Sedation; D003442:Crowns / Q000009:adverse effects*; D005547:Foreign Bodies / Q000209:etiology*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D053120:Respiratory Aspiration / Q000209:etiology*; D013193:Stainless Steel
chemical_list: D006993:Hypnotics and Sedatives; D013193:Stainless Steel; D008874:Midazolam