title: Aspiration of radiolucent dentures in facial trauma: Case report.
abstract: Foreign body aspiration is a serious problem that may lead to complications or even death. People who sustain major maxillofacial trauma can often damage their teeth or oral prostheses, and aspiration can occur. Detection of this type of aspiration can be difficult, especially in elderly people wearing dental appliances, since many dental prostheses are not radiopaque and the aspiration is not always recognized at the time of injury. We report a specific case of extensive maxillofacial trauma from a self-inflicted gunshot wound leading to aspiration of large, radiolucent denture fragments, delayed diagnosis, and complications. The possibility of denture fragment aspiration must always be part of the differential diagnosis in an elderly trauma patient presenting with dyspnea, hypoxia or, eventually, pneumonia. This is especially so when radiologic evaluation does not reveal a foreign body, since much dental prosthesis material is radiolucent. Delayed complications of radiolucent dental prosthesis aspiration could be avoided by the inclusion of some radiopaque material within the acrylic material of the prosthesis.
authors.affiliation: Memorial Hospital Trauma Center, 615 N. Michigan Avenue., South Bend, IN 46545, USA. chadwejb@hotmail.com
authors.forename: Jon B
authors.initials: JB
authors.lastname: Chadwell
authors.forename: Joshua R
authors.initials: JR
authors.lastname: Mitchell
authors.forename: Michael
authors.initials: M
authors.lastname: Donnino
authors.forename: Charles
authors.initials: C
authors.lastname: Peterson
authors.forename: Paul
authors.initials: P
authors.lastname: Guentert
authors.forename: Cliff
authors.initials: C
authors.lastname: Arnold
authors.forename: Mark
authors.initials: M
authors.lastname: Walsh
mesh_terms: D000368:Aged; D003778:Dentures; D005151:Facial Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009102:Multiple Organ Failure / Q000175:diagnosis; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D053120:Respiratory Aspiration; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed / Q000379:methods; D014948:Wounds, Gunshot / Q000150:complications*