title: Accident in implant dentistry: involuntary screwdriver ingestion during surgical procedure. A clinical report.
abstract: Although unusual, foreign body ingestion occurs in dentistry and may result in serious complications, such as intestinal perforation. The presence of the foreign body should be confirmed with the use of radiographs. The exam will allow the correct diagnosis and the treatment to be conducted according to the specific situation of the object in the gastrointestinal (GI) tract. The orientation of the patient as well as the awareness of the patient's medical history are key factors in preventing serious complications. Generally, instruments that enter the GI tract pass asymptomatically and atraumatically within 4 days to 2 weeks. Sometimes, a surgical approach is necessary to remove the instrument when there is bleeding, obstruction, or impaction in the GI tract. Thus, a correct diagnosis is vital to avoid unnecessary surgical interventions. The aim of this article is to report an accidental ingestion of a screwdriver by a patient who had previously undergone a hemi-mandibulectomy and its medical resolution.
authors.affiliation: Federal University of Santa Catarina, Florianopolis, Brazil.
authors.forename: João Gustavo Oliveira
authors.initials: JG
authors.lastname: de Souza
authors.forename: Guenther
authors.initials: G
authors.lastname: Schuldt Filho
authors.forename: Armando Rodrigues Lopes
authors.initials: AR
authors.lastname: Pereira Neto
authors.forename: Humberto Fenner
authors.initials: HF
authors.lastname: Lyra
authors.forename: Marco Aurélio
authors.initials: MA
authors.lastname: Bianchini
authors.forename: Antônio Carlos
authors.initials: AC
authors.lastname: Cardoso
mesh_terms: D000059:Accidents; D000328:Adult; D044684:Colon, Transverse / Q000601:surgery; D003125:Colostomy / Q000379:methods; D003679:Deglutition; D003758:Dental Implantation, Endosseous / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008334:Mandible / Q000601:surgery; D010027:Osteotomy; D057832:Watchful Waiting