Swallowed and aspirated dental prostheses and instruments in clinical dental practice: a report of five cases and a proposed management algorithm.
BACKGROUND
Accidental swallowing or aspiration of dental instruments and prostheses is a complication of dental procedures. Failure to manage these complications appropriately can lead to significant morbidity and possibly death.


METHODS
The authors present three cases of accidental swallowing of dental instruments during procedures and two cases of aspiration, one during a procedure and one long after the procedure. Although three of these five cases of foreign-body aspiration or ingestion were caught early and the patients were referred for endoscopic retrieval, two patients experienced prolonged symptoms that affected their quality of life before intervention occurred. Practical Implications The authors reviewed the literature and propose an evidence-based algorithm for management of such complications. Adherence to the proposed algorithm may decrease morbidity and mortality and improve patient outcomes.
Dr. Abusamaan is a resident, Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, Mich.
Mazen
M
Abusamaan
William V
WV
Giannobile
Preeti
P
Jhawar
Naresh T
NT
Gunaratnam
D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D001980:Bronchi; D003442:Crowns / Q000009:adverse effects; D003679:Deglutition; D003762:Dental Instruments / Q000009:adverse effects; D017266:Dental Prosthesis / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007080:Ileocecal Valve; D008168:Lung; D008297:Male; D008875:Middle Aged; D011859:Radiography; D053120:Respiratory Aspiration / Q000150:complications / Q000209:etiology*; D013270:Stomach
Accidental; algorithm; aspiration; dental instrument; endoscopy; ingestion; prosthesis