Management of accidental swallowing in implant dentistry.
This report describes a protocol for managing the accidental swallowing of dental instruments in implant dentistry, illustrated by a patient who accidentally swallowed a hexagonal wrench. The first step was to refer the patient to the medical emergency hospital service for radiographic and clinical evaluation. The hexagonal wrench was located in the stomach and was immediately removed with an endoscopic procedure. The gastric mucosa was sampled via biopsy and the sample submitted to the urease test, which was positive for Helicobacter pylori. Triple treatment was instituted for gastritis caused by H pylori to avoid exposing the patient to unnecessary risk. Removal of a foreign body by means of an endoscopic procedure constitutes a safe and effective treatment.
Professor, Department of Surgery and Integrated Clinic, Araçatuba Dental School, São Paulo State University "Júlio de Mesquita Filho" (UNESP), São Paulo, Brazil. Electronic address: f.avilasouza@foa.unesp.br.
Francisley Ávila
FÁ
Souza
Postgraduate student, Science of Department of Surgery and Integrated Clinic, Araçatuba Dental School, São Paulo State University "Júlio de Mesquita Filho" (UNESP), São Paulo, Brazil.
Cristian
C
Statkievicz
Radiologist, Department of Surgery and Integrated Clinic, Araçatuba Dental School, São Paulo State University "Júlio de Mesquita Filho" (UNESP), São Paulo, Brazil.
Ana Laura
AL
Guilhem Rosa
Private practice, São Paulo, Brazil.
Fabrício
F
da Silveira Bossi
D000059:Accidents; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003679:Deglutition / Q000502:physiology*; D003758:Dental Implantation, Endosseous / Q000009:adverse effects / Q000295:instrumentation*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D005753:Gastric Mucosa / Q000382:microbiology; D005756:Gastritis / Q000188:drug therapy / Q000382:microbiology; D005773:Gastroscopy / Q000379:methods; D016481:Helicobacter Infections / Q000188:drug therapy; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D008297:Male; D013270:Stomach / Q000000981:diagnostic imaging
D000900:Anti-Bacterial Agents