title: Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases.
abstract: OBJECTIVE
  To review the cases of accidental aspiration and ingestion of foreign objects during dental procedure, and to emphasize the importance of thorough documentation of the accidents.
  
  
  METHODS
  A comprehensive search on (dental procedure/treatment/practice), (aspiration/inhalation), and (ingestion/swallow) was performed for all years before 1st October 2014 available. The statistic analysis was made on the variables including journals and reported year, patients' age, gender, general conditions, dental procedure and location for procedure, foreign objects, site of involvement, possible causes, anesthesia during procedure and treatment, symptoms, treatment time and treatment modality, follow-up, and so on.
  
  
  RESULTS
  A total of 617 cases reported by 45 articles from 37 kinds of journals were included and analyzed. Most reports made detailed record. While some important variables were recorded incompletely, including patient's general conditions, location for procedure, clinical experience of the involving dentists, tooth position of procedure, possible causes, and anesthesia during procedure and treatment for the accident.
  
  
  CONCLUSIONS
  Aspiration and ingestion of foreign objects are rare and risky complication during dental procedure. Each accident should have thorough documentation so as to provide enough information for the treatment and prevention.
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China. denthr@sina.com.
authors.forename: Rui
authors.initials: R
authors.lastname: Hou
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Hongzhi
authors.initials: H
authors.lastname: Zhou
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Kaijin
authors.initials: K
authors.lastname: Hu
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Yuxiang
authors.initials: Y
authors.lastname: Ding
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Guangjie
authors.initials: G
authors.lastname: Xu
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Xue
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Chun
authors.initials: C
authors.lastname: Shan
authors.affiliation: Department of Oral Surgery, State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an City, Shaanxi Province, 710032, China.
authors.forename: Sen
authors.initials: S
authors.lastname: Jia
authors.affiliation: Department of Stomatology, Research Institute of Surgery & Daping Hospital, The Third Military Medical University, Chongqing City, 400042, China.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Ma
mesh_terms: D003679:Deglutition; D003729:Dental Care / Q000009:adverse effects* / Q000379:methods; D004282:Documentation / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005547:Foreign Bodies / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D015994:Incidence; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D011379:Prognosis; D053120:Respiratory Aspiration / Q000453:epidemiology*; D018570:Risk Assessment; D013270:Stomach / Q000000981:diagnostic imaging
keywords: Aspiration; Dental procedure; Documentation; Foreign objects; Ingestion