Accidental Intake of Foreign Bodies in Orthodontic Patients: A Management Protocol

Aditi Gaur, Sanjeev Kumar Verma, Sandhya Maheshwari, Fehmi Mian


One of the common emergencies during dental treatment is accidental intake of dental materials. Dental patients being treated in supine position increases the risk of accidental ingestion during various dental procedures. Orthodontic patients are prone to such incidences because of the small size of materials used such as brackets, molar bands, tubes and archwire clips. Ingestion of a number of orthodontic materials such as retainers, sectional wires, hooks, bands, brackets, or expansion appliance keys have been reported. These materials may be ingested or aspirated and become lodged in the oropharyngeal or gastrointestinal tract. The response to such conditions may vary from no symptoms, mild irritation, to severe consequences such as choking or asphyxiation. A protocol must be available to avoid such untoward episodes and to ensure effective management in case of an occurrence. This article presents a literature review of accidental ingestion or aspiration of orthodontic materials and elucidates an effective management protocol for such emergencies.


Accidental, Foreign body, Ingestion, Aspiration, Orthodontics.

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