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

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

Abstract


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.


Keywords


Accidental, Foreign body, Ingestion, Aspiration, Orthodontics.

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References


Barkmeier WW, Cooley RL, Abrams H. Prevention of swallowing or aspiration of foreign objects. J Am Dent Assoc 1978: 97.

Quick AN, Harris AM. Accidental ingestion of a component of a fixed orthodontic appliance: a case report. SADJ 2002; 57(3): 101-104.

Wilmott SE, Ikeagwuani O, McLeod NM. An orthodontic bracket embedded in the medial pterygoid surface: a case report. J Orthod Jan 2015: 1465313314Y0000000113.

Abdel-Kader HM. Broken orthodontic trans-palatal archwire stuck to the throat of orthodontic patient: is it strange? J Orthod 2003; 30(1): 11.

Monini Ada C, Maia LG, Jacob HB et al. Accidental swallowing of orthodontic expansion appliance key. Am J Orthod Dentofacial Orthop Aug 2011; 140(2): 266-68.

Tamura N, Nakajima T, Matsumoto S et al. Foreign bodies of dental origin in the air and food passages. Int J Oral Maxillofac Surg 1986; 15(6): 739-51.

Tiwana KK, Morton T, Tiwana PS. Aspiration and ingestion in dental practice: a 10-year institutional review. J Am Dent Assoc 2004; 135(9): 1287-91.

Kürkciyan I, Frossard M, Kettenbach J et al. Conservative management of foreign bodies in the gastrointestinal tract. Z Gastroenterol 1996; 34(3): 173-77.

Venkataraghavan K, Anantharaj A, Praveen P et al. Accidental ingestion of foreign object: Systematic review, recommendations and report of a case. The Saudi Dental Journal 2011; 23(4): 177-81.

Munter D. Foreign bodies, gastrointestinal foreign bodies in emergency medicine. Medscape Mar 2010.

Velitchkov NG, Grigorov GI, Losanoff JE et al. Ingested foreign bodies of the gastro-intestinal tract: A retrospective analysis of 542 cases. World J Surg 1996; 20: 1001-1005.

Ziter FM. Intestinal perforation in adults due to ingest opaque foreign bodies. Am J Gastroenterol 1976; 66: 382-85.

Hinkle FG. Ingested retainer: A case report. Am J Orthod Dentofacial Orthop Jul 1987; 92(1): 46-49.

Sfondrini MF, Cacciafesta V, Lena A. Accidental ingestion of a rapid palatal expander. J Clin Orthod 2003; 37(4): 201-202.

Klein AM, Schoem SR. Unrecognized aspiration of a dental retainer: a case report. Otolaryngol Head Neck Surg 2002; 126(4): 438-39.

Kharbanda OP, Varshney P, Dutta U. Accidental swallowing of a gold cast crown during orthodontic tooth separation. J Clin Pediatr Dent Summer 1995; 19(4): 289-92.

Hoseini M, Mostafavi SMS, Rezaei N et al. Orthodontic wire ingestion during treatment: Reporting a case and review the management of foreign body ingestion or aspiration (emergencies). Case Reports in Dentistry 2013; Article ID 426591.

Nicolas R, Eggers G, Komposch G. Orthodontic archwire in the nasal cavity: A case report (in English, German). J Orofac Orthop 2009; 70(1): 92-97.

Lee BW. Case report: Swallowed piece of archwire. Aust Orthod J 1992; 12(3): 169-70.

Umesan UK, Ahmad W, Balakrishnan P. Laryngeal impaction of an archwire segment after accidental ingestion during orthodontic adjustment. Am J Orthod Dentofacial Orthop 2012; 142(2): 264-68.

Sfondrini MF, Cacciafesta V, Lena A. Accidental ingestion of a rapid palatal expander. J Clin Orthod 2003; 37(4): 201-202.

De Queiroz SB, Curioso PA, Carvalho FS et al. Submandibular-space abscess from loss of a bonded molar tube during orthognathic surgery. Am J Orthod Dentofacial Orthop May 2013; 143(5): 735-37.

Laureano Filho JR, Godoy F, O’Ryan F. Orthodontic bracket lost in the airway during orthognathic surgery. Am J Orthod Dentofacial Orthop 2008; 134(2): 288-90.

Wenger NA, Atack NE, Mitchell CN et al. Peri-operative second molar tube failure during orthognathic surgery: two case reports. J Orthod Jun 2007; 34(2): 75-79.

Laureano Filho JR, Godoy F, O'Ryan F. Orthodontic bracket lost in the airway during orthognathic surgery. Am J Orthod Dentofacial Orthop Aug 2008; 134(2): 288-90.

Macey-Dare L. A case report: Dislodgement of an orthodontic bracket into a sagittal split site. J Orthod Mar 2001; 28(1): 68.

Rohida NS, Bhad WA. Accidental ingestion of a fractured twin-block appliance. Am J Orthod Dentofacial Orthop 2011; 139(1): 123-25.

Tripathi T, Rai P, Singh H. Foreign body ingestion of orthodontic origin. Am J Orthod Dentofacial Orthop Feb 2011; 139(2): 279-83.

Allwork JJ, Edwards IR, Welch IM. Ingestion of a quadhelix appliance requiring surgical removal: A case report. J Orthod Sep 2007; 34(3): 154-57.

Hill EE, Rubel B. A practical review of prevention and management of ingested/aspirated dental items. Gen Dent 2008; 56: 691-94.

Aytac A, Yurdakul Y, Ikizler C et al. Inhalation of foreign bodies in children. Report of 500 cases. J Thorac Cardiovasc Surg 1977; 74: 145-51.

Hoekelman RA, Friedman SB, Nelson NM et al. CVMosbYear Book. 2nd Edn. St. Louis: Primary Pediatric Care, 1992; 263, 1249-51.

Umesan UK, Chua KL, Balakrishnan P. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice. Therapeutics and Clinical Risk Management 2012; 8: 245-52.

Obinata K, Satoh T, Towfik AM et al. An investigation of accidental ingestion during dental procedures. J Oral Sci 2011; 53: 495-500.

Ozturk K, Turhal G, Gode S et al. Migration of a swallowed blunt foreign body to the neck. Case Rep Otolaryngol 2014: 646785.

Aghajanzadeh M, Porkar NF, Ebrahimi H. Cervical esophageal perforation: a 10-year clinical experience in north of Iran. Indian J Otolaryngol Head Neck Surg Mar 2015; 67(Suppl 1): 34-39.

Coulier B, Tancredi MH, Ramboux A. Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies. Eur Radiol 2004; 14: 1918-25.

Pavlidis TE, Marakis GN, Triantafyllou A et al. Management of ingested foreign bodies: how justifiable is a waiting policy? Surg Laparosc Endosc Percutan Tech 2008; 18(3): 286-87.

Gracia C, Frey CF, Bodai BI. Diagnosis and management of ingested foreign bodies: a ten-year experience. Ann Emerg Med 1984; 13: 30-34.

Zitzmann NU, Elsasser S, Fried R et al. Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88: 657-60.

Uyemura MC. Foreign body ingestion in children. Am Fam Physician 2006; 73(8): 1332.


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