A needle in a haystack: Report of a retained archwire fragment in the pterygomandibular space

Bradford, Carolyn B.; Shroff, Bhavna; Strauss, Robert A.; Laskin, Daniel M.

doi:10.1016/j.ajodo.2019.01.018

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…During the epidemic period of the COVID-19, it is recommended to manage only orthodontic emergencies to prevent further harm, such as brackets debonding, archwire or ligature wire deformation or shifting, oral mucosa irritations, and anchorage implants loosening. [37][38][39] Nevertheless, orthodontists or assistants should evaluate the emergencies before allowing the patients to come to the office by requesting photographs or videos from the patients. If the emergency could be managed at home by remote instructions to the patients over the phone or other communication tools, such as WeChat (Tencent, Shenzhen, China) and WhatsApp (Menlo Park, Calif), it is unnecessary for them to come to the office.…”

Section: Infection Controls During Orthodontic Proceduresmentioning

confidence: 99%

Control of SARS-CoV-2 transmission in orthodontic practice

Guo

Yan

Wang

et al. 2020

American Journal of Orthodontics and Dentofacial Orthopedics

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The coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has attracted worldwide concerns because of its high person-to-person infectivity and lethality, and it was labeled as a pandemic as the rapid increase in the number of confirmed patients in most areas around the world became evident. The SARS-CoV-2 is mainly transmitted through respiratory droplets and close contact. There is also evidence of transmission through aerosols and digestive tracts. Because orthodontic treatment involves a large population who need routine return-visits, it was significantly affected and suspended because of the COVID-19 pandemic and the shutdown of the dental clinics and hospitals. Although the spread of COVID-19 has been effectively controlled in China, and many areas have gradually resumed work and classes, orthodontic participants are still under high risks of SARS-CoV-2 infection. This is due to the fact that the asymptomatic carriers of SARS-CoV-2 or patients in the incubation period may cause the cross-infection between orthodontic practitioners and patients. The close proximity between the practitioners and the patients, and the generation of droplets and aerosols that contain saliva and blood during treatment further increase the risks of transmission. In this article, we summarized the preventive strategies for control of SARS-CoV-2 transmission to protect both staff and patients during the orthodontic practice.

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Section: Infection Controls During Orthodontic Proceduresmentioning

confidence: 99%

Control of SARS-CoV-2 transmission in orthodontic practice

Guo

Yan

Wang

et al. 2020

American Journal of Orthodontics and Dentofacial Orthopedics

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“…9 Bradford et al reported a very similar case of retained arch wire fragment in the pterygomandibular space discovered as an incidental radiographic finding. 10 In the present case, retrieval of the object was taxing for the surgeon, and irritation and damage of tissues during the effort taken were extremely stressful to the patient as well. Hence, prevention is the best approach in our increasingly litigious world as foreign body impaction can not only cause physical and emotional distress to the patient but can ruin the reputation of dental practitioners as well.…”

Section: Discussionmentioning

confidence: 66%

“…Migration of foreign bodies like staples and fish bones within oral and cervical space has been reported in literature previously 9 . Bradford et al reported a very similar case of retained arch wire fragment in the pterygomandibular space discovered as an incidental radiographic finding 10 …”

Section: Discussionmentioning

confidence: 91%

Elusive long‐standing intraoral foreign body: A rare encounter

Balasubramaniam

et al. 2023

Clinical Case Reports

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Key Clinical MessageForeign body ingestion/aspiration can occur during orthodontic procedures that may be of minimal risk or lead to acute medical and life‐threatening emergencies. The present report describes a rare case of retained orthodontic wire fragment in the masticator space for nearly two decades identified as an incidental radiographic finding, highlighting the importance of optimum care in the dental clinic at all times be it surgical or nonsurgical intervention.

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“…1 The only problem with this has been that when regular monitoring of orthodontic treatment cannot be done, there is every scope for a minor issue escalating into a dental emergency. 2-6…”

Section: Introductionmentioning

confidence: 99%

“…1 The only problem with this has been that when regular monitoring of orthodontic treatment cannot be done, there is every scope for a minor issue escalating into a dental emergency. [2][3][4][5][6] With community transmission slowly ebbing in most parts of the world, decisions are being made to revert back to a pattern of normalcy while attempting to strike a balance between lives and livelihoods as the danger has not completely passed us yet. 7 This article strives to re-emphasize infection control protocol that can allow for safe practicing even under challenging circumstances to prevent recurrences or relapses of disease transmission.…”

Section: Introductionmentioning

confidence: 99%

An Emphasis on Engineering Controls and Administrative Controls in the Prevention and Control of COVID-19 in an Orthodontic Setting: Thinking Beyond Tomorrow

Prakash

Digumarthi

2021

J Indian Orthod Soc

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Introduction: Most of the initial focus in handling COVID-19 had been based on avoiding exposure by refraining from rendering most treatments other than those considered an emergency or urgent. Post-lockdown, with the resumption of most activities, there has been concern over the possibility of transmission scenarios if sufficient care is not taken. The control and prevention of the spread of infections when elimination of exposure is not possible is chiefly achieved through the judicious use of engineering controls and administrative controls in a clinical setting in addition to the standard protocols and transmission-based protocols. True safety lies in being one step ahead. There have been mentions of the possibility that COVID-19 could be opportunistic airborne in its spread, in addition to being spread via saliva, droplets, and contaminated surfaces or objects. Method: A literature search of PubMed, Google Scholar, Cochrane Library, and advisories released by such organizations as the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), Ministry of Health and Family Welfare (MOFHW), European Centre for Disease Prevention and Control (ECDC), Chinese Center for Disease Control and Prevention (China CDC), American Dental Association (ADA), Canadian Dental Association (CDA), French National Dentists Association, Dental Council of Belgium, National Health Service, England (NHS UK), National Health Service Scotland (NHS Scotland), and International Society for Infectious Diseases (ISID) was performed, with search parameters aimed at gathering information pertaining to infection control and cross infection control in dental settings as related to orthodontics. Result: There have been numerous articles and advisories published over the last 20 years, but the main focus has been on safe practices and to an extent on personal protective equipment, with relatively less emphasis on the need for respiratory protection by way of engineering controls and administrative controls. This review highlights the engineering and administrative controls that can be put into effect to make infection control and prevention much more effective. Conclusion: Any health care facility must be able to prevent, contain, and control infections with no risk of nosocomial infections. For this, an assumption has to be made that every individual in a health care setting is either at risk or a risk, depending on whether the person is infected or not. Meticulous attention to stringent policies of hygiene and infection control and prevention, coupled with suitable supporting engineering and administrative controls, is to be made a standard way of life in such facilities.

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A needle in a haystack: Report of a retained archwire fragment in the pterygomandibular space

Cited by 5 publications

References 2 publications

Control of SARS-CoV-2 transmission in orthodontic practice

Control of SARS-CoV-2 transmission in orthodontic practice

Elusive long‐standing intraoral foreign body: A rare encounter

An Emphasis on Engineering Controls and Administrative Controls in the Prevention and Control of COVID-19 in an Orthodontic Setting: Thinking Beyond Tomorrow

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