Accidental ingestion and aspiration of foreign objects during dental practice

Dionysopoulos, Dimitrios

doi:10.20517/2573-0002.2016.07

Cited by 8 publications

(19 citation statements)

References 11 publications

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“…Whenever a dentist loses a dental material or any other foreign object inside oral cavity, a radiologist must be consulted even if the patient has no symptoms [4]. Usually, the foreign bodies pass through the GI tract and are evacuated in 2 to 5 days without symptoms [3]. The two most common locations of an ingested foreign object at the initial presentation is in the stomach (58.1%) and small intestine (32.7%) [5].…”

Section: Discussionmentioning

confidence: 99%

“…Ingested foreign bodies usually pass through the anus without any complication. In 10-20% of patients endoscopic removal is required, while in 1% of patients surgery is necessary [3]. We herein report a case of an accidental ingestion of a dental bur in an 84 yearold-male.…”

Section: Introductionmentioning

confidence: 92%

“…Especially, more than 120.000 cases were recorded in the USA in only one year, while approximately 1500 deaths per year are attributed to ingestion of foreign bodies [1][2]. Various complications can be occurred during daily clinical practice by accidental ingestion of dental objects such as burs, impression materials, dental inlays or crowns, endodontic posts, fixed or removable prosthetic restorations [3]. These life-threatening complications like peritonitis, sepsis, fistulas and duodenocolic fissures, abscess formation and injury to the digestive tract are related to obstruction or perforation caused by the ingested foreign body [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…Various complications can be occurred during daily clinical practice by accidental ingestion of dental objects such as burs, impression materials, dental inlays or crowns, endodontic posts, fixed or removable prosthetic restorations [3]. These life-threatening complications like peritonitis, sepsis, fistulas and duodenocolic fissures, abscess formation and injury to the digestive tract are related to obstruction or perforation caused by the ingested foreign body [1,3]. Ingested foreign bodies usually pass through the anus without any complication.…”

Section: Introductionmentioning

confidence: 99%

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Accidental ingestion of a dental bur in an 84 year-old-male

Mulita

Verras

Liolis

et al. 2022

Preprint

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Accidental ingestion of a dental bur in an 84 year-old-male

Mulita

Verras

Liolis

et al. 2022

Preprint

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“…Benda asing didalam suatu organ adalah benda yang berasal dari luar tubuh atau dari dalam tubuh yang dalam keadan normal tidak ada [13]. Oleh karena itu dokter gigi dan perawat gigi harus waspada dalam melakukan tindakan pencegahan serta mampu melakukan manajemen kegawatdarurtan saat terjadainya kasus tertelanya benda asing tanpa sengaja dalam praktek klinis [7]. Pada kasus ini benda asing yang tertelan adalah bur diamond yang biasa digunakan dalam tindakan perawatan gigi.…”

Section: Gambar 1 Panoramik Pasienunclassified

Manajemen Kegawatdaruratan Tertelan Bur (Studi Kasus) Emergency Management of Ingestion Bur (Case Study)

Isnaini

2021

jkg. jurnal. kesehatan. gigi

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Emergency conditions of ingestion of foreign objects in dental practice may occur, one of which is ingestion of burs. Most of the cases, the foreign object passes through the digestive tract without difficulty, but some may require surgery. Immediate removal of the object may be necessary because long-term retention leads to complications and even death. Case: 21 years old man underwent dental procedures, a few minutes after preparation, the bur came off and then swallowed. The patient is referred to the radiology and nutrition department, given laxatives, electrolyte fluids, high-fiber foods, multiply water. The bur is eliminated from the body after 4 days. Conclusion: Dentists and dental therapist should have the skills in emergency management of bur ingestion. Things that need to be considered to prevent the emergency are pre-action preparation (area isolation and double cek of theinstruments), effective communication between patient doctors (delivering instructions in case of an emergency), informed consent, good coordination and preparedness between medical staff include radiology, nutrition, and nurses. Keyword : Ingestion Bur; Dentistry; EmergenciesABSTRAKKondisi darurat tertelan benda asing dalam praktik kedokteran gigi dapat terjadi, salah satunya adalah tertelan bur. Sebagian besar kasus, benda asing melewati saluran pencernaan tanpa kesulitan, tetapi beberapa mungkin memerlukan pembedahan. Pengangkatan objek sesegera mungkin diperlukan karena retensi jangka panjang menyebabkan komplikasi dan bahkan kematian. Kasus: Laki-laki berumur 21 tahun menjalani prosedur perawatan gigi, beberapa menit setelah preparasi, bur terlepas dan kemudian tertelan. Pasien dirujuk ke bagian radiologi dan gizi, diberikan obat pencahar, cairan elektrolit, makanan tinggi serat, dan instruksi perbanyak minum air. Bur keluar dari tubuh setelah 4 hari. Kesimpulan: Dokter gigi dan perawat gigi harus memiliki keterampilan dalam manajemen kedaruratan menelan bur. Hal yang perlu diperhatikan untuk mencegah kecelakaan kerja adalah persiapan tindakan awal (isolasi area, pengecekan ulang instrument), komunikasi yang efektif antar dokter pasien (penyampaian instruksi jika terjadi keadaan darurat), inform consent, koordinasi dan kesiapsiagaan yang baik antara bagian medis yaitu radiologi, nutrisi, dan perawat.Kata kunci: Tertelan Bur; Kedokteran gigi; kedaruratan

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