Accidental Swallowing of a Molar Band

Mahto, Ravi Kumar; Rana, Shailendra Singh; Kharbanda, Om Prakash

doi:10.5152/turkjorthod.2019.18001

Cited by 7 publications

(22 citation statements)

References 7 publications

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“…Parents admitted that they felt overconfident and as a result they neglected to use dental floss to tie the rapid palatal expansion (RPE) key, as it was advised.Finally, Mahto et al . [ 25 ] (2019) report that the patient swallowed a molar band, when it was recemented, whereas in Al-Wahadni et al . 's[ 26 ] (2006) and Naragond et al .…”

Section: Resultsmentioning

confidence: 99%

Ingestion of orthodontic appliances: A literature review

et al. 2022

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Ingestion is the entry of a substance into the human organism, which occurs by taking it through the mouth into the gastrointestinal tract. One of the adverse events that may happen during the course of an orthodontic treatment is the ingestion of orthodontic appliances. The present review aims to investigate the literature regarding the ingestion of orthodontic appliances. An electronic search was carried out in order to identify case reports of ingestion of foreign objects related to orthodontic treatment in PubMed, Scopus, and Web of Science until July 2019.Nineteen articles were retrieved. In these articles, ingestion had occurred inadvertently, due to patients’ or orthodontists’ errors. Some of the most commonly ingested appliances were molar bands, segments of wire, and expansion keys. It is likely that patients with a specific medical background are more prone to ingestion of orthodontic appliances. Special precautions need be taken in order to avoid such incidents. These precautions are analyzed in three categories: general, those related to fixed appliances, and those related to removable appliances.

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Section: Resultsmentioning

confidence: 99%

Ingestion of orthodontic appliances: A literature review

et al. 2022

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“…No immediate or delayed symptoms were found and by using endoscopy with grasper, the foreign body was removed. Mahto et al 29 reported a similar incident that occurred in a 16-year-old cleft lip boy and was removed using endoscopy with a grasper.…”

Section: Discussionmentioning

confidence: 97%

“…Thus, abdominal and chest X-rays, endoscopy, and computed tomography scans of the thorax and abdomen are advised. 12,14,16,20,21,26,29-31…”

Section: Discussionmentioning

confidence: 99%

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Effects of Accidental Swallowing of Orthodontic Appliance on Gastrointestinal Tract and Airway: An Evidence-Based Review of Case Reports

Sonwane

Kamble

2022

J Indian Orthod Soc

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Background: Contemporarily, the use of innovative orthodontic appliances or their components has increased for safer, quicker results, and more comfort of the patient. But, researchers rarely highlight the potential demerits of accidental ingestion of these appliances. Thus, the present study aimed to investigate the evidence-based literature on the accidental swallowing of these appliances and their effect on the gastrointestinal tract (GIT) and airway. Method: An electronic search was performed on PubMed, Medline, Scopus, The Cochrane Library, and EMBASE until April 11, 2021. Methodological quality and synthesis of case series and case report tool (MQCC) was applied to determine the quality of these case reports and series. The outcome variable was to assess its effect on airway and GIT, and methods of removal of these foreign bodies. Meta-analysis was not performed as the study included case reports and case series in which no control groups were present. Results: Out of 113 case reports and series, 29 articles were included in this systematic review. Only 31% of articles have satisfied the MQCC scale and maintained as high-quality case reports, 43% of articles were medium to high quality, and 26% designated as low quality. Conclusions: Eighty percent of the accidental ingested orthodontic appliances that pass uneventfully through the gastrointestinal system require a fiber-rich diet and laxatives. A total of 10% to 20% lacerates oral, pharyngeal, and gastrointestinal mucosa result in pain, bleeding requires laryngoscope, endoscopically and laparoscopy with use of Magill’s forceps. Only 1% of cases have presented with a high morbidity and mortality alarming for surgical removal of ingested component. Thus, the precautions to be taken to overcome such incidences are tying silk thread to activation key, use of recent bonding method, use of contrast colors of removable appliances as the color merges with mucosal color, and operator position should be 7 O′ clock.

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“…The band ingestion frequency was found to be 4.92%, with only 6 out of the 124 participants having such an experience in their professional careers. In a case report concerning the ingestion of an orthodontic band by a treated cleft palate patient, it is mentioned that patients with clefts have a shorter soft palate than non-cleft patients, and the possibility of ingestion or aspiration of a foreign body is relatively higher [ 26 ]. Dibiase et al recommend the use of floss tied through the tube to eliminate the danger of band swallowing during the selection of size for the banding [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Frequency and Management of Accidental Incidents in Orthodontics

et al. 2022

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Background: The present study aims to define through questionnaires the frequency and the variety of accidental incidents occurring in orthodontic clinical practice among Greek practicing orthodontists. Methods: A questionnaire survey was conducted among orthodontists from the registry of orthodontists in Greece. The questionnaire was divided into two parts. The first part involved three questions relating to the socio-demographic status and the background of the orthodontist, and the second part concerned exclusively the frequency of accidental incidents that have occurred during clinical practice with three possible answers: never, once, more than once. Results: From the 200 initially distributed questionnaires, 124 were finally completed and sent back (response rate: 62%). The results showed that orthodontists with more years of clinical practice had faced more accidental incidents. Among the ingestion incidents caused by foreign objects, the most frequently occurring was the ingestion of elastic separators, followed by the ingestion of elastic ligatures and ingestion of hooks. The most commonly reported traumatic incidents were the trauma-lesion of the mucosa by the orthodontic wire or part of it, followed by trauma-lesion by hooks and wire ligatures. The reported number of incidents with further complications and with patients referred to an emergency room was very low. Conclusions: The results of the present study determined a high frequency of accidental incidents among Greek orthodontists. The longer clinical experience was accompanied by more accidental incidents. Orthodontists, like other health professionals, must learn and continuously update their knowledge regarding the management protocols of medical emergencies.

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Accidental Swallowing of a Molar Band

Cited by 7 publications

References 7 publications

Ingestion of orthodontic appliances: A literature review

Ingestion of orthodontic appliances: A literature review

Effects of Accidental Swallowing of Orthodontic Appliance on Gastrointestinal Tract and Airway: An Evidence-Based Review of Case Reports

Frequency and Management of Accidental Incidents in Orthodontics

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