Impacted dentures in the oesophagus

Bandyopadhyay, Saumendra Nath; Das, Sourav; Mandal, Asok Kumar

doi:10.1017/s002221511400070x

Cited by 31 publications

(47 citation statements)

References 14 publications

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“…The incidence of denture impaction varies from 0.4 to 17.6%. 3,4 The physiological constrictions of the esophagus are an important cause of denture impaction, the commonest site of impaction is cricopharyngeal sphincter. Following denture ingestion, the most common symptom is dysphasia.…”

Section: Discussionmentioning

confidence: 99%

A Baby Feeding Nipple: Simple, Cost effective, and Safe Technique for Removal of Denture

Gupta

Gawande

Sharma

et al. 2019

Journal of Digestive Endoscopy

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Introduction Denture ingestion occurs commonly in the elderly and frequently impacted in the esophagus due to the sharp edges. This can lead to serious complications such as perforation. We are describing here a simple, cost effective and safe technique for removal of dentures. Material and methods We used a handmade hood protector made from baby feeding nipple with rat-toothed forceps to safely remove ingested denture in two middle aged patients. Both patients had subcutaneous emphysema. Results Dentures were removed successfully in both patients. Following denture removal, endoscopic examination of the esophagus did not show any sign of mucosal damage, ulceration, bleeding, or perforation. Conclusion We successfully and safely removed denture from the stomach using handmade hood designed from a baby feeding tube. It may be beneficial for wide visual field and safety. It is an easy, effective, and safe design for the removal of sharp foreign bodies like dentures. AbstractKeywords ► baby feeding nipple ► denture ► endoscope

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Section: Discussionmentioning

confidence: 99%

A Baby Feeding Nipple: Simple, Cost effective, and Safe Technique for Removal of Denture

Gupta

Gawande

Sharma

et al. 2019

Journal of Digestive Endoscopy

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“…Patients with denture ingestion may present with various symptoms, including neck pain, dysphonia, dysphagia, excessive salivation, sore throat, choking sensation, retrosternal pain, fever, haemoptysis, regurgitation of undigested food and odynophagia 7. In one of the largest series of impacted dentures, the cervical section of the oesophagus was the commonest site of impaction, and dysphagia and tracheal tenderness were the most consistent features of denture impaction in the upper oesophagus 8. Our patient was totally asymptomatic in the initial 4 days, and hence did not seek medical attention.…”

Section: Discussionmentioning

confidence: 99%

Neglected partial denture in the lower oesophagus presenting after 7 days

et al. 2015

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Accidental ingestion of a denture is an acute emergency, and the denture is usually removed on the same day it is discovered. We present a patient who had a seizure while asleep, during which his denture broke; he accidentally swallowed a major part of it, which had a clasp attached. He was unaware that he had ingested the denture, since he was asymptomatic, but he started developing symptoms after 5 days and presented to us on the eighth day of ingestion. With much difficulty, the impacted section of the denture in the distal oesophagus was removed with the combined effort of flexible endoscopy and a rigid oesophagoscopy. Post-procedure, the patient developed mediastinitis, which was managed conservatively; he is doing well on follow-up.

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“…One of the risks to good oral health often mentioned for patients with dementia who use partial dentures is possible swallowing of the denture . Although the potential risk is recognized, the actual prevalence of swallowing partial dentures which locate in the airway appears limited; only a few cases could be located in the literature by this author and none of these specifically mention dementia as the main risk factor . Caution by patients and caregivers is logical because conditions of dementia usually include memory loss, poor judgment, loss of oro‐motor coordination, and involuntary irregular movements.…”

Section: Introductionmentioning

confidence: 93%