Prevention of swallowing or aspiration of foreign objects

Aspiration of Broken Portion of a Dental Clamp: An Unusual Case Report

“…11 To pre vent this, it has be en re com men ded that a tech ni qu e of tying floss thro ugh both ho les of the clamp will al low the re co very of eit her a bro ken or dis lod ged clamp. 5 In this ca se, the rub ber dam was app li ed wit ho ut floss li ga tu re, and when the clamp was pla ced on the maxil lary mo lar, the po si ti on of the pa ti ent was a se misu pi ne. To pre vent as pi ra ti on or swal lo wing of a den tal clamp or a bro ken pi e ce, we sug gest that a pi e ce of den tal floss sho uld be ti ed thro ugh both holes of the clamp and the pa ti ent sho uld be pla ced in a mo re up right po si ti on du ring a den tal clamp proce du re.…”

“…Precautions should be taken in the application of the dam itself-especially the clamps. 5 In addition, delayed diagnosis may result in life-threatening complications. 6 …”

Accidental Swallowing of a Hypodermic Needle

“…Barkmeier and Colleagues8 stated that two major preventive measures to minimize the occurrence of swallowed foreign objects are the proper use of rubber dam and oral packing. But when the above measures are not employed and an object enters the oropharynx of a patient who is in supine or semi-supine position, do not allow the patient to sit up rather position the chair into a head down (Trendelenburg) position so that the object can come back into the oral cavity due to the gravity and can be taken out.…”

“…Swallowing or aspiration of files and reamers has been described in dental literature. The instrument that may go through the digestive tract of a patient in a period ranging from a few days to a month34 or the instrument may lie in the stomach,5 duodenum,6 colon7 or appendix8 in which case surgery may be necessary to remove it because of infection complications. …”

Foreign body ingestion in a pediatric patient: Report of case and review of ingestion\aspiration incident management

“…[14] During adjustment of any orthodontic appliances and cutting the distal end a gauze can be used as successful barrier. [15] Components of the removable appliances such as cribs springs, stops, fi nger spring should be smooth, and rounded as far as possible. [10] Availability of high suction with pharyngeal tip help in quick retrieval of a piece of any appliances or appliance, if accidentally dropped in the oral.…”