Swallowed partial dentures

Hashmi, Syed Maroof; Walter, John; Smith, Wendy; Latis, Sergios

doi:10.1258/jrsm.97.2.72

Cited by 40 publications

(9 citation statements)

References 30 publications

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“…This type of wire-containing dentures has been reported to have higher tendency to impact and perforate in the GI tract. 11 The risk of perforation is increased when ingested dentures contain a broken wire with a sharp pointy end, as in our case (Figure 13). …”

Section: Denturessupporting

confidence: 52%

Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis

Kuzmich¹,

Burke²,

Harvey³

et al. 2015

BJR

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Perforation of gastrointestinal (GI) tract by ingested bone fragments, toothpicks and dentures is rare but remains an important life-threatening condition, and the outcomes are poorer when the diagnosis is delayed. Invariably, clinical and radiographic diagnosis is difficult as most patients will have no recollection of ingesting a foreign body, whereas these subtle objects are often not visible on radiographs. In search for the diagnosis, CT is the modality of choice, but ultrasound imaging may be first requested in patients presenting with symptoms of acute appendicitis, cholecystitis, pyelonephritis or pelvic inflammatory disease when an ingested foreign body is not considered. Although ultrasound has limited value in depicting a foreign body, it can frequently uncover secondary signs of perforation. However, the rarity of this condition combined with non-specific clinical presentation and the propensity of these small perforating objects to be subtle makes establishing the correct diagnosis by the radiologist challenging. Therefore, understanding of the appearances of GI perforation seen on CT images or general abdominal ultrasound will aid the radiologist in the diagnosis of this important yet often unsuspected condition. This will lead to earlier diagnosis and surgical management. In this article, we illustrate the spectrum of CT, radiographic and ultrasound imaging features seen in GI perforation caused by swallowed bone fragments, toothpicks, cocktail sticks and dentures.

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Section: Denturessupporting

confidence: 52%

Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis

Kuzmich¹,

Burke²,

Harvey³

et al. 2015

BJR

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“…In dental operatory, the ingested foreign body may include teeth, restorations, restorative materials, instruments, rubber dam clamps, gauze packs, and so forth [1][2][3]. Similar case studies have also been reported previously [4]. Grossman [5] determined that 87% of the ingested foreign bodies enter the gastrointestinal tract, and 13% enter the respiratory tract.…”

Section: Introductionmentioning

confidence: 72%

Accidental ingestion of the endodontic instrument: a case report

Almuthhin¹,

Aljahdali²,

Alzahrani³

et al. 2017

EJMCR

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“…However, with the improvement in appearance and wear resistance of the better quality plastic and composite artificial teeth, porcelain teeth are seldom used on dentures in the UK. 4 Despite the many calls for use of radio-opaque denture base materials 5 no such product seems available in the UK. Tsao 6 and Davy 7 investigated the use of materials in dentures to make them radio-opaque, without adversely compromising on the strength of the material, but these were never marketed because of concerns that the halide in the material might have cancer-inducing potential.…”

Section: Discussionmentioning

confidence: 99%

“…Barium swallow is usually one of the early investigation modalities done in patients with swallowing problems. Many authors have quoted a high sensitivity and specifi city of barium study in the detection of ingested foreign bodies 8 whereas others 4 have found it to be unhelpful, making subsequent endoscopy more diffi cult. In our case barium swallow was inconclusive.…”

Section: Discussionmentioning

confidence: 99%

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Hypopharyngeal foreign body masquerading as malignancy

et al. 2009

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was assessed by the speech and language therapists, who performed a video fl uoroscopy, which showed that there was aspiration of thin fl uids and a pharyngeal residue with no protective cough mechanism. A chest X-ray and abdominal ultrasound examination were unremarkable.Examination of the palate was unremarkable, but the patient had poor dental hygiene and missing teeth (21, 22). On fi bre optic laryngoscopy in the outpatient clinic, it was observed that there was pooling of saliva and a mass in the pyriform sinuses, highly suggestive of a malignancy. The rest of the examination was unremarkable.Panendoscopy under general anaesthesia revealed a mass in both pyriform fossae and the post-cricoid region with exuberant granulations on the surface. Surprisingly when a biopsy was attempted the mass appeared to be hard and partially mobile. On further manipulation a foreign body was found to be snugly fi tting in both pyriform fossae and the post cricoid area.This was removed under direct vision and was found to be a large dental plate which was 4.5 x 4.0 cm in dimension (Fig. 2). The rest of the examination was normal but for chronic infl ammation and an indentation in the lateral wall of the right pyriform sinus, caused by the dental CASE REPORTAn 84-year-old male was referred to the ENT department by the physicians with a suspicion of a malignancy in the aerodigestive tract.He was under their care for weight loss and recurrent chest infections. He had been having progressive dysphagia mainly for solids and throat discomfort for the last six months. He had a past history of alcohol abuse, heavy smoking and was under treatment for depression.Routine blood results showed a normal full blood count but deranged liver function tests and nutritional defi ciencies.He underwent a barium swallow which showed some irregularity in the lateral wall of the hypopharynx (Fig. 1), and overall these fi ndings were suggestive but not conclusive for malignancy. HeForeign body ingestion in dental and ENT practice is a commonly encountered emergency. In most cases, particularly in adults, there is a defi nite history of its ingestion, the nature of the foreign body is usually identifi able and the patient almost always presents immediately. We report an unusual case of an elderly patient with a six month history of progressive dysphagia referred to us by the physicians after investigations which were highly suggestive of a hypopharyngeal malignancy. Surprisingly when a biopsy was attempted, the hypopharyngeal mass turned out to be a dental plate. Dentists and otolaryngologists should be aware that pharyngeal foreign bodies can present without a positive history and can have a clinical presentation mimicking malignancy. A history of head injury, dementia, alcohol and drug abuse should be specifi cally excluded. A routine examination of a patient with dysphagia should include eliciting a specifi c history of wearing dentures and examination of teeth. In future designs for dental plates, bridges and crowns the use of a radio opaque materi...

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Swallowed partial dentures

Cited by 40 publications

References 30 publications

Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis

Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis

Accidental ingestion of the endodontic instrument: a case report

Hypopharyngeal foreign body masquerading as malignancy

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