J Korean Assoc Oral Maxillofac Surg.  2022 Oct;48(5):318-325. 10.5125/jkaoms.2022.48.5.318.

Strategies for dental aspiration and ingestion accidents that can lead to serious complications: a report of three cases and a review of articles

• Shin Y
• Hong So
• Kim R
• Jee Yj

• KMID: 2534814
• DOI: http://doi.org/10.5125/jkaoms.2022.48.5.318

Abstract

Population aging and the usage of small devices in implant prosthetic procedures have led to many incidents of dental aspiration and ingestion. Various preventive measures have been introduced to prevent these accidents. However, accidents can occur at any time. Dental aspiration and ingestion lead to fatal consequences if the issue is not promptly and appropriately dealt with. Preparing a collaborative system for dealing with accidents before they occur can prevent further sequelae. This study involves ingestion and aspiration accidents that occurred during dental treatment: two ingestion cases and one aspiration case. All dental foreign bodies were removed according to the guidelines presented in our review. With the cooperation of other medical departments, the issues were quickly resolved. Simple and accurate protocols should be provided to all dentists and dental staff to respond to such dental emergencies. In addition, collaboration among other medical departments should be established before any accidental ingestion and aspiration events occur.

Keyword

Aspiration; Denture impaction; Open surgery; Emergency protocol; Iatrogenic error

Figure

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  Fig. 1 Radiograph showing an endodontic file (yellow circles) in the glottal region of the C3-C4 level. A. Lateral view of the neck. B. Posterior-anterior view of the neck.

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  Fig. 2 Radiograph showing an implant screwdriver (yellow circles) in the lower lobe of the left lung. A. Lateral view of the chest radiograph. B. Posterior-anterior view of the chest computed tomography. C. Implant screwdriver visualized and retrieved from the lower lobe of the left lung during the bronchoscopy. D. Removed implant screwdriver.

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  Fig. 3 Radiograph showing an impression coping (yellow circles) in the stomach. A. Lateral view of the abdominal radiograph. B. Posterior-anterior view of the abdominal radiograph. C. Impression coping visualized and retrieved from the stomach during the gastroscopy. D. Removed impression coping.

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  Fig. 4 Flowchart diagram: coping protocols before and after the dental ingestion and aspiration accidents.

Reference

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