J Dent Rehabil Appl Sci.  2022 Dec;38(4):222-232. 10.14368/jdras.2022.38.4.222.

The survey on foreign body ingestion and aspiration during the dental prosthetic treatment

• Bang GT
• Jeon HS
• Lee SK
• Lee JI
• Lee JH

• KMID: 2538520
• DOI: http://doi.org/10.14368/jdras.2022.38.4.222

Abstract

Purpose
This study was to investigate the dentists’ experience and awareness of foreign body ingestion and aspiration during dental prosthetic treatment.
Materials and Methods
A survey of 157 dentists working at 108 dental institutions in Daejeon and Chungcheong provinces was carried out and frequency analysis was conducted. Chi-square test was conducted to find out the difference between the sociodemographic data and experience of foreign body ingestion and aspiration of patients and independent sample t-test was conducted to find out the difference in awareness depending on whether receiving related education.
Results
The percentage of dentists experiencing dropping foreign body into patients’ oral cavity was 99.4% and the percentage of dentists experiencing foreign body ingestion and aspiration of patients was 53.5%. There were more dentists who experienced foreign body ingestion and aspiration of patients in male than female, longer working career, and general practitioners than specialists (P < .05). 50.3% of the respondents received related education. When they receive related education, they had low degree of concern, high confidence in coping with situations, and low willingness to receive education in the future (P < .05).
Conclusion
The percentage of foreign body dropping was 16% higher in prosthetic treatment than general treatment. The percentage of dentists with experience of foreign body ingestion and aspiration of patients was 53.5%. Among them, 92.9% experienced foreign body ingestion of patients and 7.1% of them experienced foreign body aspiration of patients.

Keyword

aspiration; foreign bodies; ingestion; prosthodontics

Figure

• 

  Fig. 1 Responses about dropped foreign bodies during general treatment (A) and prosthetic treatment (B).

• 

  Fig. 2 Responses about age group of patients with ingestion and aspiration of foreign body.

• 

  Fig. 3 Responses about ingested and aspirated foreign bodies during general treatment (A) and prosthetic treatment (B).

Reference

References

1. Jeon HS, Lee JH. 2018; Prevention and management of foreign body ingestion and aspiration during the dental treatment. J Dent Rehabil Appl Sci. 34:63–71. DOI: 10.14368/jdras.2018.34.2.63.

2. Kim SH, Choi SC, Park JH, Kim KC. 2011; Foreign body ingestion during dental treatment in pediatric patient. J Korean Assoc Dis Oral Health. 7:29–32. DOI: 10.33615/jkohs.2019.7.1.29.

3. Park WS, Kim ST, Park MS, Seo JS, Kim KD. 2011; Foreign body aspiration in dental clinic case: case series. J Korean Dent Soc Anesthesiol. 11:38–44. DOI: 10.17245/jkdsa.2011.11.1.38.

4. Susini G, Pommel L, Camps J. 2007; Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J. 40:585–9. DOI: 10.1111/j.1365-2591.2007.01249.x. PMID: 17532776. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=34547264104&origin=inward.

5. Kitagawa J, Nakagawa K, Hasegawa M, Iwakami T, Shingai T, Yamada Y, Iwata K. 2009; Facilitation of reflex swallowing from the pharynx and larynx. J Oral Sci. 51:167–71. DOI: 10.2334/josnusd.51.167. PMID: 19550082. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=74049143581&origin=inward.

6. Statistics Korea. 2022. 2022 Statistics on the aged. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=420896. updated 2022 Oct 18.

7. Marcus SE, Drury TF, Brown LJ, Zion GR. 1996; Tooth retention and tooth loss in the permanent dentition of adults: United States, 1988-1991. J Dent Res. 75:684–95. DOI: 10.1177/002203459607502S08. PMID: 8594092. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0030307225&origin=inward.

8. Ryu JI, Jeon JE. 2019; Utilization rate of dental implant for elderly in National Health Insurance in Korea. J Korean Dent Assoc. 57:496–503.

9. Arana Ribeiro J, Martins Natal R, Matos Gomes R. 2022; Dental implant screwdriver aspiration. Pulmonology. 28:239–40. DOI: 10.1016/j.pulmoe.2022.01.003. PMID: 35135740. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85124252872&origin=inward.

10. Santos Tde S, Antunes AA, Vajgel A, Cavalcanti TB, Nogueira LR, Laureano Filho JR. 2012; Foreign body ingestion during dental implant procedures. J Craniofac Surg. 23:119–23. DOI: 10.1097/SCS.0b013e31824cda32. PMID: 22446442. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84859176772&origin=inward.

11. Cho KA, Kim H, Lee SH, Kwon WY, Kim MS, Seo KS, Kim HJ. 2014; The survey of dentists: updated knowledge about basic life support and experiences of dental emergency in Korea. J Dent Anesth Pain Med. 14:17–27. DOI: 10.17245/jkdsa.2014.14.1.17.

12. Nishino T. 1993; Swallowing as a protective reflex for the upper respiratory tract. Anesthesiology. 79:588–601. DOI: 10.1097/00000542-199309000-00024. PMID: 8363086. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0027164463&origin=inward.

13. Baek MK, Kim DY. 2018; Surgical strategies for prevention and treatment of airway aspiration in head and neck cancer patients. J Korean Soc Laryngol Phoniatr Logop. 29:9–13. DOI: 10.22469/jkslp.2018.29.1.9.

14. Hisanaga R, Hagita K, Nojima K, Katakura A, Morinaga K, Ichinohe T, Konomi R, Takahashi T, Takano N, Inoue T. 2010; Survey of accidental ingestion and aspiration at Tokyo Dental College Chiba Hospital. Bull Tokyo Dent Coll. 51:95–101. DOI: 10.2209/tdcpublication.51.95. PMID: 20689240. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=78349281943&origin=inward.

15. Obinata K, Satoh T, Towfik AM, Nakamura M. 2011; An investigation of accidental ingestion during dental procedures. J Oral Sci. 53:495–500. DOI: 10.2334/josnusd.53.495. PMID: 22167036. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84860830057&origin=inward.

16. Hou R, Zhou H, Hu K, Ding Y, Yang X, Xu G, Xue P, Shan C, Jia S, Ma Y. 2016; Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head Face Med. 12:23. DOI: 10.1186/s13005-016-0120-2. PMID: 27449659. PMCID: PMC4957346. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84979082211&origin=inward.

17. Huh J, Lee N, Kim KY, Jung S, Cha J, Kim KD, Park W. 2022; Foreign body aspiration and ingestion in dental clinic: a seven-year retrospective study. J Dent Anesth Pain Med. 22:187–95. DOI: 10.17245/jdapm.2022.22.3.187. PMID: 35693354. PMCID: PMC9171336.

18. Parolia A, Kamath M, Kundubala M, Manuel TS, Mohan M. 2009; Management of foreign body aspiration or ingestion in dentistry. Kathmandu Univ Med J. 7:165–71. DOI: 10.3126/kumj.v7i2.2715. PMID: 20071854. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=67649592247&origin=inward.

19. Hisanaga R, Takahashi T, Sato T, Yajima Y, Morinaga K, Ohata H, Hirata S, Mamiya H, Kinumatsu T, Yakushiji T, Hagita K. 2014; Accidental ingestion or aspiration of foreign objects at Tokyo Dental College Chiba Hospital over last 4 years. Bull Tokyo Dent Coll. 55:55–62. DOI: 10.2209/tdcpublication.55.55. PMID: 24717931. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84979645163&origin=inward.

20. Park JW. 2013; Aging process in swallowing function. J Korean Dysphagia Soc. 3:17–9.

21. Di Pede C, Mantovani ME, Del Felice A, Masiero S. 2016; Dysphagia in the elderly: focus on rehabilitation strategies. Aging Clin Exp Res. 28:607–17. DOI: 10.1007/s40520-015-0481-6. PMID: 26589905. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84947756157&origin=inward.

22. Cecconi E, Di Piero V. 2012; Dysphagia - pathophysiology, diagnosis and treatment. Front Neurol Neurosci. 30:86–9. DOI: 10.1159/000333423. PMID: 22377871. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84925934951&origin=inward.

23. Son HJ, Park YM, Yim SY, Heo YR, Son MK. 2018; Prevalence and influencing factors of dysphagia in elderly patients. Oral Biol Res. 42:208–15. DOI: 10.21851/obr.42.04.201812.208.

24. Zitmann NU, Elsasser S, Fried R, Marinelo CP. 1999; Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 88:657–60. DOI: 10.1016/S1079-2104(99)70004-1. PMID: 10625844. PMID: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0033251571&origin=inward.

25. Limpias Kamiya KJ, Hosoe N, Takabayashi K, Hayashi Y, Sun X, Miyanaga R, Fukuhara K, Fukuhara S, Naganuma M, Nakayama A, Kato M, Maehata T, Nakamura R, Ueno K, Sasaki J, Kitagawa Y, Yahagi N, Ogata H, Kanai T. 2020; Endoscopic removal of foreign bodies: A retrospective study in Japan. World J Gastrointest Endosc. 12:33–41. DOI: 10.4253/wjge.v12.i1.33. PMID: 31942232. PMCID: PMC6939123.

26. Son YJ, Ha BG, Jeon JH. 2012; Foreign body aspiration during dental procedure. J Korean Dent Assoc. 50:755–62.

27. Ditcher D. 2015. Accidental ingestion of dental materials: treatment and prevention. Available from: https://www.speareducation.com/spear-review/2015/10/accidental-ingestion-of-dental-materials-treatment-and-prevention. updated 2022 Oct 18.

28. Huh JY. 2022; Foreign body aspirations in dental clinics: a narrative review. J Dent Anesth Pain Med. 22:161–74. DOI: 10.17245/jdapm.2022.22.3.161. PMID: 35693357. PMCID: PMC9171332.

29. Kim YS, Kim JY, Heo YR, Son MK. 2019; The prevention of accidental aspiration or swallowing small instruments during implant treatment. Oral Biol Res. 43:95–102. DOI: 10.21851/obr.43.01.201903.95.