Accidental ingestion of an orthodontic retainer: which steps should be taken?

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7925

Keywords:

Accident; Orthodontics; Swallowing; Foreign Body; Orthodontic Device

Abstract

Dental materials are relatively rare to be swallowed, especially when it comes to orthodontic objects. However, this type of emergency can arise in the dental clinic environment. Although the ideal is to avoid its occurrence, it is necessary that the professional knows how to handle the situation, in cases that happen. Therefore, the aim of this article was to perform a literature review and describe a clinical case of ingestion of an orthodontic retainer. In this way, exemplify complications arising from accidental swallowing and propose possibilities of conduct. In order to obtain these answers, a literature review was carried out associated with a case study on the subject in question. As a result, it was found that the swallowing or aspiration of appliances or components associated with fixed or removable orthodontic appliances are the categories most cited in the literature. Regardless of the incidence, episodes such as ingestion or aspiration of a foreign body are recognized as possible complications in orthodontics. When accidents occur outside the dental office, patients are generally undergoing orthodontic treatment, which represents less than 10% of all cases of accidental swallowing. It is concluded that the investigation after the ingestion of any component of an orthodontic appliance is essential to ensure patient safety and to make any necessary medical referral for emergency care in order to avoid possible complications.

References

Ghori, A., Dorricott, N., & Sanders, D. (1999). A lethal ectopic denture: an unusual case of sigmoid perforation due to unnoticed swallowed dental plate. J R Coll Surg Edinb, 44(3), 203-204. Retrieved from https://pubmed.ncbi.nlm.nih.gov/10372496/

Goh, B. K. P., Tan, Y. M., Lin, S. E., Chow, P. K. H., Cheah, F. K., Ooi, L. L. P. J., & Wong, W. K. (2006). CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. American Journal of Roentgenology, 187(3), 710–714. doi:10.2214/AJR.05.0178

Hill, E. E., & Rubel, B. (2008). A practical review of prevention and management of ingested/aspirated dental items. General Dentistry, 56(7), 691–694. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19014028

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. The Bulletin of Tokyo Dental College, 51(2), 95–101. doi:10.2209/tdcpublication.51.95

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 and Face Medicine, 12(1), 2-8. doi:10.1186/s13005-016-0120-2

Lau, G., Kulkarni, V., Roberts, G. K., & Brock-Utne, J. (2009). “Where are my teeth?” A case of unnoticed ingestion of a dislodged fixed partial denture. Anesthesia and Analgesia, 109(3), 836–838. doi:10.1213/ane.0b013e3181ae06c9

Nicolodi, G. C., Trippia, C. R., Caboclo, M. F. F. S., de Castro, F. G., Miller, W. P., de Lima, R. R., Tazima, L., & Geraldo, J. (2016). Intestinal perforation by an ingested foreign body. Radiologia Brasileira, 49(5), 295–299. doi:10.1590/0100-3984.2015.0127

Obinata, K., Satoh, T., Towfik, A. M., & Nakamura, M. (2011). An investigation of accidental ingestion during dental procedures. Journal of Oral Science, 53(4), 495–500. doi:10.2334/josnusd.53.495

Pantuzo, M. C. G., Nunes, E., Pires, L. R., da Pinto, L. S. M. C., & Oliveira, D. D. (2017). Ingestion of a RPE activation key: Why do these accidents still happen? European Archives of Paediatric Dentistry, 18(2), 119–121. doi:10.1007/s40368-017-0277-9

Parolia, A., Kamath, M., Kundubala, M., Manuel, T. S., & Mohan, M. (2009). Management of foreign body aspiration or ingestion in dentistry. In Kathmandu University Medical Journal, 7(26), 165–171. doi:10.3126/kumj.v7i2.2715

Poletto, C. A. R., Motohiro, O., Gevaerd, R., Goulart Poletto, A., & Souza Camargo, E. (2013) Prevention and conduct in cases of accidental swallowing and ingestion of components of orthodontic appliances. Rev Clín Ortod Dental Press, 12(2), 64-70. Retrieved from https://pesquisa.bvsalud.org/portal/resource/pt/biblio-855936

Puryer, J., McNamara, C., Sandy, J., & Ireland, T. (2016). An Ingested Orthodontic Wire Fragment: A Case Report. Dentistry Journal, 4(3), 24. doi:10.3390/dj4030024

Rossetto, M., Luzardo, A. R., Schmatz, L., Barbato, P. R., Lima, J. F., & Almeida, M. E. de. (2020). Equipe multiprofissional e práticas integrativas e complementares no serviço de saúde do trabalhador. Research, Society and Development, 9(9), e418997461. doi:10.33448/rsd-v9i9.7461

Tihan, D., Trabulus, D., Altunkaya, A., Karaca, S., Cihan, A., & Aliş, H. (2011). Esophageal perforation due to inadvertent swallowing of a dental prosthesis. Turkish Journal of Gastroenterology, 22(5), 529–533. doi:10.4318/tjg.2011.0290

Tiller, M., Schepp, W., Gundling, F., & Tuerck, J. (2014). Chronic pancreatitis caused by a swallowed orthodontic device. In Endoscopy, 46(01), E667–E668. doi:10.1055/s-0034-1390866

Tiwana, K. K., Morton, T., & Tiwana, P. S. (2004). Aspiration and ingestion in dental practice: A 10-year institutional review. Journal of the American Dental Association, 135(9), 1287–1291. doi:10.14219/jada.archive.2004.0404

Umesan, U. K., Ahmad, W., & Balakrishnan, P. (2012). Laryngeal impaction of an archwire segment after accidental ingestion during orthodontic adjustment. American Journal of Orthodontics and Dentofacial Orthopedics, 142(2), 264–268. doi:10.1016/j.ajodo.2011.05.025

Webb, W. A., McDaniel, L., & Jones, L. (1984). Foreign Bodies of the Upper Gastrointestinal Tract: Current Mangement. Southern Medical Journal, 77(9), 1083–1086. doi:10.1097/00007611-198409000-00006

Published

14/09/2020

How to Cite

CABRAL, L. F. S.; ANJOS, R. S. dos .; GODOY, R.; LAUREANO FILHO, J. R.; GODOY, F. Accidental ingestion of an orthodontic retainer: which steps should be taken?. Research, Society and Development, [S. l.], v. 9, n. 9, p. e941997925, 2020. DOI: 10.33448/rsd-v9i9.7925. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/7925. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences