The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Foreign body aspiration during dental procedure

치과 치료와 관련된 기도내 이물질 흡인

  • Son, Young-Jin (Department of Oral and Maxillofacial surgery, Asan Medical Center) ;
  • Ha, Byung-Gak (Department of Oral and Maxillofacial surgery, Asan Medical Center) ;
  • Jeon, Ju-Hong (Department of Oral and Maxillofacial surgery, Asan Medical Center)
  • 손영진 (서울아산병원 구강악안면외과) ;
  • 하병각 (서울아산병원 구강악안면외과) ;
  • 전주홍 (서울아산병원 구강악안면외과)
  • Received : 2012.11.05
  • Accepted : 2012.11.20
  • Published : 2012.12.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The aim of this study was to investigate risk factor, precaution and treatment of aspirated foreign body during dental procedure. Material and Methods : Twenty cases of accidental aspiration of the foreign body, which removed by bronchoscopy at the Asan Medical Center between 2008 and 2012, were analyzed retrospectively. Results : Ten cases of accidental aspiration were occurred during dental procedure. Symtoms include cough(65%), dyspnea(50%), sputum(25%) and wheezing(25%). The most common location of foreign body was right bronchial tree(50%), left bronchial tree(45%) and carina(5%). Patients risk factors were chronic obstructive pulmonary disease, lung cancer, pulmonary tuberculosis, esophageal cancer and vegetative state. Conclusion : Accidental aspiration or swallowing of dental instrument or material is not uncommon accidents in dental practice. Most foreign bodies enter into gastrointestinal tract spontaneously. But aspiration into broncho-trachea can be more serious events and must be treated as an emergency situation. Prompt emergency treatment and removal of the foreign body is necessary to avoid complication. Dentists must have knowledge about the precaution and be ready to deal with foreign body aspiration during dental procedures.

Keywords

References

  1. Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J. 2007 Aug;40(8):585-9 https://doi.org/10.1111/j.1365-2591.2007.01249.x
  2. Ulku R, Baskan Z, Yavuz I. Open surgical approach for a tooth aspirated during dental extraction: a case report. Aust Dent J 2005 Mar;50(1):49-50. https://doi.org/10.1111/j.1834-7819.2005.tb00085.x
  3. 김규문. 최신 치과치료의 응급처치: 제2판. 지성출판사. 1992
  4. Obinata K, Satoh T, Towfik AM, Nakamura M. An investigation of accidental ingestion during dental procedures. J Oral Sci. 2011 Dec;53(4):495-500. https://doi.org/10.2334/josnusd.53.495
  5. Ayed AK, Jafar AM, Owayed A. Foreign body aspiration in children: diagnosis and treatment. Pediatr Surg Int 2003 Aug:19(6):485-488. https://doi.org/10.1007/s00383-003-0965-x
  6. PingarrOn Martin L, Moran Soto MJ, Sachez Burgos R, Burgueno Garda M. Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature. Oral Maxillofac Surg 2010 Mar;14(1):43-7. https://doi.org/10.1007/s10006-009-0178-0
  7. Sasaki Y, Maruyama S, Sogo M. Two cases of severe motor and intellectual disabilities with dental foreign bodies in digestive tracts. Rinsho Shoni Igaku 2007 Aug;55:41-43.
  8. Paksu S, Paksu MS, Kilic M, Guner SN, Baysal K, Sancak R, Ozturk F. Foreign body aspiration in childhood: evaluation of diagnostic parameters. Pediatr Emerg Care. 2012 Mar;28(3):259-64 https://doi.org/10.1097/PEC.0b013e3182494eb6
  9. Midulla F, Guidi R, Barbato A, Capocaccia P, Forenza N, Marseglia G, Pifferi M, Moretti C, Bonci E, De Benedictis FM, Foreign body aspiration in children, Pediatr Int. 2005 Dec;47(6):663-8. https://doi.org/10.1111/j.1442-200x.2005.02136.x
  10. National Safety Council. Leading Causes of Death: An Excerpt of Injury Facts. Chicago, IL, National Safety Council Press, 2003, pp 10-15.
  11. Nakagawa T, Sekizawa K, Nakajoh K, et al. Silent cerebral infarction: a potential risk for pneumonia in the elderly. J Intern Med 2000;247:255-259. https://doi.org/10.1046/j.1365-2796.2000.00599.x
  12. Vergis EN, Brennen C, Wagener M, et al. Pneumonia in long-term care: a prospective case-control study of risk factors and impact on survival. Arch Intern Med 2001;161:2378-2381. https://doi.org/10.1001/archinte.161.19.2378
  13. Zitzmann NU, Elsasser S, Fried R, Marinello CP. Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod Dec 1999;88(6): 657-660. https://doi.org/10.1016/S1079-2104(99)70004-1
  14. Zubairi AB, Haque AS, Husain SJ, Khan JA. Foreign body aspiration in adults. Singapore Med J 2006 May;47(5):415-8.
  15. Debeljak A, Sorli J, Music E, Kecelj P. Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974?1998. Eur Respir J 1999 Oct;14(4):792-5. https://doi.org/10.1034/j.1399-3003.1999.14d11.x
  16. Lan RS. Non-asphyxiating tracheobronchial foreign bodies in adults. Eur Respir J 1994 Mar;7(3):510-4. https://doi.org/10.1183/09031936.94.07030510
  17. Lai YF, Wong SL, Ty Chao, Lin AS. Bronchial foreign bodies in adults. J Formos Med Assoc 1996 Mar;95(3):213-7.
  18. Limper AH, Prakash UB. Tracheobronchial foreign bodies in adults. Ann Intern Med 1990;112:604-609. https://doi.org/10.7326/0003-4819-112-8-604
  19. Zerella JT, Dimler M, McGill LC, Pippus KJ: Foreign body aspiration in children: Value of radiography and complications of bronchoscopy. Journal of Pediatric Surgery 1998; 33: 1651-4. https://doi.org/10.1016/S0022-3468(98)90601-7
  20. Mise K, Jurcev Savicevic A, Pavlov N, Jankovic S. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995-2006. Surg Endosc. 2009 Jun;23(6):1360-4. https://doi.org/10.1007/s00464-008-0181-9
  21. Pingarron Martin L, Moran Soto MJ, Sanchez Burgos R, Burgueno Garcia M: Bronchial impaction of an implant screwdriver after accidental aspiration: report of a case and revision of the literature. Oral and maxillofacial surgery 2010; 14: 43-7. https://doi.org/10.1007/s10006-009-0178-0
  22. Al-Rashed MA: A method to prevent aspiration or ingestion of cast post and core restorations. The Journal of prosthetic dentistry 2004; 91: 501-2. https://doi.org/10.1016/j.prosdent.2003.11.010
  23. Fields RT, Jr., Schow SR: Aspiration and ingestion of foreign bodies in oral and maxillofacial surgery: a review of the literature and report of five cases.
  24. Nakajima M, Sato Y: A method for preventing aspiration or ingestion of fixed restorations. The Journal of prosthetic dentistry 2004; 92: 303. https://doi.org/10.1016/j.prosdent.2004.05.002
  25. Seals ML, Andry JM, Kellar PN: Pulmonary aspiration of a metal casting: report of case. Journal of the American Dental Association 1988; 117: 587-8.
  26. Boyd M, Chatterjee A, Chiles C, Chin R Jr. Tracheobronchial foreign body aspiration in adults. South Med J. 2009 Feb;102(2):171-4. https://doi.org/10.1097/SMJ.0b013e318193c9c8
  27. 박원서, 김성태. 치과에서의 이물흡인: 대한치과마취과학회지 2011; 11: 38-44
  28. 전종후, 류수장. 구강내 치료시 연하나 흡입된 이물질의 처치에 관한 치험례: 대한구강악안면성형재건외과학회지 1996; 18: 428-34.
  29. Heimlich HJ. The Heimlich Maneuver: prevention of death from choking on foreign bodies. J Occup Med. 1977 Mar;19(3):208-10.
  30. Milton TM, Hearing SD, Ireland AJ. Ingested foreign bodies associated with orthodontic treatment: report of three cases and review of ingestion /aspiration incident management. Br Dent J. 2001 Jun 9;190(11):592-6.