장애인 치과 치료시 발생한 이물질 흡인

Foreign Body Aspiration during Dental Treatment in the Disabled Patient

  • 투고 : 2014.04.10
  • 심사 : 2014.05.13
  • 발행 : 2014.06.30

초록

There are a lot of dental emergency situation. Especially on disabled or pediatric patient with negative behavior, accidental aspiration or ingestion of foreign body (ex: dental instrument) is one of the common accidents in dental procedure. Dentists and dental hygienists must have knowledge about the precaution and be ready to deal with foreign body aspiration during dental treatment, especially on the disabled. This is a case of an accident during the dental treatment of 14-year-old female patient with cerebral palsy. During scaling, prolonged retained primary tooth which had resorbed roots was fell into left bronchi. So we tried to remove the crown by endotracheal approach. Most ingested foreign bodies pass through the gastrointestinal tract spontaneously, but some of them need endoscopic or surgical removal. Moreover aspiration into broncho-trachea can be more serious events and must be treated as emergency situation.

키워드

참고문헌

  1. Tamura N, Nakajima T, Matsumoto S, Ohyama T, Ohashi Y: Foreign bodies of dental origin in the air and food passages. Int J Oral Maxillofac Surg 15: 739-751, 1986. https://doi.org/10.1016/S0300-9785(86)80116-8
  2. Choi G, Lee JY, Chae SW, Jung KY, Choi JO: Laryngotracheo-bronchial foreign bodies: 10-year experience of 101 cases. Kor J Brochoesophagol 3: 109-114, 1997.
  3. Davidoff E, Towne JB: Ingested foreign bodies. NY State J Med 75: 1003-1007, 1975.
  4. Seliavanov V, Sheldon GF, Cello JP, Crass RA: Management of foreign body ingestion. Ann Surg 199: 187-191, 1984. https://doi.org/10.1097/00000658-198402000-00010
  5. Lyons MF 2nd, Tsuchida AM: Foreign bodies of the gastrointestinal tract. Med Clin North Am 77: 1101-1114, 1993.
  6. Stack LB, Munter DW: Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am 14: 493-521, 1996. https://doi.org/10.1016/S0733-8627(05)70264-9
  7. Nandi P, Ong GB: Foreign body in the esophagus: review of 2394 cases. Br J Surg 65: 5-9, 1978. https://doi.org/10.1002/bjs.1800650103
  8. Conners GP, Chamberlain JM, Ochsenschlager DW: Symptoms and spontaneous passage of esophageal coins. Arch Pediatr Adolesc Med 149: 36-39, 1995. https://doi.org/10.1001/archpedi.1995.02170130038008
  9. Hodge D 3rd, Tecklenburg F, Fleisher G: Coin ingestion: does every child need a radiograph? Ann Emerg Med 14: 443-446, 1985. https://doi.org/10.1016/S0196-0644(85)80289-4
  10. 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 40: 585-589, 2007. https://doi.org/10.1111/j.1365-2591.2007.01249.x
  11. Paksu S, Paksu MS, Kilic M, et al.: Foreign body aspiration in childhood: evaluation of diagnostic parameters. Pediatr Emerg Care 28: 259-264, 2012. https://doi.org/10.1097/PEC.0b013e3182494eb6
  12. National Safety Council. Leading causes of death: an excerpt of injury facts. National Safety Council Press, Chicago, pp. 10-15, 2003.
  13. Nakagawa T, Sekizawa K, Nakajoh K, et al.: Silent cerebral infarction: a potential risk for pneumonia in the elderly. J Intern Med 247: 255-259, 2000. https://doi.org/10.1046/j.1365-2796.2000.00599.x
  14. 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 161: 2378-2381, 2001. https://doi.org/10.1001/archinte.161.19.2378
  15. Zitzmann NU, Elsasser S, Fried R, Marinello CP: Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88: 657-660, 1999. https://doi.org/10.1016/S1079-2104(99)70004-1