Accidental Ingestion of Molar Band and Its Management: Maintenance Is Better than Management

Abstract

Ingestion of a broken part of fixed orthodontic appliance is a potential complication during orthodontic treatment. We report a case of accidental ingestion of molar band and its subsequent diagnosis followed by endoscopic retrieval method. Although prevention of such incidence is the best method at the same time management of such an event is also crucial. The objective of this paper is to draw attention to the potentially serious complications that can occur if preventive techniques are not practiced and also the management of such event.

Foreign body ingestion in a pediatric patient: Report of case and review of ingestion\aspiration incident management

“…If it is not removed, last option would be open surgery or laparoscopy. [6] The patient can be made aware of the possibility of dental object droppings and instruct them to spit out any dropped objects. [1] …”

“…[10] Availability of high suction with pharyngeal tip help in quick retrieval of a piece of any appliances or appliance, if accidentally dropped in the oral. [6] Swallowed object can be tracked, localized with the help of an x-ray and also it helps to know the progression and confi rms the passage of swallowed objects. [1,9,14] Eff ective and safe mode of management of swallowed objects can be done with an endoscope.…”

“…Laxative use is not proven, and there may be increased the chance of perforation. [6] Removal of ingested objects depends on location and type of foreign body. [16] Most of the time, these objects are evacuated without complications .…”

“…Orthodontic appliances are less commonly aspirated but not less varied in types of involved appliances. [6] According to gross man, 13% of them are aspirated into respiratory tract 87% of foreign objects into the alimentary tract. Around 10-20% of the foreign object were non-surgically intervened and 1% required surgery were reported by Webb (1988).…”

An Ingested Orthodontic Wire Fragment: A Case Report

“…The incidence of reported cases in orthodontics is considerably less common but no less varied in the range of objects involved, and these include brackets, bands, second molar buccal tubes, transpalatal arches, removable appliances and appliance fragments, archwire fragments, sectional archwires, coil springs, expansion appliance keys, retainers, and quadhelices [ 2 , 3 , 4 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ]. A literature review was carried out using the PubMed database to search for case reports relating to ingestion or aspiration of foreign bodies of orthodontic origin.…”