Accidental ingestion of the endodontic instrument: a case report

Almuthhin, Muthhin; Aljahdali, Abdullah; Alzahrani, Mohammad M.; Alhusain, Bader; Algamdi, Yousef

doi:10.24911/ejmcr/1/27

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…Some of the most important advantages are preventing salivary contamination of the root canal space during root canal treatment as well as protecting patients from ingesting or aspirating endodontic instruments and irrigation solutions (11). Almuhttin et al (12) reported a case of root canal file ingestion in 2017. In this case, the major problem was using endodontic file without rubber dam again.…”

Section: Discussionmentioning

confidence: 99%

Root canal file stick into the epiglottis: A dangerous complication of an endodontic procedure

Köroğlu¹

2019

Erciyes Med J

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Root canal treatment is one of the most frequently performed operations in dentistry. Some complications regarding the instruments used during operation include breakage of root canal file, inhalation, or ingestion. There are some reports in the literature on ingestion of dental instruments, and these could be life threatening because of the possibility of airway obstruction or tubular organ perforation. In this paper, an interesting case of root canal file stick into the epiglottis and its management are presented.

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Section: Discussionmentioning

confidence: 99%

Root canal file stick into the epiglottis: A dangerous complication of an endodontic procedure

Köroğlu¹

2019

Erciyes Med J

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“…In addition to routine evaluation of a patient with a thyroid pathology, in the diagnosis algorithm of RTs, the first step is While thyroid ultrasonography is the gold standard for the diagnosis of cervical thyroids, it has limited effectiveness in the lesions of the thorax (11). Performing an FNAC from a lesion in the retrosternal area can also be challenging; and because of frequently observed large nodule size, false negative results is not unexpected (12). In case of a goiter with retrosternal extension, a negative FNAC from a cervical nodule does not obviously rule out a possible malignancy in the retrosternal nodule, thus the indication for surgery in such cases is more likely.…”

Section: Discussionmentioning

confidence: 99%

Surgery of Retrosternal Thyroid: Evaluation of 36 Cases

Vural¹

2019

Erciyes Med J

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Objective: Retrosternal thyroid is the presence of thyroid tissue in the mediastinum either by enlarging of the cervical or by an ectopic mediastinal thyroid. Surgery for a retrosternal thyroid has technical differences than conventional cervical thyroid surgery and has a higher risk of complications. This paper aims to analyze the cases with retrosternal thyroid and to evaluate the outcomes of the surgery. Materials and Methods: Retrospective analysis in terms of age, sex, clinical course, thyroid hormone levels, parathormone (PTH) levels, diagnostic methods, and fine needle aspiration cytology (FNAC) results and complications of 36 cases that underwent surgery was performed. Results: In addition to routine evaluation for thyroid pathology, computerized tomography was used for each patient. Thirty-four surgeries were completed with a cervical incision, one with a sternotomy and one with a thoracotomy. Four patients (11.1%) experienced temporary postoperative hypocalcemia, and one patient had a transient vocal cord immobility. Neither permanent hypocalcemia nor vocal cord paralysis was present in any of the patients postoperatively. Conclusion: Planning surgery as early as possible is suggested to avoid compression symptoms and possible malignancy. Cervical approach is mostly enough for the majority of patients; however, in case of a need of an additional (transthoracic) approach, multidisciplinary planning with thoracic surgeons is proposed. The risk of complications in experienced centers is parallel to cervical thyroidectomy.

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“…9,25 It should be remembered that some wykonanie bronchoskopii, endoskopii lub tomografii komputerowej. 2,[21][22][23][24] Ujemny wynik badania radiologicznego nigdy nie wyklucza obecności ciała obcego w drogach oddechowych lub przewodzie pokarmowym. W związku z tym przy obecności objawów zawsze niezbędna jest dalsza diagnostyka.…”

Section: Diagnosticsunclassified

“…Umieszczony w jamie ustnej stanowi mechaniczną blokadę, zabezpieczającą przed przemieszczeniem się ciał stałych -narzędzi, materiałów i fragmentów tkanek oraz płynów, takich jak ślina czy chłodziwo -do dróg oddechowych. 24 W wielu sytuacjach zastosowanie opisanych barier jest niemożliwe. Wówczas operator powinien zachować szczególną ostrożność z każdym potencjalnie ruchomym materiałem znajdującym się w jamie ustnej.…”

Section: Preventionunclassified

“…Placed in the oral cavity, it is an excellent mechanical blockade that prevents the movement of solid objects -tools, materials, fragments of tissues as well as fluids, such as saliva or coolant to the airways. 24 Unfortunately, in many situations, the use of these isolations is impossible. In such cases, the operator should take special care with any moveable element in the mouth.…”

Section: Preventionmentioning

confidence: 99%

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Ingestion and aspiration of foreign bodies in dental practice

Wróbel-Bednarz¹,

Wróbel²,

Surowiecki³

et al. 2019

Prosthodontics

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StreszczenieCharakterystyka pracy lekarza dentysty wymaga stosowania różnego rodzaju materiałów i narzędzi w jamie ustnej pacjenta. Z uwagi na brak całkowitej, mechanicznej bariery chroniącej dalsze odcinki układów oddechowego i pokarmowego, mogącymi zdarzyć się powikłaniami zabiegów stomatologicznych są aspiracje i połknięcia. Celowym jest ustalenie właściwego toku postępowania, diagnostyki i leczenia w takich sytuacjach zarówno na fotelu stomatologicznym, jak i w oddziałach specjalistycznych. Na podstawie opisywanych w piśmiennictwie przypadków można stwierdzić, że szczególnie predysponowane do przedostania się do drogi pokarmowej lub oddechowej są wiertła, narzędzia endodontyczne, uzupełnienia protetyczne, zwłaszcza na etapie kontroli w jamie ustnej przed zacementowaniem. Większość połkniętych przedmiotów transportowana jest przez przewód pokarmowy bez żadnych alarmujących dolegliwości. Jednak ostre, spiczaste i wydłużone przedmioty mogą spowodować perforację i uszkodzenia narządów wewnętrznych. Należy bacznie obserwować zachowanie Ingestion and aspiration of foreign bodies in dental practicePołknięcia i aspiracje ciał obcych w praktyce stomatologicznej Summary Dental work requires the use of various types of materials and tools. Due to the lack of a complete mechanical barrier that would protect further parts of the respiratory and digestive systems, aspirations and ingestions are seen as complications. It is then appropriate to establish proper protocols, diagnostics and treatment methods to be performed both at the chairside and in specialist departments. According to the literature, drill bits, endodontic tools and prosthetic restorations, especially at the stage of oral cavity control before cementation, are predisposed to enter the alimentary or respiratory tract. Most swallowed objects pass through the digestive tract without any alarming complications. However, sharp, pointed and elongated objects can cause perforation and damage to internal organs. The patient's behavior, vital parameters and other clinical manifestations should be carefully monitored, which could help in the differentiation between accidental ingestion and aspiration. However medical intervention may be necessary in both situations. After KEY WORDS: ingestion, aspiration, foreign body, denture HASŁA INDEKSOWE: połknięcia, aspiracja, ciało obce, proteza K.M. Wróbel-Bednarz, et al. www.protetstomatol.pl 258 PROTETYKA STOMATOLOGICZNA, 2019; 69, 3 Wprowadzenie Charakterystyka pracy lekarza dentysty wymaga stosowania różnego rodzaju materiałów i narzędzi w jamie ustnej pacjenta. Z uwagi na brak całkowitej, mechanicznej bariery chroniącej dalsze odcinki układu oddechowego i pokarmowego, mogą mieć miejsce powikłania zabiegów stomatologicznych w postaci aspiracje i połknięcia. W piśmiennictwie można odnaleźć publikacje opisujące takie przypadki, dlatego celowym jest ustalenie właściwego toku postępowania, diagnostyki i leczenia w takich sytuacjach zarówno na fotelu stomatologicznym, jak i w oddziałach specjalistycznych. Ważna jest ró...

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Accidental ingestion of the endodontic instrument: a case report

Abstract: Background: Ingestion of the endodontic instrument during root canal treatment is rare but can result in serious complications.

Cited by 4 publications

References 13 publications

Root canal file stick into the epiglottis: A dangerous complication of an endodontic procedure

Root canal file stick into the epiglottis: A dangerous complication of an endodontic procedure

Surgery of Retrosternal Thyroid: Evaluation of 36 Cases

Ingestion and aspiration of foreign bodies in dental practice

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