Accidental swallowing of orthodontic expansion appliance key

Monini, André da Costa; Maia, Luiz Guilherme Martins; Jacob, Helder B.; Gandini, Luiz Gonzaga

doi:10.1016/j.ajodo.2011.05.009

Cited by 28 publications

(25 citation statements)

References 21 publications

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“…RME expansion treatment has been demonstrated to have a positive effect in airway change (19). The development of new expanders supported by TADs may have increased benefits on upper airway change as increased nasal flow rates and reduced resistance using tooth-bone-borne expanders was found when compared to tooth-borne expanders (4,11). To the author's knowledge, no RCT using CBCT has been conducted to assess the volumetric changes between tooth-bone-borne and toothborne expanders.…”

Section: Discussionmentioning

confidence: 99%

The upper airway volume effects produced by Hyrax, Hybrid-Hyrax, and Keles keyless expanders: a single-centre randomized controlled trial

Dalci

Mustac

Papageorgiou

et al. 2020

European Journal of Orthodontics

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Summary Objective To assess upper airway volume changes after rapid maxillary expansion (RME) with three different expanders. Trial design Three-arm parallel randomized clinical trial. Methods Sixty-six patients, 10–16 years old, in permanent dentition, with maxillary transverse deficiency were recruited and assigned with block randomization (1:1:1 ratio) and allocation concealment to three groups of 22 patients each (Hyrax, Hybrid-Hyrax, and Keles keyless expander). The primary outcome (overall upper airway volume change) and secondary outcomes (volume changes in the nasal cavity, nasopharynx, oropharynx, and hypopharynx) were blindly assessed on the initial (T0) and final (T1, 6 months at appliance removal) cone beam computed tomography. Differences across groups were assessed with crude or adjusted for confounders (gender, age, growth stage, skeletal pattern, baseline airway volume, and amount of expansion) linear regression models. Results Fifty-one patients were analysed (19, 19, and 13 in the Hyrax, Hybrid-Hyrax, and Keles groups). Maxillary expansion resulted in considerable increases in total airway volume in the Hybrid-Hyrax group (+5902.1 mm3) and less in the Hyrax group (+2537.9 mm3) or the Keles group (+3001.4 mm3). However, treatment-induced changes for the primary and all secondary outcomes were of small magnitude and no significant difference was seen among the three expanderes in the total airway volume in either crude or adjusted analyses (P > 0.05 in all instances). Finally, among pre-peak patients (CVM 1–3), the Hybrid-Hyrax expander was associated with significantly greater increases in total airway volume compared to the Hyrax expander (P = 0.02). Conclusions RME resulted in relatively small increases in total upper airway volume and its separate compartments, with mostly no statistically significant differences across the Hyrax, Hybrid-Hyrax, and Keles groups. Limitations Significantly greater attrition was found in the Keles group due to appliance failure. The current trial might possibly be under-powered to detect differences between groups, if such exist. Harms Keles expanders blocked during activations and required substitution for completion of treatment. Protocol The protocol was not published before trial commencement. Registration Australian and New Zealand Clinical Trial Registry (ACTRN12617001136392).

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Section: Discussionmentioning

confidence: 99%

The upper airway volume effects produced by Hyrax, Hybrid-Hyrax, and Keles keyless expanders: a single-centre randomized controlled trial

Dalci

Mustac

Papageorgiou

et al. 2020

European Journal of Orthodontics

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“…If you could not find the object, the patient would be informed in relation to the problem. You refer the patient to hospital for taking X-ray and clinical exam [10]. In case of foreign body ingestion, the patient may experience some problems in digestive tract including obstruction consequent perforation, and abscess formation; bleeding and fistulation; and also the object may remain motionless [11].…”

Section: Discussionmentioning

confidence: 99%

Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies)

Hoseini

Mostafavi

Rezaei

et al. 2013

Case Reports in Dentistry

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Today orthodontic treatment is in growing demand and is not limited to a specific age or social group. The nature of orthodontic treatment is such that the orthodontic wires and appliances, which are used to apply force and move the teeth, are exposed to the oral cavity. Shaping and replacing these wires in oral cavity are the major assignments of orthodontist on appointments. Therefore, we can say that orthodontic treatment requires working with dangerous tools in a sensitive place like oral cavity which is the entrance of respiratory and digestive systems. In this paper, a case of ingesting a broken orthodontic wire during eating is reported, and also necessary remedial measures at the time of encountering foreign body ingestion or aspiration are provided.

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“…Uno de los riesgos asociados es la deglución accidental del instrumental utilizado para la activación del ERM, conocido como llave de activación, que puede ser sólo un alambre o una llave compuesta de un mango más el alambre. Cuando esto ocurre, el instrumento puede transitar por el tracto intestinal sin incidentes hasta ser eliminado en el excremento; o también ser causante de serias complicaciones, (6) tales como: obstrucción de la vía aérea o gastrointestinal, perforación de órganos, hemorragia interna, sepsis o incluso la muerte. (7) La situación siempre debe ser motorizada cercanamente.…”

Section: De Activación Del Expansor Maxilarunclassified

Riesgos asociados al uso de Expansión Rápida del Maxilar

et al. 2020

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Introducción: Las anomalías dentomaxilares corresponden a un grupo de alteraciones que dificultan el desarrollo armónico de los maxilares, donde encontramos las anomalías transversales. La expansión rápida del maxilar (ERM) se utiliza como tratamiento de anomalías transversales, su objetivo es aumentar la distancia transversal por la separación de ambas hemiarcadas a nivel de la sutura palatina, utilizando un aparato expansor fijo y rígido. Los disyuntores más utilizados son los expansores Hass,

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Accidental swallowing of orthodontic expansion appliance key

Cited by 28 publications

References 21 publications

The upper airway volume effects produced by Hyrax, Hybrid-Hyrax, and Keles keyless expanders: a single-centre randomized controlled trial

The upper airway volume effects produced by Hyrax, Hybrid-Hyrax, and Keles keyless expanders: a single-centre randomized controlled trial

Orthodontic Wire Ingestion during Treatment: Reporting a Case and Review the Management of Foreign Body Ingestion or Aspiration (Emergencies)

Riesgos asociados al uso de Expansión Rápida del Maxilar

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