From tooth extraction to fatal airway complication in a child – A case report

Swain, Santosh Kumar; Sahoo, Sangeeta; Sahu, Mahesh Chandra

doi:10.1016/j.ejenta.2015.11.001

Cited by 6 publications

(8 citation statements)

References 12 publications

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“…5 In these cases, CT may be a more accurate modality in detecting and localising aspirated FBs, including teeth. 4,8,9 In case 1 the tooth was lodged in the left caudal bronchus, and in case 2 it was lodged in the carina. These locations coincide with findings from a study conducted in cats, which showed that 50% of aspirated FBs were lodged in the trachea, while the other 50% were lodged in the bronchial tree.…”

Section: Discussionmentioning

confidence: 96%

“… 1 , 11 , 15 In the human literature, tooth aspiration is a rare complication of maxillofacial injuries or dental procedures. 4 , 5 , 8 There are only three reports in the veterinary literature describing tooth retrieval from the respiratory tract of cats, 1 , 2 , 3 but the circumstances leading to these tooth aspirations were not described.…”

Section: Discussionmentioning

confidence: 99%

“… 5 In these cases, CT may be a more accurate modality in detecting and localising aspirated FBs, including teeth. 4 , 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

“…1 Three reports in which a tooth was retrieved from the respiratory tract of cats were found, but the circumstances regarding the teeth being lodged there in the first place were not described. 1,2,3 In human medicine, tooth aspiration is a rare but known critical complication following maxillofacial trauma, dental procedures, oral surgeries or endotracheal intubations, [4][5][6][7][8][9] representing 10% of all FBs aspirated in adults. 10 These cases necessitate prompt diagnosis and treatment to minimise or prevent complications.…”

Section: Introductionmentioning

confidence: 99%

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Tooth aspiration in two cats following maxillofacial trauma

Giora

Weingram

Altabet³

et al. 2022

Journal of Feline Medicine and Surgery Open Reports

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Case series summary Tooth aspiration is a rare occurrence in human medicine, and even more so in veterinary medicine. This report describes two cats that aspirated a tooth (one canine tooth and one premolar tooth) following maxillofacial trauma. One cat presented with dyspnoea, while the other showed no respiratory clinical signs. In both cases diagnosis was reached by obtaining routine thoracic radiographs, and successful retrieval of the teeth was achieved by bronchoscopy. Both cats recovered uneventfully. Relevance and novel information To our knowledge, this is the first report in the veterinary literature of tooth aspiration into the tracheobronchial tree following maxillofacial trauma. The scope of this case series is to raise awareness that tooth aspiration can occur following maxillofacial trauma and has the potential for serious complications if not diagnosed and treated promptly. Therefore, an oral examination must be performed in every maxillofacial trauma patient and missing teeth should be accounted for, even when respiratory clinical signs are not detected.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“… 5 In these cases, CT may be a more accurate modality in detecting and localising aspirated FBs, including teeth. 4 , 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tooth aspiration in two cats following maxillofacial trauma

Giora

Weingram

Altabet³

et al. 2022

Journal of Feline Medicine and Surgery Open Reports

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“…The factors that predispose preschool children to FBA are inadequate observation by adults, tendency of children to explore environment through their mouth, the fact that children often run and play during the food ingestion, inability to chew food, inadequately developed posterior dentition and immature neuromuscular mechanisms of airway protection (4,5). The FBA is a potentially lethal event that is more prevalent than reported.…”

Section: Discussionmentioning

confidence: 99%

Tooth Aspiration in Child during a Dental Procedure: Case Report and Review of the Literature

2020

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Objective -The aim of this article is to illustrate the importance of a prompt evaluation of a foreign body aspiration (FBA). Case Presentation -A 13-year old boy was admitted to hospital in 1981, one and a half month after a dental procedure of tooth extraction. The tooth was presumed to have been ingested during the procedure and the child was sent home. The symptoms presented immediately and were aggravating during the time. Before the admission to the hospital the child was examined by medical professionals on three occasions but only at hospital the FBA was suspected. During the first bronchoscopy, the foreign body had not been extracted, so the child was transferred to the referral centre where the tooth was successfully removed and he recovered. Conclusion -In the setting of dental procedure in paediatric population, the missing instrument, material or extracted tooth must be found or a foreign body aspiration and ingestion should be suspected until proven otherwise.

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