Ingestion of orthodontic appliances

Karamani, Ioanna I; Makrygiannakis, Miltiadis A; Bitsanis, Ilias; Tsolakis, Apostolos I.

doi:10.4103/jos.jos_94_21

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Karmani et al reported that patients who are more prone to the ingestion of orthodontic appliances are those suffering from intellectual disability, epileptic seizures, hyperkinetic disorder, an intense vomit reflex, and panic attacks. 9 Furthermore, a patient lying in the supine position increases the risk of aspiration during dental treatment. 13 In a 10-year institutional review study, Tiwana et al observed that among all dental specialties, fixed prosthodontic treatment had the highest frequency of negative outcomes, followed by orthodontic treatment.…”

Section: Accidental Aspiration Of Foreign Bodies In Orthodontic Denti...mentioning

confidence: 99%

“…1 The reported aspirated orthodontic appliances are the expansion key, archwire and archwire segments, fixed orthodontic brackets, removable appliances, retainer, twin block, orthodontic band material and molar bands and mini screws. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Some accidents happen in the dental clinic due to the operator's carelessness, while others happen outside the clinic. In a systematic review, 617 cases reported by 45 articles showed that aspirated and ingested dental material cases were more common in older patients.…”

Section: Accidental Aspiration Of Foreign Bodies In Orthodontic Denti...mentioning

confidence: 99%

“…The most commonly reported aspirated orthodontic materials are orthodontic brackets, wire fragments, transplant arches, molar bands, activation keys, frayed twin blocks, removable retention appliances, and lingual retainers. [5][6][7][8][9] However, the incidence of broken orthodontic appliances or components constitutes the vast majority. 8 Even if the orthodontic treatment enhances the quality of life, it may harm oral hygiene since orthodontic appliances frequently collect food particles and plaque and are difficult to clean.…”

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confidence: 99%

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Association of orthodontic treatment and aspiration pneumonia

Sawas

Alenezi

Alshahrani

et al. 2022

Int J Community Med Public Health

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Foreign body aspiration or ingestion is an uncommon potential complication during orthodontic dentistry, and it can produce a medical emergency. Obstruction of the airways can be life-threatening, and delayed recognition and management can result in pulmonary complications such as recurrent pneumonia. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. Objects used in orthodontic treatment are mainly used due to their manufacturing limitations, such as their shape and size, and because they are made of radiolucent materials, which make them easy to aspirate or ingest and difficult to detect with a radiograph. However, few reports have been published on orthodontic dentistry-related foreign body aspiration and pulmonary complications. Furthermore, micro-aspiration due to poor oral hygiene in patients undergoing orthodontic procedures has been investigated in this review since poor oral hygiene is a well-established risk factor for aspiration pneumonia in the elderly population. The association between the aspiration of orthodontic material and aspiration pneumonia is not well established. Aspiration pneumonia is a secondary symptom of misdiagnosis or delayed diagnosis of dental material aspiration. Additionally, poor oral hygiene can also increase the risk of aspiration pneumonia in elderly patients since poor oral hygiene during orthodontic treatment leads to plaque retention, which can lead to increased development of hyperplastic gingivitis and periodontal breakdown, established risk factor for aspiration pneumonia.

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Section: Accidental Aspiration Of Foreign Bodies In Orthodontic Denti...mentioning

confidence: 99%

Section: Accidental Aspiration Of Foreign Bodies In Orthodontic Denti...mentioning

confidence: 99%

mentioning

confidence: 99%

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Association of orthodontic treatment and aspiration pneumonia

Sawas

Alenezi

Alshahrani

et al. 2022

Int J Community Med Public Health

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“…Dental‐related objects rank second in the list of frequently ingested or aspirated foreign bodies in adults 1 such as endodontic instruments, prosthesis, extracted teeth, and orthodontic components 2 like bands, brackets, buccal tubes, removable appliances, appliance fragments, archwire fragments, transpalatal arches, sectional archwires, expansion appliance keys, coil springs, retainers, and quadhelices 3 . Patient position on the dental chair during treatment such as the supine or semirecumbent position is an important risk factor for these incidents 4 .…”

Section: Introductionmentioning

confidence: 99%

Elusive long‐standing intraoral foreign body: A rare encounter

Balasubramaniam

et al. 2023

Clinical Case Reports

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Key Clinical MessageForeign body ingestion/aspiration can occur during orthodontic procedures that may be of minimal risk or lead to acute medical and life‐threatening emergencies. The present report describes a rare case of retained orthodontic wire fragment in the masticator space for nearly two decades identified as an incidental radiographic finding, highlighting the importance of optimum care in the dental clinic at all times be it surgical or nonsurgical intervention.

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“…The patient should also be informed of the possible need for extraction of teeth, surgical procedures, and the possibility of relapse [25][26][27][28]. Other risks during orthodontic treatment include appliance breakage; detached brackets; broken or protruding wires as well as the possibility of swallowing detached brackets or other orthodontic appliances [29,30]. Lately, the possibility of transmission of infectious diseases within the dental office like Covid -19 has also been given particular attention [31].…”

Section: Introductionmentioning

confidence: 99%

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

Karkazi,

Antoniadou,

Demeterová

et al. 2023

Preprint

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This study explores the complexities of risk communication practices in orthodontics, specifically examining the perspectives of orthodontists in Greece and Slovakia. Informed by the foundational importance of effective communication in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. The study identifies 15 potential critical risks with orthodontic treatment. These risks include root necrosis; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. The questionnaire, distributed electronically to orthodontists in Greece (n=570) and Slovakia (n=210) from Sept. 2022 to Dec. 2022, aimed to assess risk communication practices, with consideration to country, gender, and degree-related variations. 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved such as on relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tend to be interested more about sleeping difficulties, temporal occlusal changes and not achieving an ideal result. They also tend to obtain written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies, that recognize individual, contextual, and cultural factors and the need of an orthodontic informed consent protocol for tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

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Ingestion of orthodontic appliances

Cited by 5 publications

References 29 publications

Association of orthodontic treatment and aspiration pneumonia

Association of orthodontic treatment and aspiration pneumonia

Elusive long‐standing intraoral foreign body: A rare encounter

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

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