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KMID : 1144020110070010029
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Journal of Korean Association for Disability and Oral Health
2011 Volume.7 No. 1 p.29 ~ p.32
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FOREIGN BODY INGESTION DURING DENTAL TREATMENT IN PEDIATRIC PATIENT
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Kim Seon-Ha
Choi Sung-Chul
Park Jae-Hong
Kim Kwang-Chul
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Abstract
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There are a lot of dental emergency situations and accidental aspiration or ingestion of a dental instrument is one of the common accidents in dental practice especially on disabied or pediatric patient with negative behavior. Most of ingested foreign bodies pass through the gastrointestinal tract spontaneously, but some of them (about 20%) need endoscopic or surgical removal. This is a case of an accident during the treatment of a 18 months male patient with caries of anterior deciduous teeth. During the treatment, the gauze was used by waterproofing instead of a rubber dam. #4 round bur (approximately 2.2cm long) which was put on the tray was cling to the gauze and the bur was fell into the patient’s throat. The bur was 2.2cm long and very sharp so it could not be passed spontaneously through the pylorus, so we tried to remove the bur by esophagogastroduodenoscopy. Endoscopic removal of foreign bodies in the upper gastrointestinal tract is an effective and safe procedure.
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KEYWORD
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Foreign body ingestion, Emergency treatment, Endoscopy
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