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Management of an Ingested Foreign Body in a COVID-Positive Patient
Tiffany Smith BS,
 Rachel Blum BS, and
 Raquel Rozdolski DMD
Article Category: Case Report
Volume/Issue: Volume 70: Issue 4
Online Publication Date: Jan 15, 2024
DOI: 10.2344/anpr-70-03-03
Page Range: 178 – 183

ingested or aspirated materials is removal via flexible endoscopy. 2 This case report describes an incident in which a dental provider failed to place any type of throat screen or airway protection, which resulted in the ingestion of an amalgam fragment during the removal of an existing restoration. The patient incidentally tested positive for COVID-19 during workup for the fragment removal, thus eliminating the possibility for esophagogastroduodenoscopy (EGD). This case also highlights alternative management for dental foreign body ingestion and challenges the

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The Impact of COVID-19 on Dental Anesthesiologists: An Online Survey of Board-Certified Dental Anesthesiology Specialists of the Japanese Dental Society of Anesthesiology
Takuro Sanuki DDS, PhD,
 Hidetaka Kuroda DDS, PhD,
 Uno Imaizumi DDS, PhD,
 Shota Tsukimoto DDS, PhD,
 Norika Katagiri DDS, PhD,
 Ayako Mizutani DDS, PhD,
 Mari Ohnaka DDS,
 Shinji Kurata DDS, PhD,
 Naotaka Kishimoto DDS, PhD, and
 Kanta Kido DDS, PhD
Article Category: Research Article
Volume/Issue: Volume 70: Issue 4
Online Publication Date: Jan 15, 2024
DOI: 10.2344/930714
Page Range: 168 – 172

Since the global outbreak in 2020 of the novel virus SARS-CoV-2 that triggered the COVID-19 pandemic, health care workers have continued performing their clinical duties to fulfill their work responsibilities while being exposed to infection risks. Dental procedures are considered a high risk for infection because many generate aerosols. The administration of sedation and general anesthesia may result in high levels of respiratory aerosols being generated, especially when positive pressure ventilation is used during intubation and extubation

The COVID-19 Pandemic and Its Impact on Dentistry
Kyle J. Kramer DDS, MS
Article Category: Editorial
Volume/Issue: Volume 67: Issue 2
Online Publication Date: Jul 06, 2020
DOI: 10.2344/anpr-67-02-14
Page Range: 65 – 66

In preparing to write this editorial about the impact of the COVID-19 pandemic on dentistry, around mid-April while home quarantined, I sought out my Magic 8 Ball for its predictive wisdom. Unfortunately, each query produced the same response, “Ask again later.” At this time, the nation appears to be approaching the apex of the (initial?) peak of the viral curve, so read this editorial from that perspective. It will be interesting to see how this relates when published this summer. Where to begin? Should we start in China with the

Superior Laryngeal Nerve Block for Intubation in Patients With COVID-19
Yuki Kojima DDS, PhD and
 Mitsutaka Sugimura DDS, PhD
Article Category: Article Commentary
Volume/Issue: Volume 68: Issue 1
Online Publication Date: Apr 07, 2021
DOI: 10.2344/anpr-68-01-09
Page Range: 50 – 51

Because of the ongoing nature of the COVID-19 pandemic, I have decided to print the following commentary to help provide another alternative for reducing potential exposure to and incidental transmission of SARS-CoV-2 during the provision of anesthesia for dentistry. — Kyle J. Kramer, Editor-in-Chief Coronaviruses are thought to primarily spread via respiratory droplets and close or direct contact. Transmission is also possible through prolonged exposure to high concentrations of

Figure 1.; Initial Anteroposterior Radiograph Containing an Amalgam Fragment Anteroposterior radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located lateral to the midline at the level of C6.
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 1.
Figure 1.

Initial Anteroposterior Radiograph Containing an Amalgam Fragment

Anteroposterior radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located lateral to the midline at the level of C6.

Figure 2.; Initial Lateral Radiograph Containing an Amalgam Fragment Lateral radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located within the esophagus at the level of C6.
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 2.
Figure 2.

Initial Lateral Radiograph Containing an Amalgam Fragment

Lateral radiograph obtained upon patient's arrival at the emergency department. The amalgam fragment was located within the esophagus at the level of C6.

Figure 3.; Anteroposterior Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum The esophagus and likely position of the Zenker's diverticulum on the anteroposterior radiograph have been outlined in red. This provides an explanation for the lateral positioning of the amalgam fragment seen in Figure 1.
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 3.
Figure 3.

Anteroposterior Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the anteroposterior radiograph have been outlined in red. This provides an explanation for the lateral positioning of the amalgam fragment seen in Figure 1.

Figure 4.; Lateral Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum The esophagus and likely position of the Zenker's diverticulum on the lateral radiograph have been outlined in red. This outline has been provided to explain the lateral positioning of the amalgam fragment seen in Figure 1.
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 4.
Figure 4.

Lateral Radiograph With an Outline of the Esophagus and a Potential Zenker's Diverticulum

The esophagus and likely position of the Zenker's diverticulum on the lateral radiograph have been outlined in red. This outline has been provided to explain the lateral positioning of the amalgam fragment seen in Figure 1.

Figure 5.; Anteroposterior Radiograph After Passing the Amalgam Fragment Anteroposterior radiograph obtained approximately 4 hours after the initial anteroposterior radiograph showing the amalgam fragment no longer present and presumed to have passed into the stomach.
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 5.
Figure 5.

Anteroposterior Radiograph After Passing the Amalgam Fragment

Anteroposterior radiograph obtained approximately 4 hours after the initial anteroposterior radiograph showing the amalgam fragment no longer present and presumed to have passed into the stomach.

Figure 6.; Lateral Radiograph After Passing the Amalgam Fragment Lateral radiograph obtained approximately 4 hours after the initial lateral radiograph. The amalgam fragment is no longer present and presumed to have passed into the stomach. Extracorporeal radiopacities represent hospital gown buttons (green arrowheads).
Tiffany Smith,
 Rachel Blum, and
 Raquel Rozdolski
Figure 6.
Figure 6.

Lateral Radiograph After Passing the Amalgam Fragment

Lateral radiograph obtained approximately 4 hours after the initial lateral radiograph. The amalgam fragment is no longer present and presumed to have passed into the stomach. Extracorporeal radiopacities represent hospital gown buttons (green arrowheads).

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