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Ingestion of a Fixed Partial Denture During General Anesthesia
Steve Neustein MD and
 Mark Beicke DDS
Article Category: Research Article
Volume/Issue: Volume 54: Issue 2
Online Publication Date: Jan 01, 2007
DOI: 10.2344/0003-3006(2007)54[50:IOAFPD]2.0.CO;2
Page Range: 50 – 51

the patient. Had a single crown been ingested, it could have been allowed to pass through the intestines and could have been retrieved by examination of the feces to ensure that it had actually passed. Although the ingested fixed partial denture in our case may have passed through the intestines, the most prudent course of action was to retrieve it with endoscopy since it is possible that it could have caused an obstruction or even a perforation due to its relatively large size compared to a single crown. In summary, this is the first report of an ingested

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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

Accidental ingestion and pulmonary aspiration of dental materials are among some of the most common adverse events occurring during dental treatment. According to a study completed by Susini et al 1 that quantified the frequency and type of ingested or aspirated dental materials, 29% were found to be dental prostheses, 27% were burs, and 2.2% were endodontic files. These statistics reinforce the importance of using airway protection (eg, a throat pack or screen) when performing a dental procedure. Currently, the gold standard for treating

Figure 2.; Diagnosis of complications (n  =  205). Most of the medical emergency cases were accidental ingestion. The second-most common was vasovagal reflex.
Figure 2.
Figure 2.

Diagnosis of complications (n  =  205).

Most of the medical emergency cases were accidental ingestion.

The second-most common was vasovagal reflex.

Figure 6.; Emergency flowchart for accidental ingestion or pulmonary aspiration This system was introduced in 2003. Dental anesthesiologists manage these cases.
Figure 6.
Figure 6.

Emergency flowchart for accidental ingestion or pulmonary aspiration This system was introduced in 2003. Dental anesthesiologists manage these cases.

Figure 1.; Chest radiograph demonstrating dental bridge in the stomach.
Steve Neustein and
 Mark Beicke
Figure 1.
Figure 1.

Chest radiograph demonstrating dental bridge in the stomach.

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.

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