Accidental ingestion of foreign object: Systematic review, recommendations and report of a case

One of the serious complications during a routine endodontic procedure is accidental ingestion/aspiration of the endodontic instruments, which can happen when proper isolation is not done. There are at present no clear guidelines whether foreign body ingestion in the gastrointestinal tract should be...

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Main Authors: Karthik Venkataraghavan, A. Anantharaj, P. Praveen, S. Prathibha Rani, B. Murali Krishnan
Format: Article
Language:English
Published: Springer 2011-10-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905210000957
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author Karthik Venkataraghavan
A. Anantharaj
P. Praveen
S. Prathibha Rani
B. Murali Krishnan
author_facet Karthik Venkataraghavan
A. Anantharaj
P. Praveen
S. Prathibha Rani
B. Murali Krishnan
author_sort Karthik Venkataraghavan
collection DOAJ
description One of the serious complications during a routine endodontic procedure is accidental ingestion/aspiration of the endodontic instruments, which can happen when proper isolation is not done. There are at present no clear guidelines whether foreign body ingestion in the gastrointestinal tract should be managed conservatively, endoscopically or surgically. A 5 year old boy reported to the Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, India, with a complaint of pain and swelling in the lower right back teeth region. Endodontic therapy was planned for the affected tooth. During the course of treatment the child accidentally swallowed a 21 mm 15 size K file. Endoscopy was performed immediately but the instrument could not be retrieved. The instrument passed out uneventfully along with the stools 48 h after ingestion.Careful evaluation of the patient immediately after the accident helps in managing the patient effectively along with following the recommended guidelines. Keywords: Foreign body, Canal, Instrument, Swallowing, Rubber dam, Isolation, K-file, Endoscopy, Accidental ingestion, Endodontic procedure, Dental materials, Aspiration, Caries, Dental care for disabled children, Radiography, Dental prostheses, Dental restoration, Emergencies, Endodontic files, Endodontics, Dental instruments, Foreign bodies
format Article
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issn 1013-9052
language English
publishDate 2011-10-01
publisher Springer
record_format Article
series Saudi Dental Journal
spelling doaj-art-435ac40bb49149888cd6b3ab74c84c802025-08-20T01:56:10ZengSpringerSaudi Dental Journal1013-90522011-10-0123417718110.1016/j.sdentj.2010.10.007Accidental ingestion of foreign object: Systematic review, recommendations and report of a caseKarthik Venkataraghavan0A. Anantharaj1P. Praveen2S. Prathibha Rani3B. Murali Krishnan4Corresponding author. Tel.: +91 9845258974; +91 80 22445754x34; fax: +91 80 26658411.; Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, IndiaDepartment of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, IndiaDepartment of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, IndiaDepartment of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, IndiaDepartment of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, IndiaOne of the serious complications during a routine endodontic procedure is accidental ingestion/aspiration of the endodontic instruments, which can happen when proper isolation is not done. There are at present no clear guidelines whether foreign body ingestion in the gastrointestinal tract should be managed conservatively, endoscopically or surgically. A 5 year old boy reported to the Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, India, with a complaint of pain and swelling in the lower right back teeth region. Endodontic therapy was planned for the affected tooth. During the course of treatment the child accidentally swallowed a 21 mm 15 size K file. Endoscopy was performed immediately but the instrument could not be retrieved. The instrument passed out uneventfully along with the stools 48 h after ingestion.Careful evaluation of the patient immediately after the accident helps in managing the patient effectively along with following the recommended guidelines. Keywords: Foreign body, Canal, Instrument, Swallowing, Rubber dam, Isolation, K-file, Endoscopy, Accidental ingestion, Endodontic procedure, Dental materials, Aspiration, Caries, Dental care for disabled children, Radiography, Dental prostheses, Dental restoration, Emergencies, Endodontic files, Endodontics, Dental instruments, Foreign bodieshttp://www.sciencedirect.com/science/article/pii/S1013905210000957
spellingShingle Karthik Venkataraghavan
A. Anantharaj
P. Praveen
S. Prathibha Rani
B. Murali Krishnan
Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
Saudi Dental Journal
title Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
title_full Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
title_fullStr Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
title_full_unstemmed Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
title_short Accidental ingestion of foreign object: Systematic review, recommendations and report of a case
title_sort accidental ingestion of foreign object systematic review recommendations and report of a case
url http://www.sciencedirect.com/science/article/pii/S1013905210000957
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