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Implant screwdriver aspiration during dental procedure at a geriatric patient: a case report

Cilt: 61 Sayı: 1 15 Mart 2022
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Implant screwdriver aspiration during dental procedure at a geriatric patient: a case report

Abstract

The aim of this case report is to present a geriatric patient who had aspirated an implant screwdriver. An 82-year-old male patient involuntarily closed his mouth during the healing cap placement phase of implant treatment, and the implant screwdriver disappeared through the pharynx. As the patient exhibited no signs of airway obstruction, it was considered that the implant screwdriver might have passed into the gastrointestinal tract. However, no foreign object was detected in the esophageal mucosa. Therefore, the procedure was repeated using C arm fluoroscopy for guidance. The examination revealed the presence of the implant screwdriver in the bifurcation of the left lower lobe bronchus, which was confirmed by posterior-anterior chest radiography. The following day, the patient underwent a flexible bronchoscopy, however the screwdriver could not be retrieved during the procedure. Further treatment was refused by the patient. After one month, the implant screwdriver was expelled through the gastrointestinal tract. At the three-year follow-up, there was no evidence of a late complication. Aspiration of screwdrivers and treatment failures of these complications are reported a small number of cases in the geriatric patients. Therefore, documentation of the rare cases is necessary to provide valuable information.

Keywords

Kaynakça

  1. Kim E, Noh W, Panchal N. Mortality from an aspiration of dental crown during extraction. Gerodontology. 2017; 34 (4): 498–500.
  2. Hou R, Zhou H, Hu K et al. Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head Face Med. 2016 22; 12: 23.
  3. Cossellu G, Farronato G, Carrassi A, Angiero F. Accidental aspiration of foreign bodies in dental practice:clinical management and prevention. Gerodontology. 2015; 32 (3): 229–33.
  4. Bergermann M, Donald PJ, aWengen DF. Screwdriver aspiration. A complication of dental implant placement. Int J Oral Maxillofac Surg. 1992; 21 (6): 339-41.
  5. Lin L, Lv L, Wang Y, Zha X, Tang F, Liu X. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clin Interv Aging. 2014; 9: 1613–18.
  6. Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis. 2017; 9 (9): 3398-409.
  7. Kim A, Ahn KM. Endoscopic removal of an aspirated healing abutment and screwdriver under conscious sedation. Implant Dent. 2014; 23 (3): 250-2.
  8. PIovino P, Di Sarno A, De Caro V, Mazzei C, Santonicola A, Bruno V. Screwdriver Aspiration During Oral Procedures: A Lesson for Dentists and Gastroenterologists. Prosthodontics. 2020; 1: 61-8.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Seda Kahraman
0000-0001-6162-4878
Türkiye

Yayımlanma Tarihi

15 Mart 2022

Gönderilme Tarihi

8 Mart 2021

Kabul Tarihi

25 Temmuz 2021

Yayımlandığı Sayı

Yıl 2022 Cilt: 61 Sayı: 1

DOI

https://doi.org/10.19161/etd.1086254

IZ

https://izlik.org/JA36DE85NG

Kaynak Göster

RIS / Bibtex
Vancouver
1.Selin Kenç, Gözde Işık, Tayfun Günbay, Seda Kahraman, Ferit Çelik. Implant screwdriver aspiration during dental procedure at a geriatric patient: a case report. ETD. 01 Mart 2022;61(1):111-4. doi:10.19161/etd.1086254

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