Management of an Accidental Ingestion of a Manual Screwdriver in Implant Dentistry: A Case Report

Q4 Dentistry

European Journal of General Dentistry Pub Date : 2021-01-01 DOI:10.1055/s-0041-1732774

D. Musu, A. Mameli, P. Carreras, Gianna Boero

引用次数: 0

Abstract

Abstract Ingestion of foreign bodies in dentistry represents an uncommon but possible event and can be life-threatening. An 82-year-old patient presented at our attention for an implant-supported rehabilitation of the maxillary arch. During the placement of the fixed prosthesis, the manual screwdriver was swallowed by the patient. From the moment of the accident, the patient did not develop any symptoms and was monitored for the following days. The instrument was not recovered within 3 days, thus a series of consecutive abdominal X-rays were performed revealing that the screwdriver was located at the level of ileocecal valve with no signs of progression. The screwdriver was removed with colonoscopy under sedation. During this treatment, a polyp was discovered and excised revealing a tubulovillous adenoma depicting low-grade dysplasia. To prevent such accidents, screwdrivers in implant dentistry should be secured with ligatures, or replaced with longer torque control wrenches.

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种植牙术中手动螺丝刀误食的处理：一例报告

摘要在牙科中摄入异物是一种罕见但可能的事件，可能危及生命。一位82岁的患者向我们介绍了种植体支持的上颌弓康复。在放置固定假体的过程中，患者吞下了手动螺丝刀。从事故发生的那一刻起，患者没有出现任何症状，并在接下来的几天里接受了监测。该器械在3天内没有恢复，因此进行了一系列连续的腹部X光检查，显示螺丝刀位于回盲瓣水平，没有进展迹象。螺丝刀在镇静状态下通过结肠镜检查取出。在这个治疗过程中，发现并切除了一个息肉，显示了一个管状卵丘状腺瘤，描述了低度发育不良。为了防止此类事故，种植牙科中的螺丝刀应使用绑带固定，或更换为较长的扭矩控制扳手。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of General Dentistry Dentistry-Dentistry (all)

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： European Journal of General Dentistry (EJGD) is one of the leading open-access international dental journal within the field of Dentistry. The aim of EJGD is publishing novel and high-quality research papers, as well as to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. EJGD publishes articles on all disciplines of dentistry including the cariology, orthodontics, oral surgery, preventive dentistry, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research.Moreover, EJGD also publish the scientific researches evaluating the use of new biomaterials, new drugs and new methods for treatment of patients with different kinds of oral and maxillofacial diseases or defects, the diagnosis of oral and maxillofacial diseases with new methods, etc. Moreover, researches on the quality of life, psychological interventions, improving disease treatment outcomes, the prevention, diagnosis and management of cancer therapeutic complications, rehabilitation, palliative and end of life care, and support teamwork for cancer care and oral health care for old patients are also welcome. EJGD publishes research articles, case reports, reviews and comparison studies evaluating materials and methods in the all fields of related to dentistry.