{"title":"Management of an Accidental Ingestion of a Manual Screwdriver in Implant Dentistry: A Case Report","authors":"D. Musu, A. Mameli, P. Carreras, Gianna Boero","doi":"10.1055/s-0041-1732774","DOIUrl":null,"url":null,"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.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"10 1","pages":"060 - 063"},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of General Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0041-1732774","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Dentistry","Score":null,"Total":0}
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.
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.
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