Aspiration of dental items: Case report with literature review and proposed management algorithm

Stella Cristina Soares Araujo; Jaime Enrique Duran Bustamante; Adriano Augusto Bornachi de Souza; Leonardo Cruz Peixoto; Marcio Bruno Figueiredo Amaral

doi:10.1016/j.jormas.2021.10.009

Aspiration of dental items: Case report with literature review and proposed management algorithm

J Stomatol Oral Maxillofac Surg. 2022 Sep;123(4):452-458. doi: 10.1016/j.jormas.2021.10.009. Epub 2021 Oct 21.

Authors

Stella Cristina Soares Araujo¹, Jaime Enrique Duran Bustamante², Adriano Augusto Bornachi de Souza³, Leonardo Cruz Peixoto⁴, Marcio Bruno Figueiredo Amaral³

Affiliations

¹ Residency Program of the Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Belo Horizonte-MG, Brazil. Electronic address: stellaaraujo@icloud.com.
² General and Trauma Surgery, Hospital João XXIII/FHEMIG, Belo Horizonte MG, Brazil.
³ Residency Program of the Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Belo Horizonte-MG, Brazil.
⁴ Thoracic Surgery, Hospital João XXIII/FHEMIG, Belo Horizonte MG, Brazil.

PMID: 34687948
DOI: 10.1016/j.jormas.2021.10.009

Abstract

The aim of this present study is to describe a case of a screwdriver implant aspiration removed with flexible bronchoscopy. This study reviewed the current literature and the authors also proposed an airway management algorithm in case of suspected foreign body aspiration during dental procedures. A review of English-language literature of aspiration of objects after clinical dental practice from 1984 to 2021 was performed. The bronchoscopy was the main method for dental items removal. A total of 57 cases from the literature were enrolled in this study. Aspiration of dental crown and prostheses (43.85%) followed by implant material (19.29%) and tooth (15.78%) were the main aspirated items. Prevention is the better way to avoid this type of complication. Early diagnosis facilitates the removal of foreign body and bronchoscopy is considered the treatment of choice for removal of foreign body aspiration. Also, regular professional training in basic life support is required.

Keywords: Accidental; Aspiration; Bronchoscopy; Dental instrument; Foreign body.

Publication types

Case Reports
Review

MeSH terms

Airway Management
Algorithms
Bronchoscopy* / adverse effects
Bronchoscopy* / methods
Foreign Bodies* / diagnosis
Foreign Bodies* / surgery
Humans