Aspiration of the dental crown in an elderly patient

Detalhes bibliográficos
Autor(a) principal: Hadad, Henrique [UNESP]
Data de Publicação: 2021
Outros Autores: de Jesus, Laís Kawamata [UNESP], Poli, Pier Paolo, Garcia-Júnior, Idelmo Rangel [UNESP], Souza, Francisley Ávila [UNESP], de Oliveira, Flávio Roberto Garbelini
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.radcr.2021.05.041
http://hdl.handle.net/11449/221886
Resumo: The aspiration of objects and foreign bodies requires quick and systematic care. During emergent orotracheal intubation, accidental dental crown release can cause a threat to the patient's life. This paper aimed to report a case of foreign body (dental prosthetic crown) aspiration and its management and discuss alternative approaches. An 81-year-old male patient, who was admitted to the hospital's intensive care unit (ICU) for meningitis, presented with altered consciousness, and decreased oxygen saturation. He underwent emergent orotracheal intubation. After intubation, chest radiography was performed to check for proper orotracheal tube positioning and lung expansion. The resultant images revealed the presence of a foreign body within the right lower lobe bronchus in the shape of a dental crown. The foreign body, intubation cannula and basket clamp were successfully removed, followed by reintubation of the patient. The foreign body was a prosthetic upper premolar dental crown (24). While care should be taken to avoid complications, if a foreign body is aspirated during emergent orotracheal intubation, endoscopic removal appears safe and effective. Careful creation, placement, maintenance, and preservation of prosthetic crowns are critically important in elderly patients.
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spelling Aspiration of the dental crown in an elderly patientDental prosthetic crownFlexible bronchoscopePulmonary aspirationThe aspiration of objects and foreign bodies requires quick and systematic care. During emergent orotracheal intubation, accidental dental crown release can cause a threat to the patient's life. This paper aimed to report a case of foreign body (dental prosthetic crown) aspiration and its management and discuss alternative approaches. An 81-year-old male patient, who was admitted to the hospital's intensive care unit (ICU) for meningitis, presented with altered consciousness, and decreased oxygen saturation. He underwent emergent orotracheal intubation. After intubation, chest radiography was performed to check for proper orotracheal tube positioning and lung expansion. The resultant images revealed the presence of a foreign body within the right lower lobe bronchus in the shape of a dental crown. The foreign body, intubation cannula and basket clamp were successfully removed, followed by reintubation of the patient. The foreign body was a prosthetic upper premolar dental crown (24). While care should be taken to avoid complications, if a foreign body is aspirated during emergent orotracheal intubation, endoscopic removal appears safe and effective. Careful creation, placement, maintenance, and preservation of prosthetic crowns are critically important in elderly patients.Oral & Maxillofacial Surgery Department of Diagnosis and Surgery São Paulo State University (UNESP) School of DentistryImplant Center for Edentulism and Jawbone Atrophies Maxillofacial Surgery and Odontostomatology Unit Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico University of MilanUnimed HospitalProfessor of Medicine Salesian Catholic University Center Auxilium (UNISALESINO)Oral & Maxillofacial Surgery Department of Diagnosis and Surgery São Paulo State University (UNESP) School of DentistryUniversidade Estadual Paulista (UNESP)University of MilanUnimed HospitalSalesian Catholic University Center Auxilium (UNISALESINO)Hadad, Henrique [UNESP]de Jesus, Laís Kawamata [UNESP]Poli, Pier PaoloGarcia-Júnior, Idelmo Rangel [UNESP]Souza, Francisley Ávila [UNESP]de Oliveira, Flávio Roberto Garbelini2022-04-28T19:41:05Z2022-04-28T19:41:05Z2021-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2280-2285http://dx.doi.org/10.1016/j.radcr.2021.05.041Radiology Case Reports, v. 16, n. 8, p. 2280-2285, 2021.1930-0433http://hdl.handle.net/11449/22188610.1016/j.radcr.2021.05.0412-s2.0-85109024200Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRadiology Case Reportsinfo:eu-repo/semantics/openAccess2022-04-28T19:41:05Zoai:repositorio.unesp.br:11449/221886Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T13:46:15.768360Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Aspiration of the dental crown in an elderly patient
title Aspiration of the dental crown in an elderly patient
spellingShingle Aspiration of the dental crown in an elderly patient
Hadad, Henrique [UNESP]
Dental prosthetic crown
Flexible bronchoscope
Pulmonary aspiration
title_short Aspiration of the dental crown in an elderly patient
title_full Aspiration of the dental crown in an elderly patient
title_fullStr Aspiration of the dental crown in an elderly patient
title_full_unstemmed Aspiration of the dental crown in an elderly patient
title_sort Aspiration of the dental crown in an elderly patient
author Hadad, Henrique [UNESP]
author_facet Hadad, Henrique [UNESP]
de Jesus, Laís Kawamata [UNESP]
Poli, Pier Paolo
Garcia-Júnior, Idelmo Rangel [UNESP]
Souza, Francisley Ávila [UNESP]
de Oliveira, Flávio Roberto Garbelini
author_role author
author2 de Jesus, Laís Kawamata [UNESP]
Poli, Pier Paolo
Garcia-Júnior, Idelmo Rangel [UNESP]
Souza, Francisley Ávila [UNESP]
de Oliveira, Flávio Roberto Garbelini
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
University of Milan
Unimed Hospital
Salesian Catholic University Center Auxilium (UNISALESINO)
dc.contributor.author.fl_str_mv Hadad, Henrique [UNESP]
de Jesus, Laís Kawamata [UNESP]
Poli, Pier Paolo
Garcia-Júnior, Idelmo Rangel [UNESP]
Souza, Francisley Ávila [UNESP]
de Oliveira, Flávio Roberto Garbelini
dc.subject.por.fl_str_mv Dental prosthetic crown
Flexible bronchoscope
Pulmonary aspiration
topic Dental prosthetic crown
Flexible bronchoscope
Pulmonary aspiration
description The aspiration of objects and foreign bodies requires quick and systematic care. During emergent orotracheal intubation, accidental dental crown release can cause a threat to the patient's life. This paper aimed to report a case of foreign body (dental prosthetic crown) aspiration and its management and discuss alternative approaches. An 81-year-old male patient, who was admitted to the hospital's intensive care unit (ICU) for meningitis, presented with altered consciousness, and decreased oxygen saturation. He underwent emergent orotracheal intubation. After intubation, chest radiography was performed to check for proper orotracheal tube positioning and lung expansion. The resultant images revealed the presence of a foreign body within the right lower lobe bronchus in the shape of a dental crown. The foreign body, intubation cannula and basket clamp were successfully removed, followed by reintubation of the patient. The foreign body was a prosthetic upper premolar dental crown (24). While care should be taken to avoid complications, if a foreign body is aspirated during emergent orotracheal intubation, endoscopic removal appears safe and effective. Careful creation, placement, maintenance, and preservation of prosthetic crowns are critically important in elderly patients.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-01
2022-04-28T19:41:05Z
2022-04-28T19:41:05Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.radcr.2021.05.041
Radiology Case Reports, v. 16, n. 8, p. 2280-2285, 2021.
1930-0433
http://hdl.handle.net/11449/221886
10.1016/j.radcr.2021.05.041
2-s2.0-85109024200
url http://dx.doi.org/10.1016/j.radcr.2021.05.041
http://hdl.handle.net/11449/221886
identifier_str_mv Radiology Case Reports, v. 16, n. 8, p. 2280-2285, 2021.
1930-0433
10.1016/j.radcr.2021.05.041
2-s2.0-85109024200
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Radiology Case Reports
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 2280-2285
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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