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Review
. 2016 Jul 22;12(1):23.
doi: 10.1186/s13005-016-0120-2.

Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases

Rui Hou  1 , Hongzhi Zhou  2 , Kaijin Hu  2 , Yuxiang Ding  2 , Xia Yang  2 , Guangjie Xu  2 , Peng Xue  2 , Chun Shan  2 , Sen Jia  2 , Yuanyuan Ma  3
Affiliations
Review

Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases

Rui Hou et al. Head Face Med. .

Abstract

Objectives: To review the cases of accidental aspiration and ingestion of foreign objects during dental procedure, and to emphasize the importance of thorough documentation of the accidents.

Methods: A comprehensive search on (dental procedure/treatment/practice), (aspiration/inhalation), and (ingestion/swallow) was performed for all years before 1st October 2014 available. The statistic analysis was made on the variables including journals and reported year, patients' age, gender, general conditions, dental procedure and location for procedure, foreign objects, site of involvement, possible causes, anesthesia during procedure and treatment, symptoms, treatment time and treatment modality, follow-up, and so on.

Results: A total of 617 cases reported by 45 articles from 37 kinds of journals were included and analyzed. Most reports made detailed record. While some important variables were recorded incompletely, including patient's general conditions, location for procedure, clinical experience of the involving dentists, tooth position of procedure, possible causes, and anesthesia during procedure and treatment for the accident.

Conclusions: Aspiration and ingestion of foreign objects are rare and risky complication during dental procedure. Each accident should have thorough documentation so as to provide enough information for the treatment and prevention.

Keywords: Aspiration; Dental procedure; Documentation; Foreign objects; Ingestion.

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Figures

Fig. 1
Fig. 1
Analysis on cases number and its happened year. Showed cases number and their reported year (except four reviews)
Fig. 2
Fig. 2
Analysis on the patient’s age of the cases. Showed that aspiration and ingestion were more seen in patients at 60–79 years old and 10–19 years old, respectively
Fig. 3
Fig. 3
Analysis on the dental procedure of the cases. Showed that aspiration happened more during implantation, prosthodontics, and restorative dentistry. Ingestion happened more during prosthodontics and RCT
See this image and copyright information in PMC

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