![]() ![]() This case reports an unusual aspiration of a mouth mirror head and its uneventful retrieval. No trace of instrument (after expulsion) Discussion Mouth mirror in ILEO CAECAL JUNCTIONįigure 4. Patient was kept under observation for 24 hrs and then discharged.įigure 3. After 3 hours, during defecation, mouth mirror head was passed through his stools and confirmed with a radiopgraph (Figure 4) The patient was continued with the same diet. The mouth mirror head had crossed the narrowest ileo- caecal sphincter and had reached the large intestine (Figure 3). The patient was continued with high fiber diet and bananas.Īnother radiograph was taken after one and half hour. The mouth mirror head had moved to the small intestine (Figure 2). After 1 hour another PA chest radiograph was taken. The patient was given high roughage diet and bananas to ease the passage of an object in his digestive tract. Initial radiograph showed a radio opaque mouth mirror head in the duodenum (Figure 1). On medical examination the patient’s vital signs were normal and there was no vomiting or difficulty in swallowing.Ī postero anterior radiograph in the chest region was taken. Patient was immediately considered as an emergency case and sent to the department of emergency intervention. Patient was informed about the accident and was assured. ![]() There was no evidence of airway compromise, respiratory distress or abdominal tenderness. Patient was forcefully patted at the back region, but that maneuver was also unsuccessful.Ī thorough examination performed using a tongue depressor was also not productive. ![]() But the mouth mirror head could not be retrieved. Patient was immediately seated in upright position and instructed to cough vigorously. When the patient was questioned about the missing mouth mirror head, he replied that there was a mild pain in his throat. The clinician noticed the missing mouth mirror head. Unknowingly the head of the mouth mirror got detached from the mouth mirror handle and slipped into the patient’s throat due to excessive salivation during examination. So routine restorative treatment was planned.ĭuring the cavity preparation, patient was in supine position and mouth mirror was used for retracting the cheek. On radiographic evaluation caries in mandibular first molar was seen without involvement of pulp. On dental examination, mandibular left first molar was found carious. Case reportĪ 14-year-old systemically healthy male patient reported to Department of Conservative dentistry and Endodontics, Karpaga Vinayaga institute of Dental sciences, with a chief complaint of caries in his left lower back tooth region. The present paper discusses accidental ingestion of the head of a stainless-steel mouth mirror by a young male patient, which over a period of time passed uneventfully through his digestive tract after 6 hours. In literature, only one such case has been reported till date. However, swallowing the head of a dental mouth mirror is a rare occurrence during dental examination. Most of the foreign bodies that entered the gastrointestinal tract pass spontaneously, only 10 – 20 % cases require non-surgical intervention and 1% or less requires surgical removal. Grossman determined that 87% of the ingested foreign bodies entered the gastrointestinal tract and 13% entered the respiratory tract. In dentistry foreign bodies vary in size and shape and range from endodontic instruments, dental clamps, lip clip, burs, posts, teeth, orthodontic bands and brackets, implant components, restorations and even tooth brush. IntroductionĪn accident is an incidental and unplanned event or circumstance, often with lack of intention or necessity. From a legal aspect also, such incidence is counted as negligence on the part of the operator and the dentist should be well aware of the legal liabilities and should take the appropriate preventive measures to prevent or intercept any untoward circumstance. Aspiration, on the other hand, is a more serious, but fortunately, less prevalent hazard and often leads to hospitalization of the patient. Ingestion of blunt foreign objects is less life-threatening and the object is generally egested through the gastrointestinal tract uneventfully, but instrument may sometimes cause intestinal perforation. In the dental office, foreign body ingestion or aspiration is a rare but serious mishappening. Accidents are unpleasant incidences that happen when we are careless or when we do not follow the safety rules.
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