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Mehta V, Raheja A, Singh RK. Identification and management of foreign body in the primary teeth. BMJ Case Rep 2023; 16:e254105. [PMID: 37541695 PMCID: PMC10407353 DOI: 10.1136/bcr-2022-254105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/06/2023] Open
Abstract
Paediatric dentists encounter many emergencies in child patients and entrapment of foreign bodies in teeth is a commonly anticipated complication. It is more frequently seen in children with chronic carious lesions or due to teeth with wide open pulp chambers and pulp canals affected with caries or traumatic dental injuries. Here, we report a case of successful management of foreign body lodgement in the primary teeth of a middle childhood female patient along with a literature review of various foreign bodies identified in the past and some practical recommendations for the prevention of such incidents in the future.
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Affiliation(s)
- Vivek Mehta
- Pedodontics with Preventive Dentistry, Jamia Millia Islamia Faculty of Dentistry, New Delhi, India
| | - Anupma Raheja
- Prosthodontics and Crown and Bridge, Rama Dental College and Hospital and Research Centre Kanpur, Kanpur, Uttar Pradesh, India
| | - Rajeev Kumar Singh
- Paediatric and Preventive Dentistry, King George's Medical University Faculty of Dental Sciences, Lucknow, Uttar Pradesh, India
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2
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Ashqar NM, Ali FM. Unusual foreign object in a tooth: A case report and review of literature. Clin Pract 2019; 9:1114. [PMID: 30881605 PMCID: PMC6383040 DOI: 10.4081/cp.2019.1114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 01/17/2019] [Indexed: 11/23/2022] Open
Abstract
Foreign body impactions in the tooth are common findings in the oral cavity of children because of their frequent habits of placing various objects in their mouth. The present case describes an 11-year-old boy with a foreign object in the maxillary left first molar tooth of which he was unaware. Foreign objects can not only be a source of infection but also be aspirated or ingested by the child. The discovery of foreign objects in the teeth is usually accidental. A detailed case history, consisting of a history of the ordinary placement of the object and clinical and radiographic examinations is necessary to determine the nature, size, and location of the foreign body, as well as the difficulty involved in its retrieval. The foreign object may sometimes fracture inside the tooth during exploration by the parent or child. Such an object may act as a potential source of infection and lead to complications.
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Affiliation(s)
| | - Fareedi Mukram Ali
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Jazan University, Saudi Arabia
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3
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Khandelwal D, Kalra N, Tyagi R, Khatri A. Accidental diagnosis of a foreign body embedded in maxillary anterior tooth. JOURNAL OF THE SCIENTIFIC SOCIETY 2019. [DOI: 10.4103/jss.jss_29_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Mahesh C, Animireddy D, Mettu S, Kulkarni M. An Unexpected Encounter with Foreign Body in the Primary Teeth and Its Management. Int J Appl Basic Med Res 2018; 8:181-183. [PMID: 30123750 PMCID: PMC6082006 DOI: 10.4103/ijabmr.ijabmr_264_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Clinicians may come across strange situations when they accidentally notice foreign bodies in the root canals of the teeth. This foreign body entrapment is more common in children because of the habit of placing various objects into the tooth, particularly in the cases of open carious lesions. Sometimes, these foreign objects may act as an impending source for pain and infection. Even though accidental insertion is the main etiological factor, there are other possibilities such as self-injurious habits and dental neglect which should be ruled out by thorough history. The present article describes two cases of typical etiology for foreign body lodgment and its management in the primary teeth.
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Affiliation(s)
- Chinta Mahesh
- Department of Pedodontics and Preventive Dentistry, Panineeya Dental College, Hyderabad, Telangana, India
| | - Dwitha Animireddy
- Department of Pedodontics and Preventive Dentistry, Panineeya Dental College, Hyderabad, Telangana, India
| | - Shanthan Mettu
- Department of Pedodontics and Preventive Dentistry, Panineeya Dental College, Hyderabad, Telangana, India
| | - Manasi Kulkarni
- Department of Pedodontics and Preventive Dentistry, Panineeya Dental College, Hyderabad, Telangana, India
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5
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Kanumuri PK, Gantha SN, Animireddy D, Chinta M. Unusual foreign body in primary tooth. BMJ Case Rep 2016; 2016:bcr2016216326. [PMID: 27382017 PMCID: PMC4956973 DOI: 10.1136/bcr-2016-216326] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2016] [Indexed: 11/04/2022] Open
Affiliation(s)
| | - Sribala Naga Gantha
- Department of pedodontics and preventive dentistry, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India
| | - Dwitha Animireddy
- Department of pedodontics and preventive dentistry, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India
| | - Mahesh Chinta
- Department of pedodontics and preventive dentistry, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India
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6
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Omezli MM, Torul D, Sivrikaya EC. The prevalence of foreign bodies in jaw bones on panoramic radiography. Indian J Dent 2016; 6:185-9. [PMID: 26752878 PMCID: PMC4691987 DOI: 10.4103/0975-962x.170371] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Objective: Foreign bodies can be deposited in the oral cavity either by traumatic or iatrogenic injury. The most common foreign bodies of iatrogenic origin encountered are restorative materials, like amalgam, and root canal fillings. The aim of this study was to determine the prevalence of foreign bodies detected with panoramic radiography in the jawbones, as well as to evaluate the etiology and characteristics of these pathologies. Materials and Methods: From March 2012 to January 2014, 11,144 panoramic radiographs were taken and retrospectively reviewed. The number, characteristics, location of the foreign bodies, age, and gender of the patients were recorded. Results: Of the 11,144 patients reviewed, 62 of them have a foreign body with a frequency of 0.6%. The patients who had a foreign body were between 14 and 81 years old. Female patients showed more foreign bodies than male patients. Among the 62 patients, 63 filling materials, one stapler, and five shrapnel were detected. Only 8 patients had symptoms associated with foreign bodies and these foreign bodies excised surgically. Conclusion: If possible, these pathologies must be removed at the time of detection to prevent further complications; however, in asymptomatic cases, according to location and the characteristic of the foreign body, they can be kept under observation without performing any operations.
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Affiliation(s)
- Mehmet Melih Omezli
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, 52100 Ordu, Turkey
| | - Damla Torul
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, 52100 Ordu, Turkey
| | - Efe Can Sivrikaya
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, 52100 Ordu, Turkey
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Mahesh R, Waseem H, Siva Kumar M. Unusual behavior in children--foreign object in tooth: a report of two cases. Ethiop J Health Sci 2014; 24:369-73. [PMID: 25489203 PMCID: PMC4248038 DOI: 10.4314/ejhs.v24i4.14] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The chance of discovering foreign object in a root canal is more commonly seen in children. Foreign objects may act as a potential source of infection, which may hinder the complete debridement of root canal. Although the main etiology being an accidental insertion, there are other possibilities such as self-injurious habits which should be ruled out. Case Details The present article describes two case of foreign object in root canal, their possible etiology and management modalities. The first case reports a usual case of staple pin in root canal of primary teeth. The second case was a broken pin inside anterior permanent teeth. The cases reported highlight the need for proper diagnosis and early management. Conclusion This case report highlights the need for proper understanding of the etiology in management of foreign body in root canal system.
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Affiliation(s)
- R Mahesh
- Department of Pediatric Dentistry, Saveetha Dental College and Hospitals, Chennai, India
| | - H Waseem
- Department of Pediatric Dentistry, Priyadharshini Dental College and Hospitals, Chennai, India
| | - M Siva Kumar
- Department of oral pathology, Madha Dental College and Hospitals, Chennai, India
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Ramugade MM, Sapkale KD, Metkari SS. Patient induced unusual metallic obturation of the root canal of permanent maxillary central incisor with an immature apex - A rare case report. SINGAPORE DENTAL JOURNAL 2014; 35:77-82. [PMID: 25496590 DOI: 10.1016/j.sdj.2014.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2013] [Revised: 08/08/2014] [Accepted: 08/28/2014] [Indexed: 06/04/2023]
Abstract
Discovery of multiple foreign objects in the root canal is unusual and their removal is often difficult and challenging procedure. Entrapment of the foreign object in the pulp chamber or in root canal usually occur accidentally in children with the habit of chewing or placing various objects in the oral cavity. Clinically it was often encountered in tooth with wide carious lesion, exposed pulp chamber due to trauma or tooth left open for the drainage during root canal treatment. This impacted foreign body may act as a potential source of pain or infection. The attempt to retrieve such foreign object from the root canal with immature apex increases the risk of its displacement into periapical area. The present case report describes an unusual case of a patient with two metallic sewing needles inadvertently broken down in the root canal of the permanent maxillary left central incisor and it׳s successful retrieval by non-surgical endodontic treatment.
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Affiliation(s)
- Manoj Mahadeo Ramugade
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai Central, Mumbai-08, India.
| | - Kishor Dattatray Sapkale
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai Central, Mumbai-08, India.
| | - Sachin Shashikant Metkari
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai Central, Mumbai-08, India.
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Onychophagia and subgingival foreign body embedment: a case report. Br Dent J 2014; 216:519-20. [DOI: 10.1038/sj.bdj.2014.351] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2014] [Indexed: 11/08/2022]
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10
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Pereira T, Pereira S. An unusual object in the root canal of a primary tooth - a case report. Int J Paediatr Dent 2013; 23:470-2. [PMID: 23683034 DOI: 10.1111/ipd.12038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Children often have the habit of inserting objects into their mouth. Occasionally, these objects may be accidentally ingested. This may be frightening and stressful both for the child and the parents. In most cases, children avoid informing their parents due to the fear of being punished. CASE REPORT This article presents a case of a foreign object embedded in the tooth of a 7-year-old boy. The parents were unaware of the presence of a foreign object in their child's tooth. CONCLUSION The tooth was extracted and the foreign body was retrieved from the canal to avoid any complications.
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Affiliation(s)
- Treville Pereira
- Department of Oral and Maxillofacial Pathology and Microbiology, Padmashree Dr D Y Patil Dental College and Hospital, Navi Mumbai, India
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11
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Chand K, Joesph S, Varughese JM, Nair MG, Prasanth S. Endodontic management of an unusual foreign body in a maxillary central incisor. J Conserv Dent 2013; 16:474-6. [PMID: 24082582 PMCID: PMC3778635 DOI: 10.4103/0972-0707.117496] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2013] [Revised: 03/05/2013] [Accepted: 07/18/2013] [Indexed: 11/21/2022] Open
Abstract
The discovery of foreign bodies in the teeth is often diagnosed accidentally. It is commonly seen in children. These foreign objects may act as a potential source of infection and may later lead to a painful condition. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, and location of the foreign body, and the difficulty involved in its retrieval. This paper discusses the types of foreign objects found in and around the teeth and reports an unusual case of a stapler pin in the root canal of a tooth, its retrieval, and associated management of the involved teeth.
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Affiliation(s)
- Keerthi Chand
- Department of Conservative Dentistry and Endodontics, Government Dental College, Thiruvananthapuram, Kerala, India
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12
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Incidental radiographic discovery of a screw in a primary molar: an unusual case report in a 6 year old child. Case Rep Dent 2013; 2013:296425. [PMID: 23878747 PMCID: PMC3710607 DOI: 10.1155/2013/296425] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2013] [Accepted: 06/06/2013] [Indexed: 11/18/2022] Open
Abstract
Dentists often find foreign bodies in the primary dentition of children who habitually place objects in their mouths. The objects are frequently embedded in exposures that result from carious or traumatic lesions or from endodontic procedures that have been left open for drainage. Such bodies are often detected on routine radiographs and, less frequently, during clinical examination. We report a case of a 6-year-old boy who had inadvertently embedded a screw in his mandibular right first primary molar and had forgotten about it until it became symptomatic. The screw was impacted in the exposed pulp chamber due to a large carious lesion in the affected molar. This case report considers the possible medical and dental consequences of placing foreign bodies in the mouth.
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Leith R, O'Connell AC. A foreign body in disguise. Eur Arch Paediatr Dent 2013; 14:359-62. [PMID: 23801078 DOI: 10.1007/s40368-013-0060-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Accepted: 02/21/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Young children habitually place objects in their mouths to discover and learn about the world and it is considered a normal stage of early childhood development. Ingestion and aspiration of foreign objects predominantly occurs in preschool toddlers with a peak incidence at age three years, and can have serious consequences. CASE REPORT A 2-year-old boy presented to the Dublin Dental University Hospital with a tooth-coloured mass tightly adherent to a lower primary incisor. The lesion surrounded the cervical third of the crown on the lower right primary central incisor and extended subgingivally. The tooth was mobile but with minimal inflammation. TREATMENT The tooth was subsequently extracted under general anaesthesia to reveal that the mass was in fact a foreign body, although this was originally thought unlikely as a cause. FOLLOW-UP The patient underwent an unremarkable recovery. CONCLUSION The case of a foreign body disguised as a tooth-like abnormality was only identified under general anaesthesia, and even then it was impossible to prise the object from the tooth in situ. Misdiagnosis of impacted foreign bodies in young children presents complicated diagnostic problems.
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Affiliation(s)
- R Leith
- Department of Public and Child Dental Health, Trinity College Dublin, Dublin Dental University Hospital, Lincoln Place, Dublin 2, Ireland,
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Singh Dhull K, Acharya S, Ray P, Singh Dhull R. Foreign body in root canals of two adjacent deciduous molars: a case report. Int J Clin Pediatr Dent 2013; 6:38-9. [PMID: 25206186 PMCID: PMC4034636 DOI: 10.5005/jp-journals-10005-1184] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Accepted: 03/14/2013] [Indexed: 11/23/2022] Open
Abstract
Children often tend to have the habit of inserting foreign objects in the oral cavity unknowingly for relief of dental pain. Sometimes, children do not reveal to their parents due to fear. These foreign objects may act as a potent source of infection and painful condition. The discovery of foreign bodies in the teeth is a special situation, which is often diagnosed accidentally. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, location of the foreign body and the difficulty involved in its retrieval. Here is a case report, where foreign object was accidentally lodged in the carious deciduous molars by a child. How to cite this article: Dhull KS, Acharya S, Ray P, Dhull RS. Foreign Body in Root Canals of Two Adjacent Deciduous Molars: A Case Report. Int J Clin Pediatr Dent 2013;6(1):38-39.
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Affiliation(s)
- Kanika Singh Dhull
- Senior Lecturer, Department of Pedodontics and Preventive Dentistry Kalinga Institute of Dental Sciences, Bhubaneshwar, Odisha, India
| | - Sonu Acharya
- Reader, Department of Pedodontics and Preventive Dentistry Kalinga Institute of Dental Sciences, Bhubaneshwar, Odisha, India
| | - Prayas Ray
- Assistant Professor, Department of Pedodontics and Preventive Dentistry, SCB Dental College, Cuttack, Odisha, India
| | - Rachita Singh Dhull
- Attending Consultant, Department of Pediatrics, Fortis Escorts Heart Institute, New Delhi, India
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Unusual foreign bodies in the orofacial region. Case Rep Dent 2012; 2012:191873. [PMID: 22830058 PMCID: PMC3399346 DOI: 10.1155/2012/191873] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2012] [Accepted: 06/12/2012] [Indexed: 11/18/2022] Open
Abstract
Foreign bodies may be deposited in the oral cavity either by traumatic injury or iatrogenically. Among the commonly encountered iatrogenic foreign bodies are restorative materials like amalgam, obturation materials, broken instruments, needles, and so forth. The discovery of foreign bodies in the teeth is a special situation, which is often diagnosed accidentally. Detailed case history, clinical and radiographic examinations are necessary to come to a conclusion about the nature, size, location of the foreign body, and the difficulty involved in its retrieval. It is more common to find this situation in children as it is a well-known fact that children often tend to have the habit of placing foreign objects in the mouth. Sometimes the foreign objects get stuck in the root canals of the teeth, which the children do not reveal to their parents due to fear. These foreign objects may act as a potential source of infection and may later lead to a painful condition. This paper discusses the presence of unusual foreign bodies—a tip of the metallic compass, stapler pin, copper strip, and a broken sewing needle impregnated in the gingiva and their management.
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Abstract
Foreign objects in a tooth are often diagnosed accidentally. A detailed case history, clinical and radiographic examinations are necessary to know the exact nature, size, location of the foreign body and the difficulty involved in its retrieval. In the present case, two beads, one radiopaque and one radiolucent were found in the same tooth at different places of 11-year-old girl. Patient did not reveal proper history out of fear. Both the foreign objects were discovered during routine endodontic procedure which were removed following simple clinical procedure causing minimal damage to the internal tooth structure.
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Affiliation(s)
- Jyothsna V Setty
- Professor, Department of Pedodontics and Preventive Dentistry, KLE Society's Institute of Dental Sciences Bengaluru, Karnataka, India
| | - Ila Srinivasan
- Professor and Head, Department of Pedodontics and Preventive Dentistry, KLE Society's Institute of Dental Sciences Bengaluru, Karnataka, India
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17
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Incidental discovery of a screw in a deciduous molar. Oral Radiol 2010. [DOI: 10.1007/s11282-010-0053-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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18
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Holla G, Baliga S, Yeluri R, Munshi AK. Unusual objects in the root canal of deciduous teeth: a report of two cases. Contemp Clin Dent 2010; 1:246-8. [PMID: 22114430 PMCID: PMC3220146 DOI: 10.4103/0976-237x.76393] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Accidental foreign body ingestion or aspiration is a common problem in children. Children often have a habit of inserting objects into their mouth. Some of these objects can be accidentally ingested or even aspirated which can be frightening and a stressful experience. But the presence of foreign objects in the teeth are rare. The foreign objects in the teeth may act as a potential source of infection and pain. In most of the cases, children avoid informing their parents due to fear of punishment. This paper presents two cases of foreign objects embedded in the deciduous teeth. In both the cases, parents were not aware of foreign body ingestion by their children.
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Affiliation(s)
- Goda Holla
- Department of Pedodontics & Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Sudhindra Baliga
- Department of Pedodontics & Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Ramakrishna Yeluri
- Department of Pedodontics & Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
| | - Autar Krishen Munshi
- Department of Pedodontics & Preventive Dentistry, K. D. Dental College and Hospital, Mathura, Uttar Pradesh, India
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Abstract
The discovery of a foreign object embedded in a tooth is relatively uncommon. Some people have a habit of placing foreign objects to remove food plugs from the teeth. However, occasionally, these objects may be lodged in the teeth. These foreign objects may act as a potential source of infection and may later lead to a painful condition. A detailed case history, clinical, and radiographic examination is required to ascertain the size, position, and likely composition of the object, and also difficulty involved in its retrieval. This paper describes the successful retrieval of stapler pin located in the apical portion of root canal by simple orthograde nonsurgical technique.
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Affiliation(s)
- Satish R Kalyan
- Department of Conservative Dentistry and Endodontics, Vishnu Dental College, Bhimavaram A.P, India
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20
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Prabhakar AR, Namineni S, Subhadra HN. Foreign body in the apical portion of a root canal in a tooth with an immature apex: a case report. Int Endod J 2008; 41:920-7. [PMID: 18699791 DOI: 10.1111/j.1365-2591.2008.01423.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
AIM To describe the successful retrieval of a foreign object located in the apical portion of an immature root canal by simple orthograde techniques, avoiding the need for surgery or intentional reimplantation. SUMMARY A radio-opaque foreign object lodged in the apical portion of an immature root canal was discovered on radiographic examination of a patient with a complicated crown fracture. Attempts to retrieve it resulted in displacement into the periapical area. Eventually, the object was retrieved by a simple technique, followed by successful apexification, root canal filling and jacket crown placement. KEY LEARNING POINTS Foreign bodies in root canals should be carefully evaluated to determine their nature, position, size and the degree of difficulty that may be encountered during retrieval. Patience, care and appropriate techniques may be helpful in retrieving foreign bodies and avoiding periapical surgery. Complicated crown fractures should be managed promptly, and prolonged open drainage avoided in children if the risks of foreign body impaction are to be minimized.
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Affiliation(s)
- A R Prabhakar
- Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, India.
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