An unusual case of small intestine perforation after the dental impression procedure

Paweł Świderski, Szymon Rzepczyk, Mariusz Glapiński, Beata Bożek, Czesław Żaba

Abstract


Accidental ingestion of a foreign body is a fairly common cause of patients presenting to hospital emergency departments. The foreign bodies that are accidentally swallowed by adults frequently include materials associated with dental procedures, most of which do not result in any complications. This paper presents the case of a 60-year-old female patient who presented to her GP because of increased abdominal pain. Conservative treatment was unsuccessful, so the patient was referred to the hospital with a suspected bowel obstruction. Diagnosis in the hospital revealed a perforation of the jejunum. The patient underwent emergency surgery and fragments of a cohesive substance were extracted from the bowel, which the patient associated with a dental impression procedure that was carried out 7 days earlier. However, chemical analysis of the extracted plastic fragments showed that they were parts of the silicone impression material used for so-called functional impressions used in the later stage of prosthesis preparation, not the alginate material used in the 1st stage. Analysis of the patient’s medical records and past medical history revealed a procedure completed 3 months earlier for another prosthesis and a condition following a hysterectomy for oncological reasons, together with numerous abdominal adhesions.

Keywords


foreign body; impression material; bowel perforation; accidental ingestion; dental prosthetics

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References


Cekmen B, Atis SE, Bozan O, Kaya N. Intestinal obstruction following ingestion of alginate dental impression material. Signa Vitae 2021;17(1):216-8.

Gupta R, Luthra RP, Kaur D, Aggarwal B. Ingestion of foreign objects in prosthodontia: a review. Int J Res Health Allied Sci 2018;4(3):101-6.

Prasad V. Accidental ingestion of foreign body in dental practice and its management. Int J Pedod Rehabil 2018;3:5-7.

Parolia A, Kamath M, Kundubala M, Manuel TS, Mohan M. Management of foreign body aspiration or ingestion in dentistry. Kathmandu Univ Med J (KUMJ) 2009;7(26):165-71.

Saraf HP, Nikhade PP, Chandak MG. Accidental ingestion of endodontic file: a case report. Case Rep Dent 2012;2012:278134.

Cameron SM, Whitlock WL, Tabor MS. Foreign body aspiration in dentistry: a review. J Am Dent Assoc 1996;127(8):1224-9.

Al-Wahadni A, Al Hamad KQ, Al-Tarawneh A. Foreign body ingestion and aspiration in dentistry: a review of the literature and reports of three cases. Dent Update 2006;33(9):561-70.

Yadav RK, Yadav HK, Chandra A, Yadav S, Verma P, Shakya VK. Accidental aspiration/ingestion of foreign bodies in dentistry: a clinical and legal perspective. Natl J Maxillofac Surg 2015;6(2):144-51.

Maeglin B. Kompendium naglych przypadkow w praktyce stomatologicznej. Warszawa: PZWL; 1994. p. 60-2.

Dent L, Peterson A, Pruett D, Beech D. Dental impression material: a rare cause of small-bowel obstruction. J Natl Med Assoc 2009;101(12):1295-6.

Shimunov S, Baidoun F. Denture molding causing small bowel obstruction: Case study. Surgery 2017;162(5):1183-4.

Reifsteck F. Small-bowel obstruction secondary to dental impression material. J Am Board Fam Pract 2000;13(4):299-301.

Powers JM, Wataha JC. Materiały stomatologiczne. Wrocław: Elsevier Urban & Partner; 2013. p. 99-106.

Spiechowicz E. Protetyka stomatologiczna: podręcznik dla studentów. Warszawa: PZWL; 2016. p. 133-41.

Tripathi T, Rai P, Singh H. Foreign body ingestion of orthodontic origin. Am J Orthod Dentofacial Orthop 2011;139(2):279-83.

Konturek S, editor. Konturek fizjologia człowieka: Podręcznik dla studentów medycyny. 2nd ed. Wrocław: Elsevier Urban & Partner; 2013. p. 307-25.

Damjanov I. Patofizjologia. Wrocław: Edra Urban & Partner; 2018. p. 285-9.

Noszczyk W, editor. Chirurgia. Vol. 1. Warszawa: PZWL; 2021. p. 864-967.

Murphy JP, Webb DE, Hutchison RA. A case of small-bowel obstruction secondary to inadvertent ingestion of impression material. J Am Dent Assoc 2013;144(11):1252-5.

Szczeklik A, Gajewski P. Interna Szczeklika 2019/20: mały podręcznik. Kraków: Medycyna Praktyczna; 2019. p. 658-65.

Wandera A, Conry JP. Aspiration and ingestion of a foreign body during dental examination by a patient with spastic quadriparesis: case report. Pediatr Dent 1993;15(5):362-3.

Umesan UK, Chua KL, Balakrishnan P. Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice. Ther Clin Risk Manag 2012;8:245-52.

Kumar V, Abbas AK, Aster JC. Robbins patologia. Wrocław: Edra Urban & Partner; 2018. p. 617-21.

Grossman LI. Prevention in endodontic practice. J Am Dent Assoc 1971;82(2):395-6.

Zitzmann NU, Elsasser S, Fried R, Marinello CP. Foreign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(6):657-60.




DOI: https://doi.org/10.21164/pomjlifesci.857

Copyright (c) 2022 Paweł Świderski, Szymon Rzepczyk, Mariusz Glapiński, Beata Bożek, Czesław Żaba

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/