구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제34권2호
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  • Pages.63-71
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  • 2018
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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치과 치료에서 발생하는 이물질의 삼킴과 흡인의 예방과 대처

Prevention and management of foreign body ingestion and aspiration during the dental treatment

  • 전한솔 (원광대학교 치과대학 치과보철학교실) ;
  • 이진한 (원광대학교 치과대학 치과보철학교실)
  • Jeon, Han-Sol (Department of Prosthodontics, School of Dentistry, Wonkwang University) ;
  • Lee, Jin-Han (Department of Prosthodontics, School of Dentistry, Wonkwang University)
  • Received : 2018.04.27
  • Accepted : 2018.05.26
  • Published : 2018.06.30
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Abstract

임플란트를 통한 보철 수복은 대중화되어 일상적인 진료가 되었다. 임플란트 보철과정에서 사용되는 기구나 작은 부속품들은 크기가 작아 치과의사의 손에서 미끄러지거나 떨어지는 경우가 많은 빈도로 발생할 수 있다. 치과 기구나 재료가 상부 위장관 내로 넘어가는 경우, 합병증이 없이 체외로 배출될 가능성이 높지만 이물질의 종류에 따라서는 심각한 합병증을 나타낼 수 있다. 이물질이 환자의 기도로 넘어가는 경우는 응급상황이며, 적절한 대처와 처치가 이루어지지 않는 경우에는 치명적인 결과를 가져올 수 있다. 본 연구에서는 치과 치료 중에 발생할 수 있는 이물질의 삼킴과 흡인을 방지하기 위하여, 이물질 삼킴과 흡인이 발생되는 과정과 예방법, 그리고 발생 시의 대처법에 대해 문헌 고찰을 시행하고자 한다.

Prosthetic restorations through implants were popularized, and they became routine treatments. Small accessories used in the implant prosthodontic procedure are more likely to slip or fall off the dentist's hands. If the dental appliance or material passes into the upper gastrointestinal tract, there is a high possibility of excretion to the outside of the body without complications, but serious complications may occur depending on the type of foreign body. If the foreign body is passed to the airway, it is an emergency situation, and if it is not done properly, it can be fatal. The purpose of this review report is to investigate the process of foreign body ingestion or aspiration during dental treatment, and the method of prevention and treatment.

Keywords

References

  1. Hou R, Zhou H, Hu K, Ding Y, Yang X, Xu G, Xue P, Shan C, Jia S, Ma Y. Thorough documentation of the accidental aspiration and ingestion of foreign objects during dental procedure is necessary: review and analysis of 617 cases. Head Face Med 2016;12:23. https://doi.org/10.1186/s13005-016-0120-2
  2. Israel HA, Leban SG. Aspiration of an endodontic instrument. J Endod 1984;10:452-4. https://doi.org/10.1016/S0099-2399(84)80268-X
  3. Lanning GE. Accidental aspiration of a cast crown during attempted delivery. J Indiana Dent Assoc 1988;67:22-3.
  4. Grossman LI. Prevention in endodontic practice. J Am Dent Assoc 1971;82:395-6. https://doi.org/10.14219/jada.archive.1971.0052
  5. Susini G, Pommel L, Camps J. Accidental ingestion and aspiration of root canal instruments and other dental foreign bodies in a French population. Int Endod J 2007;40:585-9. https://doi.org/10.1111/j.1365-2591.2007.01249.x
  6. Kim SH, Choi SC, Park JH, Kim KC. Foreign body ingestion during dental treatment in pediatric patient. J Korean Dis Oral Health 2011;7:29-32.
  7. Prakash UBS, Cortese DA. Tracheobronchial foreign bodies. In: Prakash UBS, editor. Bronchoscopy. 2nd ed. New York; Raven Press; 1994. p. 253- 77.
  8. National Satery Council. Injury $Facts^{(R)}$, 2015 Edition. Itasca; IL; 2015. p. 11.
  9. Paksu S, Paksu MS, Kilic M, Guner SN, Baysal K, Sancak R, Ozturk F. Foreign body aspiration in childhood: evaluation of diagnostic parameters. Pediatr Emerg Care 2012;28:259-64. https://doi.org/10.1097/PEC.0b013e3182494eb6
  10. Cossellu G, Farronato G, Carrassi A, Angiero F. Accidental aspiration of foreign bodies in dental practice: clinical management and prevention. Ger- odontology 2015;32:229-33.
  11. Maleki M, Evans WE. Foreign-body perforation of the intestinal tract. Report of 12 cases and review of the literature. Arch Surg 1970;101:475-7. https://doi.org/10.1001/archsurg.1970.01340280027008
  12. Worthington P. Ingested foreign body associated with oral implant treatment: report of a case. Int J Oral Maxillofac Implants 1996;11:679-81.
  13. Obinata K, Satoh T, Towfk AM, Nakamura M. An investigation of accidental ingestion during dental procedures. J Oral Sci 2001;53:495-500.
  14. Cameron SM, Whitlock WL, Tabor MS. Foreign body aspiration in dentistry: a review. J Am Dent Assoc 1996;127:1224-9. https://doi.org/10.14219/jada.archive.1996.0415
  15. Başoglu OK, Budendi N, Caririci U, Turhar K, Ay- san T. Pulmonary aspiration of a two unit bridge during a deep sleep. J Oral Rehabil 2005;32:461-3. https://doi.org/10.1111/j.1365-2842.2005.01472.x
  16. Kimberley DR. Unrecognized aspiration of mandibular incisor. J Oral Maxillofac Surg 2001;59:350- 2. https://doi.org/10.1053/joms.2001.21012
  17. Kim A, Ahn KM. Endoscopic removal of an aspirated healing abutment and screwdriver under conscious sedation. Implant Dent 2014;23:250-2. https://doi.org/10.1097/ID.0000000000000100
  18. Zitmann NU, Elsasser S, Fried R, Marinelo CP. For- eign body ingestion and aspiration. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88:657- 60. https://doi.org/10.1016/S1079-2104(99)70004-1
  19. Lee EJ, Yang HR, Cho JM, Ko JS, Moon JS. Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin. Pediatr Gastroenterol Hepatol Nutr 2017;20: 204-9. https://doi.org/10.5223/pghn.2017.20.3.204
  20. Chung YS, Chung YW, Moon SY, Yoon SM, Kim MJ, Kim KO, Park CH, Hahn T, Yoo KS, Park SH, Kim JH, Park CK. Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy. World J Gastroenterol 2008;14:948-50. https://doi.org/10.3748/wjg.14.948
  21. Bhatnagar S, Das UM, Chandan GD, Prashanth ST, Gowda L, Shiggaon N. Foreign body ingestion in dental practice. J Indian Soc Pedod Prev Dent 2011;29:336-8. https://doi.org/10.4103/0970-4388.86387
  22. Santos Tde S, Antunes AA, Vajgel A, Cavalcanti TB, Nogueira LR, Laureano Filho JR. Foreign body ingestion during dental implant procedures. J Craniofac Surg 2012;23:e119-23. https://doi.org/10.1097/SCS.0b013e31824cda32
  23. Lai YF, Wong SL, Chao TY, Lin AS. Bronchial foreign bodies in adults. J Formos Med Assoc 1996;95: 213-7.
  24. Prakash UBS, Cortese DA. Tracheobronchial foreign bodies. In: Prakash UBS, editor. Bronchoscopy. 2nd ed. New York; Raven Press; 1994. p. 253- 77.
  25. Bergermann M, Donald PJ, aWengen DF. Screwdriver aspiration. A complication of dental implant placement. Int J Oral Maxillofac Surg 1992;21:339-41. https://doi.org/10.1016/S0901-5027(05)80757-X

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  1. The prevention of accidental aspiration or swallowing small instruments during implant treatment vol.43, pp.1, 2018, https://doi.org/10.21851/obr.43.01.201903.95