Accidental swallowing of an endodontic file.

Abstract:

AIM:To report the management of an iatrogenic incident in which an endodontic file was swallowed accidentally and passed into the gastrointestinal tract. SUMMARY:A 51-year-old male swallowed a 21 mm, size 30 endodontic file during root canal treatment without rubber dam. In the absence of clinical complications, the patient was reviewed with serial chest and abdominal radiographs, and stool tests for occult blood until the instrument was discharged at 3 days. This report discusses early differential diagnosis for locating foreign bodies and underlines the importance of serial radiographic evaluation for signs of foreign body migration. KEY LEARNING POINTS:The use of rubber dam is mandatory for patient safety during root canal treatment. Early location of an inhaled or ingested foreign body facilitates appropriate and timely treatment management and referral. When a foreign body passes into the gastrointestinal tract, clinical symptoms and signs should be monitored closely until it is excreted or removed. An endodontic file can pass through the gastrointestinal tract asymptomatically and apparently atraumatically within 3 days.

journal_name

Int Endod J

authors

Kuo SC,Chen YL

doi

10.1111/j.1365-2591.2008.01392.x

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

617-22

issue

7

eissn

0143-2885

issn

1365-2591

pii

IEJ1392

journal_volume

41

pub_type

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