7/24/2019 The Patient Has a Big Mouth (resumen)

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The patient has a big mouth [F.A.]

This article discusses a dentists responsibilities when faced with the ingestionor aspiration of part of their patients braces or appliance, either in their clinicor at the patients home.

These processes most often occur during active procedures, such as bandingor bonding, cutting the distal ends o archwires and debonding, but can alsooccur passivel! whilst the patient eats, pla!s sport or engaged in otherph!sical activit!.

"hen an ob#ect is ingested onl! palliative care is re$uired and patients shouldbe instructed to chec% their stool for visual veri&cation of the ob#ects passage.Additionall!, the patient can choose to follow the ob#ect radiographicall! as itpasses through the bod!. 'owever, some ob#ects, such as pin% acr!lic due to itssimilarit! to mucosal and cartilaginous tissues and ceramic brac%ets due totheir radiolucenc! are di(cult to identif! in an )*ra!.

"hen an ob#ect is full! or partiall! aspirated the patient must be immediatel!transported to the nearest emergenc! care centre or hospital emergenc! roomto locate the ob#ect and identif! the best method for its removal.

The ris%s associated with ingestion or aspiration should be included in theinformed consent document, thus providing notice to the patient, as one woulddo with all material ris%s.