Journal List > J Korean Dent Soc Anesthesiol > v.10(1) > 1084286

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Shin, Seo, and Kim: The Aspiration of Foreign Body in the Left Tracheobronchial Tree during Gold Crown Restoration: A Case Report
Case Report

Journal of the Korean Dental Society of Anesthesiology 2010; 10(1): 54-57.

Published online: 30 May 2016

DOI: https://doi.org/10.17245/jkdsa.2010.10.1.54

The Aspiration of Foreign Body in the Left Tracheobronchial Tree during Gold Crown Restoration: A Case Report

Teo-Jeon Shin, M.D., Kwang-Suk Seo, M.D., Hyun-Jeong Kim, M.D.

Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea.

Corresponding Author: (stone90@snu.ac.kr)

Received 11 June 2010       Revised 20 June 2010       Accepted 20 June 2010

Copyright © 2010 Journal of the Korean Dental Society of Anesthesiology

(open-access, http://creativecommons.org/licenses/by-nc/3.0/):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Foreign body aspiration (FBA) into the tracheobronchial tree could be life threatening requiringprompt intervention. Any objects placed in the oral cavity put patients at a risk of aspirating or swallowing the objects slipped or broken by physical injuries. Here, we report a case of 30 yr old patient with FBA during gold crown replacement was successfully treated with the use of the flexible bronchoscope.

Case

A 30 yr old woman was admitted to Seoul National Dental Hospitalfor an amalgam restoration. She was scheduled to gold crown restoration for replacement of the damaged amalgam at #37 site. After performing crown lengthening procedure, the aspiration of gold crown occurred during the cementation of the crown. After aspiration, the patients complained of the subjective distress of respiration. Chest radiograph revealed that gold crown was enlodged to the left bronchus. Flexible fiberoptics was inserted to the bronchus to remove the aspirated crown. Fiberoptic assisted removal of the aspiratedcrown was successfully performed. After removal, there was no radiopaque material in the left bronchus on follow-up chest radiograph.

Discussion

When aspiration of dental materials occurs, flexible fiberoptic can be used in the treatment of FBA. It is also very useful to take preventive management such as rubber dam, application of dental floss in dental procedure where there is high likelihood of FBA.

Keywords: Foreign bodies, Aspiration, Flexible fiberoptics

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