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2015 ; 4
(4
): 407-13
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Swallowed dentures: Two cases and a review
#MMPMID26635957
Gachabayov M
; Isaev M
; Orujova L
; Isaev E
; Yaskin E
; Neronov D
Ann Med Surg (Lond)
2015[Dec]; 4
(4
): 407-13
PMID26635957
show ga
INTRODUCTION: Denture ingestion or aspiration is a problem requiring awareness of
different specialists including dentists, surgeons, otolaryngologists,
anesthesiologists etc. in terms of prevention, early diagnosis and adequate
treatment. Complications of swallowed dentures include hollow viscus necrosis,
perforation, penetration to neighbor organs leading to fistulae, bleeding and
obstruction. PRESENTATION OF CASES: First case is a 54-year-old female who
accidentally swallowed retractable one-tooth denture during fall about 22 h
before admission and clinical manifestation of acute small bowel obstruction
developed. The patient underwent laparotomy, enterotomy with retrieval of the
foreign body. The second case is a 31-year-old male who accidentally ingested
fixed one-tooth prosthesis while eating which impacted in the ileocaecal valve.
During the preparation to colonoscopy the denture spontaneously passed out with
stools. DISCUSSION: Denture ingestion is more common among patients with
psychoneurologic deficit, alcohol and drug abusers. Among healthy and younger
population denture ingestion is rare. Both reported patients are not elder. Thus
dislodgement of removable or fixed dentures is another risk factor of denture
ingestion. Most common site of denture impaction is esophagus; small bowel
impaction is rare. Moreover, in most reported cases, small bowel impaction of
ingested dentures leads to small bowel perforation. In our first case the
complication of denture ingestion appeared to be bowel obstruction what is even
rarer. CONCLUSION: Fixed dentures can be accidentally ingested as well as
removable dentures. Denture loosening leads to accidental denture ingestion.
Patients with denture loosening should be recommended to visit dentist as soon as
possible.