Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations
Tooth inhalation remains a rare incident but it may occur during dental care, especially in children. We report here the case of a four-year-old boy with Down syndrome who came to the hospital after a dental trauma. During the extraction procedure, he aspired his maxillary incisor without presenting...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2019/8495739 |
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| author | Thibault Canceill Rémi Esclassan Mathieu Marty Marie-Cécile Valera Estelle Trzaskawka-Moulis Emmanuelle Noirrit-Esclassan |
| author_facet | Thibault Canceill Rémi Esclassan Mathieu Marty Marie-Cécile Valera Estelle Trzaskawka-Moulis Emmanuelle Noirrit-Esclassan |
| author_sort | Thibault Canceill |
| collection | DOAJ |
| description | Tooth inhalation remains a rare incident but it may occur during dental care, especially in children. We report here the case of a four-year-old boy with Down syndrome who came to the hospital after a dental trauma. During the extraction procedure, he aspired his maxillary incisor without presenting any signs of respiratory distress and was discharged by the surgical team, who thought that he had swallowed the tooth. Three weeks later, he was admitted to the emergency service because of a pulmonary infection. Two endoscopy interventions under general anesthesia were necessary to recover the foreign body inside the left lung. Because of the multiple symptoms associated with the trisomy 21 syndrome (general hypotonia, impaired immunity, etc.), practitioners should be very mindful of aspiration risks and complications during dental care. The systematic prescription of lung radiography would prevent the onset of pulmonary infections and enable an earlier intervention. |
| format | Article |
| id | doaj-art-ce45f88b6c79457a9fb258199c846b68 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-ce45f88b6c79457a9fb258199c846b682025-02-03T05:45:19ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/84957398495739Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and RecommendationsThibault Canceill0Rémi Esclassan1Mathieu Marty2Marie-Cécile Valera3Estelle Trzaskawka-Moulis4Emmanuelle Noirrit-Esclassan5Paul Sabatier University, Dental Faculty, Toulouse University Hospital (CHU de Toulouse), 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, FrancePaul Sabatier University, Dental Faculty, Toulouse University Hospital (CHU de Toulouse), 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, FrancePaul Sabatier University, Dental Faculty, Toulouse University Hospital (CHU de Toulouse), 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, FrancePaul Sabatier University, Dental Faculty, Toulouse University Hospital (CHU de Toulouse), 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, FranceDental Faculty, Montpellier University Hospital, 549 av du Professeur Louis Viala, 34295 Montpellier Cedex 5, FrancePaul Sabatier University, Dental Faculty, Toulouse University Hospital (CHU de Toulouse), 3 Chemin des Maraîchers, 31062 Toulouse Cedex 9, FranceTooth inhalation remains a rare incident but it may occur during dental care, especially in children. We report here the case of a four-year-old boy with Down syndrome who came to the hospital after a dental trauma. During the extraction procedure, he aspired his maxillary incisor without presenting any signs of respiratory distress and was discharged by the surgical team, who thought that he had swallowed the tooth. Three weeks later, he was admitted to the emergency service because of a pulmonary infection. Two endoscopy interventions under general anesthesia were necessary to recover the foreign body inside the left lung. Because of the multiple symptoms associated with the trisomy 21 syndrome (general hypotonia, impaired immunity, etc.), practitioners should be very mindful of aspiration risks and complications during dental care. The systematic prescription of lung radiography would prevent the onset of pulmonary infections and enable an earlier intervention.http://dx.doi.org/10.1155/2019/8495739 |
| spellingShingle | Thibault Canceill Rémi Esclassan Mathieu Marty Marie-Cécile Valera Estelle Trzaskawka-Moulis Emmanuelle Noirrit-Esclassan Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations Case Reports in Dentistry |
| title | Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations |
| title_full | Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations |
| title_fullStr | Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations |
| title_full_unstemmed | Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations |
| title_short | Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations |
| title_sort | misdiagnosed tooth aspiration in a young handicapped boy case report and recommendations |
| url | http://dx.doi.org/10.1155/2019/8495739 |
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