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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2021; 10(01): 060-063
DOI: 10.1055/s-0041-1732774
Case Report

Management of an Accidental Ingestion of a Manual Screwdriver in Implant Dentistry: A Case Report

Davide Musu
1   Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands
,
Antonello Mameli
2   Department of Surgical Sciences, University of Cagliari, Cagliari, Italy
,
Pierpaolo Carreras
3   Digestive Endoscopy Service, AO Brotzu Hospital, Cagliari, Italy
,
Gian Nicola Boero
4   Private Practice, Cagliari, Italy
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Abstract

Ingestion of foreign bodies in dentistry represents an uncommon but possible event and can be life-threatening. An 82-year-old patient presented at our attention for an implant-supported rehabilitation of the maxillary arch. During the placement of the fixed prosthesis, the manual screwdriver was swallowed by the patient. From the moment of the accident, the patient did not develop any symptoms and was monitored for the following days. The instrument was not recovered within 3 days, thus a series of consecutive abdominal X-rays were performed revealing that the screwdriver was located at the level of ileocecal valve with no signs of progression. The screwdriver was removed with colonoscopy under sedation. During this treatment, a polyp was discovered and excised revealing a tubulovillous adenoma depicting low-grade dysplasia. To prevent such accidents, screwdrivers in implant dentistry should be secured with ligatures, or replaced with longer torque control wrenches.

Keywords

case report - ingestion - implant screwdriver - adenoma - implants


Publication History

Article published online:
11 August 2021

© 2021. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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