Xray vision isaac7/2/2023 ![]() ![]() Anterior posterior and lateral chest radiograph showing triangle shape foreign body located in the right main stem bronchus. Chest x- ray was performed (Figure 1 and 2). On physical exam her vital signs were stable (HR: 64 RR: 16, BP: 140/90 T: 97.8 pulse ox: 94 %), no cyanosis but she had mild bilateral wheezing at lung bases. Patient denied any coughing or breathing problems prior to dental treatment. Patient was sent home without any investigation. Immediately after dental procedure patient developed coughing, but dentist said that she “might have swollen one tooth in the stomach”. During this routine dental care patient was in supine position and general anesthesia was induced with IV anesthetics. She had three teeth extracted and three teeth implants placed under general anesthesia last week in the dental office. Case reportħ0-year-old white female with past medical history of diabetes, hypertension and CABG surgery came to our medical office with chief complaint of severe non-productive cough for several days. We report this case to remind dental providers that prompt diagnosis of foreign body aspiration during any dental procedure is crucial because it is the most important key for prevention of complications. Therefore, prevention and early diagnosis of FB aspiration is highly important in routine dental care. However, some small foreign body (tooth) aspirated may be remain asymptomatic for several months but can cause late complications such as post-obstractive pneumonia, pneumothorax, atelectasis, lung abscess, hemorrhage and even death. Usually early signs of aspiration of foreign body are cough, dyspnea, wheezing and stridor. According to the literature about 500-2000 deaths occur every year from foreign body aspiration in United States. Foreign body aspiration can be fatal condition if aspirated object is large and causes complete obstruction of airway. The risk of aspiration is significantly increased when patient is under general anesthesia in supine position. Key wordsĪspiration, ingestion, foreign body IntroductionĪspiration of foreign body is serious and life –threatening complication of routine dental treatment. We report this case to remind dental providers that early diagnosis of FB aspiration during routine dental care is crucial because prompt diagnosis of foreign body aspiration is key for prevention of complications. Chest x- ray was done one week after dental treatment and foreign body (FB) aspiration was discovered. This case report describes aspiration of extracted tooth under general anesthesia during routine dental care.
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