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Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations

Canceill, Thibault and Esclassan, Rémi and Marty, Mathieu and Valera, Marie-Cécile and Trzaskawka-Moulis, Estelle and Noirrit-Esclassan, Emmanuelle Misdiagnosed Tooth Aspiration in a Young Handicapped Boy: Case Report and Recommendations. (2019) Case Reports in Dentistry, 2019. ISSN 2090-6447

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Official URL: https://doi.org/10.1155/2019/8495739

Abstract

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.

Item Type:Article
HAL Id:hal-03181552
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Centre Hospitalier Universitaire de Montpellier - CHU Montpellier (FRANCE)
French research institutions > Centre National de la Recherche Scientifique - CNRS (FRANCE)
Université de Toulouse > Institut National Polytechnique de Toulouse - Toulouse INP (FRANCE)
French research institutions > Institut National de la Santé et de la Recherche Médicale - INSERM (FRANCE)
Université de Toulouse > Université Toulouse III - Paul Sabatier - UT3 (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
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Deposited On:25 Mar 2021 15:40

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